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  • 1.
    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 Bangladesh2019Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, nr 23, artikel-id 4594Artikel i tidskrift (Refereegranskat)
    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. 

  • 2.
    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 exercise2019Ingår i: Proc Physiol Soc 44, 2019, artikel-id C43Konferensbidrag (Refereegranskat)
    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.

  • 3.
    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 Performance2019Ingår i: Journal of Strength and Conditioning Research, ISSN 1064-8011, E-ISSN 1533-4287, Vol. 33, nr 6, s. 1488-1495Artikel i tidskrift (Refereegranskat)
    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.

  • 4.
    Amugongo, Jael
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Assessing parental perceptions to a school-based intervention study on dengue and chikungunya in Kwale County, South Coast Kenya: A qualitative study2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 5.
    Andersen-Hollekim, Tone E.
    et al.
    More & Romsdal Hosp Trust, Alesund, Norway; Norwegian Univ Sci & Technol, Trondheim, Norway.
    Kvangarsnes, Marit
    Norwegian Univ Sci & Technol, Alesund, Norway; More & Romsdal Hosp Trust, Alesund, Norway.
    Landstad, Bodil J.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Nord Trondelag Hosp Trust, Levanger Hosp, Levanger, Norway.
    Talseth-Palmer, Bente A.
    More & Romsdal Hosp Trust, Alesund, Norway; Norwegian Univ Sci & Technol, Trondheim, Norway; Univ Newcastle, Newcastle, NSW, Australia; Hunter Med Res Inst, Newcastle, NSW, Australia.
    Hole, Torstein
    More & Romsdal Hosp Trust, Alesund, Norway; Norwegian Univ Sci & Technol, Trondheim, Norway.
    Patient participation in the clinical pathway: Nurses' perceptions of adults' involvement in haemodialysis2019Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 2, s. 574-582Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To develop knowledge of nurses' perceptions of participation for patients treated with haemodialysis and their next of kin.

    Design: A qualitative study with a hermeneutic approach.

    Methods: The data were collected in 2015 through focus groups with 13 nurses in Central Norway.

    Results: The nurses reported that patient participation ranging from non-involvement to shared decision-making was related to whether dialysis was initiated as acute or scheduled. The restrictions required in chronic haemodialysis limited participation. The next of kin were not involved. The nurses highlighted interventions on both the individual and system levels to strengthen participation.

    Conclusion: Dialysis units should develop strategies for participation related to individual needs and design treatment in cooperation with patients and their families, ensuring involvement early in the clinical pathway. Further research is needed on issues related to next of kin, including their desired level of involvement.

  • 6.
    Andersson, Erik
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Govus, Andrew
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. La Trobe University, Melbourne, VIC, Australia.
    Shannon, Oliver Michael
    Newcastle University, Newcastle upon Tyne, United Kingdom.
    McGawley, Kerry
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Sex differences in performance and pacing strategies during sprint skiing2019Ingår i: Frontiers in Physiology, ISSN 1664-042X, E-ISSN 1664-042X, Vol. 10, artikel-id 295Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: This study aimed to compare performance and pacing strategies between elite male and female cross-country skiers during a sprint competition on snow using the skating technique.

    Methods: Twenty male and 14 female skiers completed an individual time-trial prolog (TT) and three head-to-head races (quarter, semi, and final) on the same 1,572-m course, which was divided into flat, uphill and downhill sections. Section-specific speeds, choice of sub-technique (i.e., gear), cycle characteristics, heart rate and post-race blood lactate concentration were monitored. Power output was estimated for the different sections during the TT, while metabolic demand was estimated for two uphill camera sections and the final 50-m flat camera section.

    Results: Average speed during the four races was ∼12.5% faster for males than females (P < 0.001), while speeds on the flat, uphill and downhill sections were ∼11, 18, and 9% faster for the males than females (all P< 0.001 for terrain, sex, and interaction). Differences in uphill TT speed between the sexes were associated with different sub-technique preferences, with males using a higher gear more frequently than females (P < 0.05). The estimated metabolic demand relative to maximal oxygen uptake (V&#x2D9;" role="presentation" style="box-sizing: border-box; display: inline; line-height: normal; word-spacing: normal; overflow-wrap: normal; white-space: nowrap; float: none; direction: ltr; max-width: none; max-height: none; min-width: 0px; min-height: 0px; border: 0px; padding: 0px; margin: 0px; position: relative; outline: 0px !important;">V˙V˙O2max) was similar for both sexes during the two uphill camera sections (∼129% of V&#x2D9;" role="presentation" style="box-sizing: border-box; display: inline; line-height: normal; word-spacing: normal; overflow-wrap: normal; white-space: nowrap; float: none; direction: ltr; max-width: none; max-height: none; min-width: 0px; min-height: 0px; border: 0px; padding: 0px; margin: 0px; position: relative; outline: 0px !important;">V˙V˙O2max) and for the final 50-m flat section (∼153% of V&#x2D9;" role="presentation" style="box-sizing: border-box; display: inline; line-height: normal; word-spacing: normal; overflow-wrap: normal; white-space: nowrap; float: none; direction: ltr; max-width: none; max-height: none; min-width: 0px; min-height: 0px; border: 0px; padding: 0px; margin: 0px; position: relative; outline: 0px !important;">V˙V˙O2max). Relative power output during the TT was 18% higher for males compared to females (P < 0.001) and was highly variable along the course for both sexes (coefficient of variation [CV] between sections 4–9 was 53%), while the same variation in heart rate was low (CV was ∼3%). The head-to-head races were ∼2.4% faster than the TT for both sexes and most race winners (61%) were positioned first already after 30 m of the race. No sex differences were observed during any of the races for heart rate or blood lactate concentration.

    Conclusion: The average sex difference in sprint skiing performance was ∼12.5%, with varying differences for terrain-specific speeds. Moreover, females skied relatively slower uphill (at a lower gear) and thereby elicited more variation in their speed profiles compared to the males.

