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  • 1.
    Afifi, Mustafa
    et al.
    Department of Non-Communicable Diseases Control, Ministry of Health (HQ), Muscat, Oman.
    von Bothmer, Margareta
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Egyptian women's attitudes and beliefs about female genital cutting and its association with childhood maltreatment2007Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 9, nr 4, s. 270-276Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study aimed to establish Egyptian women's attitudes and beliefs about female genital cutting (FGC) or mutilation by applying a questionnaire module about violence to a subsample of 5249 married women from a total of 19 474 women who participated in the 2005 Egypt Demographic Health Survey. Women were interviewed to determine if they had been exposed to marital violence in the year prior to the survey, their attitudes and beliefs about FGC, and if they physically abused their children. The association of beliefs about FGC with maternal physical abuse was examined, adjusting for exposure to marital violence and other socio-demographic variables. Of the women surveyed 16.4% and 3.4% had been exposed to physical and sexual violence, respectively, during the year prior to the survey. Around 76% of the women surveyed intended to continue the FGC practice, and 69.8% had slapped or hit their children during the year prior to the survey. Holding positive beliefs about the practice of FGC or intending to continue it was associated with maternal physical abuse and this has significant implications for health and welfare workers in Egypt and for society in general.

  • 2.
    Fors, Uno
    et al.
    Department of Computer and Systems Sciences, Stockholm University, Stockholm, Sweden.
    Forsberg, Elenita
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Gunning, William
    Department of Pathology, University of Toledo, Toledo, Ohio, USA.
    Can virtual patients be used to assess clinical reasoning? The effect of different grading metrics2012Inngår i: 15th Ottawa Conference, Abstracts, Ottawa: AMEE , 2012, s. 166-166Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background

    Virtual patients (VPs) can be used to assess clinical reasoning. Grading metrics applied to VP exams may include scoring for appropriate differential diagnoses, proposed therapy, and the learner’s approach to the case. The learner’s inquiry of medical history, physical exam, and lab/ancillary tests utilized during the exam can all be graded.  However, the best grading metric used to assess clinical reasoning for VP examination is unresolved. 

    Summary of Work

    Results from two groups of students assessed by VP-based examination (n>300) were used as a basis to evaluate different grading metrics. These grading models were also compared with results of other traditional student examination performance. 

    Summary of Results

    Each method of grading had both pronounced advantages and disadvantages with none considered ideal. However one grading metric was perceived to perform slightly better. None of the scoring methods had a direct correlation with four traditional exam formats to which they were compared. 

    Conclusions

    Each grading metric used in this study had advantages and disadvantages. Medical school exams employing VP-based exams need to define what should be assessed for reliable utilization.

    Take-home Messages

    Objectives of VP-based examination are essential to measure learner competency in an appropriate context. Traditional exams do not necessarily measure the same aptitude that VP-based exams measure.

  • 3.
    Haglund, Emma
    et al.
    Spenshult Research and Development Center, Spenshult, Oskarström, Sweden.
    Bremander, Ann
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Bio- och miljösystemforskning (BLESS), Biomekanik och biomedicin. Spenshult Research and Development Center, Spenshult, Oskarström, Sweden.
    Bergman, Stefan
    Spenshult Research and Development Center, Spenshult, Oskarström, Sweden.
    Jacobsson, Lennart T H
    Department of Clinical Sciences, Malmö, Section of Rheumatology, Lund University, Lund, Sweden.
    Petersson, Ingemar F
    Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden.
    Work productivity in a population-based cohort of patients with spondyloarthritis2013Inngår i: Rheumatology, ISSN 1462-0324, E-ISSN 1462-0332, Vol. 52, nr 9, s. 1708-14Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To assess work productivity and associated factors in patients with SpA.

    METHODS: This cross-sectional postal survey included 1773 patients with SpA identified in a regional health care register. Items on presenteeism (reduced productivity at work, 0-100%, 0 = no reduction) were answered by 1447 individuals. Absenteeism was defined as register-based sick leave using data from a national register. Disease duration, disease activity (BASDAI), physical function (BASFI), health-related quality of life (EQ-5D), anxiety (HAD-a), depression (HAD-d), self-efficacy [Arthritis Self-efficacy Scale (ASES) pain and symptom], physical activity and education were also measured.

    RESULTS: Forty-five per cent reported reduced productivity at work with a mean reduction of 20% (95% CI 18, 21) and women reported a higher mean reduction than men (mean 23% vs 17%, P < 0.001). Worse quality of life, disease activity, physical function and anxiety all correlated with reduced productivity (r = 0.52-0.66, P < 0.001), while sick leave did not. Worse outcomes on the EQ-5D (β-est -9.6, P < 0.001), BASDAI (β-est 7.8, P < 0.001), BASFI (β-est 7.3, P < 0.001), ASES pain (β-est -0.5, P < 0.001) and HAD-d (β-est 3.4, P < 0.001) were associated with reduced productivity at work in patients with SpA regardless of age, gender and disease subgroup. ASES symptoms, HAD-a and education level <12 years were associated with reduced productivity but were not significant in all strata