  • 7.
    Atterhagen, Hanna
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ehrenholm Pettersson, Linnéa
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Helhetsperspektiv i naturbaserade rehabiliteringsinsatser: En kvalitativ studie av arbetslivsinriktad rehabilitering för stressrelaterad psykisk ohälsa2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 8.
    Backman Lönn, Beatrice
    et al.
    Region Västernorrland, Sundsvall Hospital, Sundsvall.
    Olofsson, Niclas
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Jong, Mats
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Translation and validation of the Clinical Trial Nursing Questionnaire in Swedish: A first step to clarify the clinical research nurse role in Sweden2019Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 28, nr 13-14, s. 2696-2705Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim and objectives: To translate the Clinical Trial Nursing Questionnaire (CTNQ) into Swedish and test it for face and content validity as well as internal consistency and reproducibility using test–retest procedures. Introduction/Background: In many countries, as in Sweden, a registered nurse can be involved in research by becoming a clinical research nurse. The clinical research nurse plays a pivotal role in clinical studies as a part of the research team. Scales have been developed and used with the objective to clarify the role of clinical research nurses: one of them is the CTNQ. Methods: A quantitative cross-sectional design with a test–retest procedure was applied to validate the translated questionnaire. By using a snowball sampling method, relevant participants were identified and 49 registered nurses working in the field of research as clinical research nurses answered the questionnaire on two occasions. An expert panel of three clinical research nurses evaluated the questionnaire for face and content validity. The STROBE checklist for observational research has been followed for presenting the research (see File S1). Results: Face and content validity was agreed upon in the expert panel group. Tests for internal consistency of the CTNQ was calculated and showed a high Cronbach's alpha for both the frequency and importance subscales. The test–retest correlation analysis (reproducibility) also revealed a high correlation coefficient for both subscales. Conclusion: The CTNQ-SWE is a valid and robust instrument in a Swedish version. The instrument can be of importance in assessing the role of clinical research nurses in Sweden in future studies. Relevance to clinical practice: Use of the CTNQ-SWE in future research can be of value for clarification and professional development of the clinical research nurse role in Sweden. The further use of the CTNQ in Sweden can be of value in understanding the process where licensed nurses make a transition into becoming a clinical research nurse, and to identify needs for customised education.

  • 9.
    Berglund, Marcus
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Tidpunkten på dagen och metabolisk fastas inverkan på fysisk prestation2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 10.
    Bergström, Max
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Lifelong participation in sport: - What can we learn from Orienteering?2019Självständigt arbete på avancerad nivå (masterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 11.
    Bilberg, Katarina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Mindfulness som hälsofrämjande intervention: En kvalitativ studie som belyser implementering av Mindfulness i arbetslivet.2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 12.
    Björk, Annette
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Stödjande gemenskap: Utveckling och utvärdering av en intervention för livsstilsförändring bland vuxna med adhd2020Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Hela det avhandlingsprojekt som avrapporteras här rör sig kring en livsstilsintervention som utvecklats, genomförts och utvärderats. I interventionen ingick vuxna personer med adhd och psykisk ohälsa. Adhd (Attention Deficiency Hyperactive Disorder) är en neuropsykiatrisktdiagnos/funktionsnedsättning karaktäriserad av uppmärksamhetsproblem, impulsivitet och hyperaktivitet och kan påverka utbildning, arbetsliv, sociala relationer och den fysiska och psykiska hälsan. Funktionsnedsättningen kan i förlängningen utgöra grund för försämrade livsvillkor och livsstilsvanor och bidra till individens välmående och livskvalitet.

    Forskning visar på en förkortad livslängd hos vuxna med adhd som också har med försämrade livsstilsvanor att göra. Inom det hälsovetenskapliga området är det viktigt att lindra lidande, främja hälsa och förebygga ohälsa. Därmed är det övergripande syftet med denna avhandling att analysera levnadsomständigheter bland personer med adhd och psykisk ohälsa samt att utveckla och utvärdera en livsstilsintervention för denna grupp.

    Avhandlingsprojektet inkluderar fyra delstudier: Studie I, en kvalitativintervjustudie (n=20) med vuxna personer med adhd och psykisk ohälsa, syftade till att beskriva upplevelser av lidande i vardagen bland vuxna med adhd och psykisk ohälsa. Analysen påvisade upplevelser av både lidande och välbefinnande vad gäller att leva med adhd. Fokus i lidandet var upplevelsen av ensamhet både gällande relationer i livet, stödjande relationer i vården men också till adhd diagnosen och psykisk ohälsa. Välbefinnande upplevdes när deltagarna diagnostiserades med adhd men också i relation till stödjande sociala relationer. Studie II, en kvantitativ beskrivande och jämförande studie, syftade till att få mer kunskap om personer med adhd och deras hälsosituation. En grupp personer med adhd (n=48) jämfördes med normalpopulation utan adhd (n=42). Resultaten visade sämre hälsoresultat gällande självupplevd allmän hälsa och gruppen med adhd var mindre fysisk aktiva per vecka men hade trots det inte sämre kondition jämfört med normalbefolkningen. Studie III, en kvantitativ beskrivande studie (n = 25), där syftet var att undersöka grad av acceptans för interventionen och dess påverkan när det gäller livsstilsvanor, hälsa och välbefinnande, BMI och fysisk kondition. Testerna före och efter avslutad grupputbildning visade på små positiva förändringar gällande veckovis fysisk aktivitet, livskvalitet och allmän och mental hälsa. Studie IV, en kvalitativ studie (n=15), med vuxna personer med adhd och samtidig psykisk ohälsa syftade till att undersöka upplevelsen av att delta i sjuksköterskeledd livsstilsintervention. Analysen, baserad på material från intervjuer, visade att deltagarna upplevde interventionen som stödjande vilket relateras till de interpersonella relationer som uppstod i interventionen. Genom stödjande gemenskap med de andra deltagarna i interventionen förbättrades livsstilsvanor och upplevelsen av hälsa.

    Avhandlingens slutsats är att den genomförda livsstilsinterventionen, baserad på interpersonella relationer och kontinuerligt stödjande gemenskap med andra, kan vara användbart för att genomföra livsstilsförändringar hos vuxna personer med adhd och psykisk ohälsa. Sådant stöd är viktigt eftersom vuxna med adhd och psykisk ohälsa upplever avsaknad av och en önskan om socialt stöd samt har ökad risk för ohälsosam livsstil och försämrad hälsa. Framtida justeringar av innehållet behövs för att förbättra livsstilsinterventionen mot mera hållbara livsstilsförändringar, men framförallt att livsstilsinterventionen är kontinuerlig. Det är också av stor vikt för vidare forskning att ett utifrån perspektiv används det vill säga att de professionellas upplevelser angående interventionen undersöks.

  • 13.
    Björk, Annette
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Rönngren, Ylva
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Hellzén, Ove
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Wall, Erika
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Being embraced in a meaningful context - a nurse-led lifestyle intervention for adult persons with ADHDManuskript (preprint) (Övrigt vetenskapligt)
  • 14.
    Björk, Annette
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Rönngren, Ylva
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Vinberg, Stig
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hellzén, Ove
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Wall, Erika
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Olofsson, Niclas
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    A nurse-led lifestyle intervention for adult persons with attention-deficit/hyperactivity disorder (ADHD) in SwedenIngår i: Artikel i tidskrift (Refereegranskat)
  • 15.
    Björklund, Glenn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Danvind, Jonas
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för kvalitets- och maskinteknik.
    Sundström, David
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för kvalitets- och maskinteknik.
    The effect of speed and gradient on running economy and oxygen uptake during downhill running2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Downhill running poses challenges were the gradient is of importance for energy cost and oxygen uptake. While demonstrated that downhill running at a slight gradient is most efficient, the energy cost increases with a steeper gradient (1). However, the additional effect of running speed has not been studied for downhill running. Therefore, the aim of the study was to analyse the combined effect of gradient and speed in downhill running on oxygen cost and running economy. METHODS:Runners (n=6) were recruited for the study and performed 1) VO2max and running economy (J·kg-1·m-1) tests and 2) an experimental running protocol at two speeds,12 km·h-1 and 80% of the speed at VO2max (V80) and three gradients (0, -5° and -10°). V80 was higher than 12 km·h-1 for all participants. All testing was performed on a large treadmill 3x5 m (Rodby, Sweden) that were controlled for speed and gradient. The experimental protocol was performed continuously with 5 min at each workload in a randomized order, 30 min in total. VO2 was measured throughout the experimental protocol using a mixing chamber (Moxus Metabolic Cart, USA). RESULTS:VO2 expressed as ml·kg-1·min-1 increased because of speed (F1,5=27.8, p=0.003) and decreased with gradient (F1,5=87.6, p<0.001). Between -5° and -10°, VO2 decreased less during V80 compared to 12 km·h-1 shown by an interaction (F2,10=7.9, p=0.009). However, speed did not influence running economy (F1,5=0.9, p=0.38) while gradient increased running economy (F1,5=90.1, p<0.001). A non-significant interaction effect suggests a shift in running economy between -5° and -10° depending on speed (F2,10=3.5, p=0.07). The running economy at V80 was higher compared to 12 km·h-1 at -5° but reversed at -10°. While a relation between running economy at V80 -10°, V80 -5° and 12 km·h-1 -10° (rs>0.88, p<0.019) was found, no relations between running economy on level terrain and steep downhill running (-10°) were recognised. CONCLUSION:While we found no effect on running economy from speed alone, we did see a shift in the running economy for different speeds at an increased downhill gradient. This indicates that a high speed (V80) is more efficient at moderate downhill gradients, while a lower speed (12 km·h-1) is more efficient in steeper downhill gradients. While previous research demonstrate that gradient is of great influence to running economy, the findings of this study suggest that speed also affects the running economy in downhill running.

  • 16.
    Björklund, Glenn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. The Swedish Sports Confederation, Stockholm, Sweden.
    Swarén, Mikael
    Kungliga Tekniska Högskolan.
    Born, Dennis-Peter
    Swiss Federal Institute of Sport, Magglingen, Switzerland.
    Stöggl, Thomas
    University of Salzburg, Salzburg, Austria.
    Biomechanical Adaptations and Performance Indicators in Short Trail Running2019Ingår i: Frontiers in Physiology, ISSN 1664-042X, E-ISSN 1664-042X, Vol. 10, artikel-id 506Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Our aims were to measure anthropometric and oxygen uptake (V&#x2D9;" role="presentation" style="box-sizing: border-box; display: inline; line-height: normal; font-size: 20px; overflow-wrap: normal; white-space: nowrap; float: none; direction: ltr; max-width: none; max-height: none; min-width: 0px; min-height: 0px; border: 0px; padding: 0px; margin: 0px; color: rgb(62, 61, 64); font-family: Georgia, "Times New Roman", Times, serif; position: relative; outline: 0px !important;">V˙V˙O2) variables in the laboratory, to measure kinetic and stride characteristics during a trail running time trial, and then analyse the data for correlations with trail running performance. Runners (13 men, 4 women: mean age: 29 ± 5 years; stature: 179.5 ± 0.8 cm; body mass: 69.1 ± 7.4 kg) performed laboratory tests to determine V&#x2D9;" role="presentation" style="box-sizing: border-box; display: inline; line-height: normal; font-size: 20px; overflow-wrap: normal; white-space: nowrap; float: none; direction: ltr; max-width: none; max-height: none; min-width: 0px; min-height: 0px; border: 0px; padding: 0px; margin: 0px; color: rgb(62, 61, 64); font-family: Georgia, "Times New Roman", Times, serif; position: relative; outline: 0px !important;">V˙V˙O2 max, running economy (RE), and anthropometric characteristics. On a separate day they performed an outdoor trail running time trial (two 3.5 km laps, total climb: 486 m) while we collected kinetic and time data. Comparing lap 2 with lap 1 (19:40 ± 1:57 min vs. 21:08 ± 2:09 min, P < 0.001), runners lost most time on the uphill sections and least on technical downhills (-2.5 ± 9.1 s). Inter-individual performance varied most for the downhills (CV > 25%) and least on flat terrain (CV < 10%). Overall stride cycle and ground contact time (GCT) were shorter in downhill than uphill sections (0.64 ± 0.03 vs. 0.84 ± 0.09 s; 0.26 ± 0.03 vs. 0.46 ± 0.90 s, both P < 0.001). Force impulse was greatest on uphill (248 ± 46 vs. 175 ± 24 Ns, P < 0.001) and related to GCT (r = 0.904, P< 0.001). Peak force was greater during downhill than during uphill running (1106 ± 135 vs. 959 ± 104 N, P< 0.01). Performance was related to absolute and relative V&#x2D9;" role="presentation" style="box-sizing: border-box; display: inline; line-height: normal; font-size: 20px; overflow-wrap: normal; white-space: nowrap; float: none; direction: ltr; max-width: none; max-height: none; min-width: 0px; min-height: 0px; border: 0px; padding: 0px; margin: 0px; color: rgb(62, 61, 64); font-family: Georgia, "Times New Roman", Times, serif; position: relative; outline: 0px !important;">V˙V˙O2 max (P < 0.01), vertical uphill treadmill speed (P < 0.001) and fat percent (P < 0.01). Running uphill involved the greatest impulse per step due to longer GCT while downhill running generated the highest peak forces. V&#x2D9;" role="presentation" style="box-sizing: border-box; display: inline; line-height: normal; font-size: 20px; overflow-wrap: normal; white-space: nowrap; float: none; direction: ltr; max-width: none; max-height: none; min-width: 0px; min-height: 0px; border: 0px; padding: 0px; margin: 0px; color: rgb(62, 61, 64); font-family: Georgia, "Times New Roman", Times, serif; position: relative; outline: 0px !important;">V˙V˙O2 max, vertical running speed and fat percent are important predictors for trail running performance. Performance between runners varied the most on downhills throughout the course, while pacing resembled a reversed J pattern. Future studies should focus on longer competition distances to verify these findings and with application of measures of 3D kinematics.

  • 17.
    Bolin, Malin
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för humaniora och samhällsvetenskap.
    Westerholm, Peter
    Uppsala universitet.
    Alfredsson, Lars
    Karolinska Institutet.
    Fransson, Eleonor
    Hälsohögskolan Jönköping.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Nordin, Maria
    Umeå universitet.
    Marklund, Staffan
    Karolinska Institutet.
    Arbetsmiljö och hälsa – WOLF-projektets utveckling från individ till organisations- och flernivåanalyser2020Ingår i: Att synliggöra och motverka ojämställdhet i arbetslivet: En vänbok till Annika Härenstam / [ed] Aronsson Gunnar, Berntson Erik, Björk Lisa, Bolin Malin, Corin Linda, Helsingborg: Komlitt Förlag AB , 2020, s. 96-113Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 18.
    Borén, Fanny
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    En frisk arbetsplats: En kvalitativ studie om medarbetares uppfattningar av friskfaktorer på sin arbetsplats2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 19.
    Botshinda, Nathalie
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Nykvist, Annica
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Kan känsla av sammanhang förklara skillnaden i sjukfrånvaron mellan två arbetsgrupper: En studie om korttidsfrånvaro2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 20.
    Brännström, Lotta
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Nyhlén, Sara
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för humaniora och samhällsvetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    “You are so ugly, you whore”- girls in rural Sweden discuss and address gendered violence2020Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 15, nr 1, artikel-id 1695308Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Girls face gendered violence on an everyday basis, and this may have severe health consequences. Purpose: The aim of this study was to learn about gendered violence facing girls in rural Sweden in their everyday life, as it is experienced by the girls themselves. Method: Using the photovoice method, we worked with 35 girls in an upper secondary school, aged between 16 and 20, to explore how they navigated social spaces and developed strategies for increased safety. Results: Thematic analysis revealed two main themes (constant fear and strategies) and four sub themes (fear of being raped, fear of being labelled and excluded, being “appropriately” sexually active, and appearance and performance for increased feelings of safety). Conclusion: We considered how gendered violence facing girls led to fear and marginalization in a range of situations and interactions. Consequently, girls occupied significantly smaller social spaces compared to boys, and we argue that this was reproduced and upheld through everyday practices informed by hegemonic masculinity and performativity.

  • 21.
    Burman, Daniel
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Jonasson, Sandra
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Kan arbetstidsförkortning öka möjligheten till återhämtning?: En studie om socialsekreterares arbete- och livsbalans2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 22.
    Buys, Nicholas J.
    et al.
    Griffith University, Australia.
    John, Selander
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Sun, Jing
    Griffith University, Australia.
    Employee experience of workplace supervisor contact and support during long-term sickness absence2019Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 41, nr 7, s. 808-814Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: Workplace support is an important factor in promoting successful return to work. The purpose of this article is to examine relationships between supervisor contact, perceived workplace support and demographic variables among employees on long-term sickness absence.

    Materials and method: Data were collected from 204 public employees at a municipality in Sweden who had been on long term sickness absence (60 days or more) using a 23 question survey instrument that collected information on demographic variables, supervisor contact and perceived workplace support.

    Results: Most injured employees (97%) reported having contact with their supervisors during their sickness absence, with a majority (56%) reporting high levels of support, including early (58.6%) and multiple (70.7%) contacts. Most were pleased with amount of contact (68.9%) and the majority had discussed workplace accommodations (68.1%). Employees who self-initiated contact, felt the amount of contact was appropriate, had a personal meeting with their supervisors and discussed workplace adjustments reported experiencing higher levels of support from supervisors.

    Conclusions: Employees on long-term sickness absence appreciate contact from their supervisors and this is associated with perceived workplace support. However, the amount and employee experience of this contact is important. It needs to be perceived by employees as supportive, which includes a focus on strategies (e.g., work adjustment) to facilitate a return to work. Supervisor training is required in this area to support the return to work process.

    • Implications for Rehabilitation
    • Contact and support from workplace supervisors is important to workers on long-term sickness absence.

    • Employees appreciate frequent contact from supervisors during long-terms sickness absence.

    • Employees appreciate a personal meeting with supervisors and the opportunity to discuss issues related to return to work such as work adjustment.

    • Employers should provide training to supervisors on how to communicate and assist employees on long-term sickness absence.

  • 23.
    Bårdsgjerde, Elise Kvalsund
    et al.
    Norwegian University of Science and Technology (NTNU), Ålesund, Norway.
    Kvangarsnes, Marit
    Norwegian University of Science and Technology (NTNU), Ålesund, Norway; Møre og Romsdal Hospital Trust, Ålesund, Norway.
    Landstad, Bodil
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway.
    Nylenna, Magne
    Institute of Health and Society, University of Oslo, Oslo, Norway; Norwegian Institute of Public Health, Oslo, Norway.
    Hole, Torstein
    Møre og Romsdal Hospital Trust, Ålesund, Norway; Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
    Patients' narratives of their patient participation in the myocardial infarction pathway2019Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, nr 5, s. 1063-1073Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To explore how patients in areas without local percutaneous coronary intervention (PCI) facilities experience patient participation in different phases of the myocardial infarction pathway. Background: Acute treatment of myocardial infarction often involves PCI. In Norway, this treatment is centralized at certain hospitals; thus, patients often require long-distance transportation and experience frequent hospital transfers. Short hospital stays, transfers between hospitals and the patient's emotional state pose challenges to promoting patient participation. Design: A qualitative design with a narrative approach. Methods: Participants were recruited through purposive sampling. Eight men and two women were interviewed in 2016. Findings: Four themes related to the patients' experiences at the beginning, middle and end of the pathway were identified: (a) Lack of verbal communication in the acute phase; (b) trust in healthcare professionals and treatment; (c) lack of participation and coordination at discharge; and (d) shared decision-making in rehabilitation. The findings showed how the patients moved from a low level of patient participation in the acute phase to a high level of patient participation in the rehabilitation phase. Conclusion: This is the first study to explore patient participation in different phases of the myocardial infarction pathway. We argue that individual plans for information and patient participation are important to improve patient involvement in an earlier stage of the pathway. Further research from a healthcare professional perspective can be valuable to understand this topic. Impact: This study gives new insight that can be valuable for healthcare professionals in implementing patient participation throughout the pathway. 

  • 24.
    Böhlin, Johanna
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Lauritsen, Martina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Konflikter och konflikthantering: Upplevelser och erfarenheter ur ett medarbetarperspektiv inom hemtjänsten2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 25.
    Carr, Amelia
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Deakin University, Burwood, Victoria, Australia.
    McGawley, Kerry
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Govus, Andrew
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Andersson, Erik
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Shannon, Oliver M.
    Newcastle University, Newcastle upon Tyne, United Kingdom.
    Mattsson, Stig
    Örebro University, Örebro, Sweden.
    Melin, Anna K.
    University of Copenhagen, Copenhagen, Denmark.
    Nutritional Intake in Elite Cross-Country Skiers During Two Days of Training and Competition2019Ingår i: International Journal of Sport Nutrition & Exercise Metabolism, ISSN 1526-484X, E-ISSN 1543-2742, Vol. 29, nr 3, s. 273-281Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study investigated the energy, macronutrient and fluid intakes, as well as hydration status (urine specific gravity; USG), in elite cross-country skiers during a typical day of training (day one) and a sprint skiing competition the following day (day two). Thirty-one (18 male and 13 female) national team skiers recorded their food and fluid intakes and USG was measured on days one and two. In addition, the females completed the Low Energy Availability in Females-Questionnaire (LEAF-Q) to assess their risk of long-term energy deficiency. Energy intake for males was 65+/-9 kcal/kg on day one versus 58+/-9 kcal/kg on day two (P=0.002), and for females was 57+/-10 on day one versus 55+/-5 kcal/kg on day two (P=0.445). Carbohydrate intake recommendations of 10-12 g/kg/day were not met by 89% of males and 92% of females. All males and females had a protein intake above the recommended 1.2-2.0 g/kg on both days, and a post-exercise protein intake above the recommended 0.3 g/kg. Of the females, 31% were classified as being at risk of long-term energy deficiency. In the morning of day one, 50% of males and 46% of females were dehydrated; on day two this was the case for 56% of males and 38% of females. In conclusion, these data suggest that elite cross-country skiers ingested more protein and less carbohydrate than recommended, and one third of the females were considered at risk for long-term energy deficiency. Furthermore, many of the athletes were dehydrated prior to training and competition.

  • 26.
    Costa, Diogo
    et al.
    University of Porto, Porto, Portugal.
    Hatzidimitriadou, Eleni
    Canterbury Christ Church University, Canterbury, Kent, UK.
    Ioannidi-Kapolo, Elli
    National School of Public Health Athens, Athens, Greece.
    Lindert, Jutta
    Protestant University of Applied Sciences Ludwigsburg, Ludwigsburg, Germany; University of Applied Sciences Emden, Emden, Germany; WRSC, Brandeis University, Waltham, MA, USA.
    Soares, Joaquim
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för psykologi och socialt arbete.
    Toth, Olga
    Hungarian Academy of Sciences, Budapest, Hungary.
    Barros, Henrique
    University of Porto and University of Porto Medical School, Porto, Portugal.
    The impact of intimate partner violence on forgone healthcare: a population-based, multicentre European study2019Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 29, nr 2, s. 359-364Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    To examine the relationship between forgone healthcare and involvement in intimate partner violence (IPV) as victims, perpetrators or both.

    METHODS:

    This cross-sectional multicentre study assessed community non-institutionalized residents (n = 3496, aged 18-64) randomly selected from six European cities: Athens, Budapest, London, Östersund, Porto, Stuttgart. A common questionnaire was used, including self-reports of IPV and forgone healthcare ('Have you been in need of a certain care service in the past year, but did not seek any help?'). Odds ratios (ORs), 95% confidence intervals (CIs) were computed fitting logistic regression models adjusted for city, chronic disease, self-assessed health status and financial strain.

    RESULTS:

    Participants experiencing past year IPV (vs. no violence) reported more often to forgone healthcare (n = 3279, 18.6% vs. 15.3%, P = 0.016). IPV experienced as both a victim and perpetrator was associated with forgone healthcare (adjusted OR, 95%CI: 1.32, 1.02-1.70).

    CONCLUSION:

    IPV was associated with forgone healthcare, particularly for those experiencing violence as both victims and perpetrators. Results suggest that preventing IPV among adults may improve timely healthcare uptake.

  • 27.
    Dahlqvist, Heléne
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Landstedt, Evelina
    Umeå universitet.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Poly-victimization of Bullying, Sexual Harassment and Violence in Youth - A Latent Class Analysis2019Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Introduction: Violence in a broad sense among youth is common and there is some evidence that there are groups of youth who are victims of more than one form of violence. More knowledge is needed in terms of patterning of subgroups of poly-victimization. The aim was to explore if there are distinct subgroups of youth with particular patterns of violence victimization.

    Method: Survey data from a Swedish sample (n = 1,569) of 14-16-year-olds were used (females 48.4%). Measures were physical violence, threat of physical violence, bullying, sexual harassment, and cyber bullying and harassment in the past six months as well as lifetime physical violence. Latent Class Analysis (LCA) was used to identify subgroups of youth with particular violence victimization patterns. Model fit assessment was based on model parsimony, theoretical justification and fit indices criteria (the Akaike information criterion and the Bayesian information criterion).

    Result: A three-latent-class model was selected: 1. Poly-victims with high probabilities of being victimized by a multitude of different types of violence (girls 47.6%). 2. Overall low probabilities of violence victimization (girls 47.5%). 3. High probabilities of victimization of sexual harassment off- and online as well as bullying online (girls 65.6%).

    Discussion: Three distinct subgroups of violence victimization in youth was evident in the data. There was a greater representation of girls in the purely sexualized violence sub-group. Further research and preventive programs should acknowledge that young people who are victims of one type of violence are likely also to be victims of other types of violence.

  • 28.
    Danielsson, Theodor
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Fysiologiska skillnader under submaximal intensitet före och efter en supramaximal ansträngning vid rullskidåkning2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 29.
    Dias, Nicole Geovana
    et al.
    EpiUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal; Departamento de Saúde Coletiva da Faculdade de Medicina da Universidade Federal de Uberlândia, Uberlândia, Minas Gerais, Brazil.
    Costa, Diogo
    EpiUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
    Soares, Joaquim
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. EpiUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
    Hatzidimitriadou, Eleni
    Faculty of Health and Social Care Sciences, Kingston University and St George’s, University of London, London, UK.
    Ioannidi-Kapolou, Elisabeth
    Department of Sociology, National School of Public Health Athens, Athens, Greece.
    Lindert, Jutta
    University of Applied Sciences Emden, Emden, Germany Women’s Studies Research Center, Brandeis University, Waltham, MA, USA.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för psykologi och socialt arbete.
    Toth, Olga
    Institute of Sociology, Hungarian Academy of Sciences, Budapest, Hungary.
    Barros, Henrique
    EpiUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal.
    Fraga, Silvia
    EpiUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
    Social support and the intimate partner violence victimization among adults from six European countries2019Ingår i: Family Practice, ISSN 0263-2136, E-ISSN 1460-2229, Vol. 36, nr 2, s. 117-124Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Social support may buffer the negative effects of violence on physical and mental health. Family medicine providers play an essential role in identifying the available social support and intervening in intimate partner violence (IPV).

    Objective

    This study aimed at assessing the association between social support and the IPV victimization among adults from six European countries.

    Methods

    This is a cross-sectional multi-centre study that included individuals from Athens (Greece), Budapest (Hungary), London (UK), Östersund (Sweden), Porto (Portugal) and Stuttgart (Germany). Data collection was carried out between September 2010 and May 2011. The sample consisted of 3496 adults aged 18–64 years randomly selected from the general population in each city. The revised Conflict Tactics Scales was used to assess IPV victimization. Social support was assessed with the Multidimensional Scale of Perceived Social Support.

    Results

    Participants reporting physical assault victimization experienced lower social support (mean ± SD) than their counterparts, 66.1 ± 13.96 versus 71.7 ± 12.90, P< 0.001, for women; and 67.1 ± 13.69 versus 69.5 ± 13.52, P = 0.002 for men. Similar results were found regarding sexual coercion victimization, 69.1 ± 14.03 versus 71.3 ± 12.97, P = 0.005 for women and 68.0 ± 13.29 versus 69.3 ± 13.62, P= 0.021 for men. This study revealed lower levels of social support among participants reporting lifetime and past year victimization, independent of demographic, social and health-related factors.

    Conclusion

    Results showed a statistically significant association between low social support and IPV victimization. Although the specific mechanisms linking social support with experiences of violence need further investigation, it seems that both informal and formal networks may be associated with lower levels of abusive situations.

  • 30.
    Dzhilkibaeva, Natalya
    et al.
    Analytical Department, Sport Training Center of the Russian National Teams, Moscow, Russia.
    Ahrens, Matthias
    National Training Centre, Biathlon Canada, Canmore, AB, Canada.
    Laaksonen, Marko
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Can performance in biathlon world cup be predicted by performance analysis of biathlon IBU cup?2019Ingår i: International Journal of Performance Analysis in Sport, ISSN 1474-8185, E-ISSN 1474-8185, Vol. 19, nr 5, s. 856-865Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Biathlon performance consists of skiing speed, shooting accuracy (ShAcc) and shooting time (ShT). For coaches, the evaluation of the performance level of biathletes to select biathletes to particular competitions is crucial. The present study aimed to compare two different approaches to analyse biathletes’ skiing performance (relative skiing speed, SS%, and skiing time coefficient, STC), and to analyse the relationship between different parameters of performance between two competition levels (World Cup, WC and IBU Cup, IC). The data from four competitive seasons were analysed including 166 male and 184 female biathletes. The correlation between SS% in IC and WC was similar for both sexes (males r = .81; females r = .78) compared to correlation between STC in IC and WC (males r = .80; females r = .75) (p < .001), whereas the mean absolute percentage error was higher for STC (1.2% and 1.8% vs. 18% and 22%). SS%, ShAcc and ShT in IC explained 54% and 45% (p < .001) of the entire WC rank for males and females, respectively. Thus, SS% is recommended to be used for evaluation of biathletes’ skiing performance. To predict the performance in WC from results in IC should be used with caution.

  • 31.
    Ehrs, Susanne
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Fohlin, Daniela
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Onboarding: En kvantitativ studie om nyanställda socialsekreterares upplevelser av sin arbetsintroduktion2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 32.
    Ekström, Annika
    et al.
    Linnéuniversitetet, Kalmar/Växjö.
    Hafsteinsson Östenberg, Anna
    Linnéuniversitetet, Växjö.
    Björklund, Glenn
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Alricsson, Marie
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Linnéuniversitetet, Kalmar/Växjö.
    The effects of introducing Tabata interval training and stability exercises to school children as a school-based intervention program2019Ingår i: International Journal of Adolescent Medicine and Health, ISSN 0334-0139, E-ISSN 2191-0278, Vol. 31, nr 4, artikel-id 20170043Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Physical activities during leisure time as well as school hours have changed over the past few years, with adolescents being less physically active and adopting a sedentary lifestyle.

    Objective

    The overall objective of this mixed-methods study was to evaluate the feasibility of introducing a 4-min Tabata interval training into a lower secondary school context. A further aim was to evaluate the possible effects on: coordination, balance, and strength.

    Methods

    The study was conducted as an intervention study with a mixed-method approach. Forty-three children, aged 7–9 years, participated in the intervention group. Additionally, 13 children were recruited as a control group. The intervention itself was delivered by the teachers and was performed for 4-min every day in a classroom setting. All participants performed physical tests before and after the intervention period to evaluate the Tabata training. After the completion of the 6-week Tabata interval training, the four teachers were interviewed.

    Results

    The push-ups (p = 0.004), kneeling push-ups (p = 0.03), and standing long jump (p = 0.01) improved in the intervention group after 6 weeks. No differences were observed between the genders. The teachers experienced that it worked well to integrate the Tabata interval training in the classroom setting.

    Conclusion

    After 6 weeks, a school-based Tabata intervention program improved physical performance. The teachers saw no obstacles in including the Tabata intervention program in a classroom setting and pointed out several positive aspects such as an increased energy level and development in the children’s movement patterns.

  • 33.
    El Boudoufti Stigebrand, Oscar
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Skillnaden på Vo2 mellan cykling och löpning på samma angivna hjärtfrekvens2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 34.
    Eriksson, Jennie
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Henriksson, Julia
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Vad motiverar anställda till ett hälsofrämjande arbetsliv2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 35.
    Eriksson, Katherine
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hälsocoachers erfarenheter och upplevelser av tillämpbara metoder för bestående livsstilsförändringar: En intervjustudie2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 36.
    Eriksson, Peter
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Coachning som intervention för ökad fysisk aktivitet: En kvalitativ studie av deltagarnas upplevelser2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 37.
    Eriksson, Therese
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    ”Du vet ju att du ska bli blind…när då?”: Retinitis Pigmentosa patienters upplevelser av mötet med sjukvården2019Självständigt arbete på avancerad nivå (masterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 38.
    Eslami, Bahareh
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. University of Gävle.
    Di Rosa, Mirko
    National Institute of Health and Science on Aging, IRCCS INRCA, Ancona, Italy.
    Barros, Henrique
    EPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
    Torres-Gonzalez, Francisco
    University of Granada, Granada, Spain.
    Stankunas, Mindaugas
    Lithuanian University of Health Sciences, Kaunas, Lithuania; University of Griffith, Gold Coast, Queensland, Australia.
    Ioannidi-Kapolou, Elisabeth
    National School of Public Health, Athens, Greece.
    Lindert, Jutta
    University of Emden, Emden, Germany; Brandeis University, Waltham, MA, United States of America.
    Soares, Joaquim J. F.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Lamura, Giovanni
    National Institute of Health and Science on Aging, IRCCS INRCA, Ancona, Italy.
    Melchiorre, Maria Gabriella
    National Institute of Health and Science on Aging, IRCCS INRCA, Ancona, Italy.
    Lifetime abuse and somatic symtoms among older women and men in Europe2019Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, nr 8, artikel-id e0220741Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Research suggests that survivors of interpersonal violence have an increasing experience of bodily symptoms. This study aims to scrutinise the association between lifetime abuse and somatic symptoms among older women and men, considering demographics/socio-economic, social support and health variables.

    Methods

    A sample of 4,467 community-dwelling persons aged 60–84 years (57.3% women) living in seven European countries (Germany, Greece, Italy, Lithuania, Portugal, Spain, Sweden) was recruited for this cross-sectional study. Lifetime abuse (psychological, physical, sexual, financial and injury) was assessed on the basis of the UK study of elder abuse and the Conflict Tactics Scale-2, while somatic symptoms were assessed by the Giessen Complaint List short version.

    Results

    Women reported somatic symptoms more frequently than men. Multiple regression analyses revealed that lifetime exposure to psychological abuse was associated with higher levels of somatic symptoms among both women and men, while experiencing lifetime sexual abuse was associated with somatic symptoms only among older women, after adjusting for other demographic and socio-economic variables. Country of residence, older age, and low socio-economic status were other independent factors contributing to a higher level of somatic symptoms.

    Conclusions

    The positive association between the experience of abuse during lifetime and the reporting of higher levels of somatic symptoms, in particular among older women, seems to suggest that such complaints in later life might also be related to the experience of mistreatment and not only to ageing and related diseases. Violence prevention throughout lifetime could help to prevent somatic symptoms in later life.

  • 39.
    Fernández, Fran de Asís
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Universidad Autónoma de Madrid, Madrid, Spain.
    Rodríguez-Zamora, Lara
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Örebro University, Örebro.
    Schagatay, Erika
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hook Breathing Facilitates SaO2 Recovery After Deep Dives in Freedivers With Slow Recovery2019Ingår i: Frontiers in Physiology, ISSN 1664-042X, E-ISSN 1664-042X, Vol. 10, s. 1-8, artikel-id 1076Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To facilitate recovery from hypoxia, many freedivers use a breathing method called “hook breathing” (HB) after diving, involving an interrupted exhale to build up intrapulmonary pressure. Some divers experience a delay in recovery of arterial oxygen saturation (SaO2) after diving, interpreted as symptoms of mild pulmonary edema, and facilitated recovery may be especially important in this group to avoid hypoxic “blackout.” We examined the influence of HB on recovery of SaO2 in freedivers with slow recovery (SR) and fast recovery (FR) of SaO2 after deep “free immersion” (FIM) apnea dives to 30 m depth. Twenty-two male freedivers, with a mean (SD) personal best in the discipline FIM of 57(26) m, performed two 30 m deep dives, one followed by HB and one using normal breathing (NB) during recovery, at different days and weighted order. SaO2 and heart rate (HR) were measured via pulse oximetry during recovery. The SR group (n = 5) had a faster SaO2 recovery using HB, while the FR group (n = 17) showed no difference between breathing techniques. At 105 s, the SR group reached a mean (SD) SaO2 of 95(5)% using HB, while using NB, their SaO2 was 87(5)% (p < 0.05), and 105–120 s after surfacing SaO2 was higher with HB (p < 0.05). In SR subjects, the average time needed to reach 95% SaO2 with HB was 60 s, while it was 120 s at NB (p < 0.05). HR was similar in the SR group, while it was initially elevated at HB in the FR group (p < 0.05). We conclude that HB efficiently increases SaO2 recovery in SR individuals, but not in the FR group. The proposed mechanism is that increased pulmonary pressure with HB will reverse any pulmonary edema and facilitate oxygen uptake in divers with delayed recovery.

  • 40.
    Forsberg, Hanna
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Carlerby, Heidi
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Norstrand, Annika
    Public Health Center, Region Norrbotten, Luleå.
    Risberg, Anitha
    Luleå University of Technology, Luleå.
    Kostenius, Catrine
    Luleå University of Technology, Luleå.
    Positive self-reported health might be an important determinant of student's experiences of high school in northern Sweden2019Ingår i: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 78, nr 1, artikel-id 1598758Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is a need for more knowledge about positive health determinants in the school setting. The overall aim of this study was to analyse if positive self-reported health is associated with experiences of school among high-school students. Data originated from the health dialogue questionnaire answered by students in grade 1 of high school. A total of 5035 students participated from the academic years 2013 to 2016. Logistic regression with positive odds ratio (POR) was used to analyse associations between positive self-reported health and school experiences. There was an association between positive self-reported health and school experiences among students. Positive mental health was the strongest predictor for positive school experiences. To frequently participate in Physical Education, have a positive body image and satisfactory sleep nearly doubled the students' odds for positive school experiences. The results also revealed gender differences; boys more often reported positive experiences of school and positive health than girls. Positive self-reported health is associated with positive experiences of school, particularly mental health. Moreover, these findings have significant implications for how students experience school and demonstrate the importance of including health-promoting interventions in systemic school improvement, meeting both girls' and boys' needs.

  • 41.
    Frisk, Johan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Dietisters attityder och åsikter om skatt på sockersötade drycker2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 42.
    Frisk, Lolita
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Yoga och Livsbalans – ett helhetsperspektiv: Kvinnors upplevelse av yoga, livsbalans och återhämtning2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 43.
    Gibson, Karin
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Unga kvinnors egna upplevelser av hur sociala medier påverkar det psykiska måendet: En kvalitativ intervjustudie2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 44.
    Gillander Gådin, Katja
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Stein, Nan
    Wellesley Centers for Women, Wellesley College, Wellesley, MA, USA.
    Do schools normalise sexual harassment? An analysis of a legal case regarding sexual harassment in a Swedish high school2019Ingår i: Gender and Education, ISSN 0954-0253, E-ISSN 1360-0516, Vol. 31, nr 7, s. 920-937Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Sexual harassment has become so frequent and ubiquitous in schools that these behaviours have become normalised and expected. In order to prevent the re-enactment and perpetuation of this problem, it is important to explore processes that contribute to its existence. A high school sexual harassment lawsuit in Sweden is used as a case study to illustrate ways that might explain how sexual harassment is normalised at the organisational level. A thematic analysis has been used to identify themes and subthemes. The results show a multi-layered web of factors and practices related to sexual harassment at the organisational level in the school. In order to change a school’s culture from one where sexual harassment is normalised, multiple needs must be addressed: organisational weaknesses must be strengthened; adults enact their responsibility to change the situation; and awareness of the relationship between sexual harassment, gender, and power needs to be increased.

  • 45.
    Granberger Harasaki, Linda
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    ”Varför händer detta mig?”: En studie om meningsskapandeprocessen och hur personer skapar mening och förståelse kring sin sjukskrivning för utmattningssyndrom och återgång i arbete.2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 46.
    Grape, Maria
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Det sjuka arbetslivet.: En kvalitativ studie om hur chefer i offentlig verksamhet upplever sjuknärvaro i sina arbetsgrupper.2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 47.
    Hagqvist, Emma
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Toivanen, Susanna
    CHESS, Stockholms universitet.
    Vinberg, Stig
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    The gender time gap: Time use among self-employed women and men compared to paid employees in Sweden2019Ingår i: Time & Society, ISSN 0961-463X, E-ISSN 1461-7463, Vol. 28, nr 2, s. 680-696Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this article, the authors set out to study the time use of men and women in Sweden, comparing self-employed and employed individuals. Previous studies indicate that there are reasons to believe that both gendered time use and mechanisms related to time use might differ between the self-employed and employees. Employing time use data, the aim was to study whether there are differences in gendered time use between self-employed individuals and employees in Sweden, and furthermore, which mechanism relates to gendered time use among self-employed individuals and employees. The results show that self-employed men and women distribute their time in a more gender-traditional manner than employees. In addition, relative resources are found to be an important factor related to gendered time use among the self-employed. For employees, gender relations tend to be a mechanism related to gendered time use. The conclusion is that working conditions are important for gendered time use and should be considered in future studies.

  • 48.
    Hagqvist, Emma
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad. Stockholm University, Stockholm.
    Vinberg, Stig
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Toivanen, Susanna
    Stockholm University; Mälardalen University.
    Hagström, Malin
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Granqvist, Sara
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Landstad, Bodil J.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Levanger Hospital, Nord-Trøndelag Hospital Trust, Norway.
    Falling outside the system:: Occupational safety and health inspectors’ experiences of micro-enterprises in Sweden2020Ingår i: Safety Science Monitor, ISSN 1443-8844, Vol. 125, s. 1-9, artikel-id 104631Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this study, 11Swedish occupational safety and health (OSH)i nspectors were interviewed about their views of and experiences interacting with micro-enterprises (1-9 employees). The qualitative content analysis found one  theme, “Falling outside thes ystem”, and three subthemes, “The inspector—shaped by specific standards”, “The bureaucrat and the micro-entrepreneur—two separate worlds”, and “System faults and system changes”. According to the inspectors, the Swedish OSH regulatory system, with inspectors on the frontline, neglects the specific needs, circumstance and characteristics of micro-enterprises.Therefore,we suggest revising the OSH regulatory system and following inspection methods and enforcement styles to better address the needs of micro enterprises.

  • 49.
    Hagqvist, Emma
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad. Stress Research Institute, Stockholm University.
    Vinberg, Stig
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Tritter, Jonathan Q
    Aston University, UK.
    Wall, Erika
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Landstad, Bodil
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Nord-Tröndelag Hospital Trust, Norway.
    The Same, Only Different: Doing Management in the Intersection between Work and Private Life for Men and Women in Small-scale Enterprises2019Ingår i: Work, Employment and Society, ISSN 0950-0170, E-ISSN 1469-8722, artikel-id 0950017019871244Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this article is to elucidate how male and female managers of small-scale enterprises in Norway and Sweden relate to and experience the intersection between work and private life. A qualitative content analysis was adopted to explore interviews with 18 managers. The analysis resulted in three primary categories: conflict as a part of the deal, using management to construct balance, and management identity contributing to enrichment. A key theme that emerged was doing management. Both men and women reproduced masculine values in describing their management identities and in explaining how they enacted management. This clear identification was used to legitimate conflict, construct balance and explain the interaction between work and private life as enriching. How the managers enacted gender emerged primarily in how they related to family responsibilities and their feelings of guilt in relation to home and children.

  • 50.
    Haidar, Angelika
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ett hälsofrämjande ledarskap?: En kvantitativ studie om det transformativa ledarskapets relation till medarbetares motivation, hälsa och emotioner2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
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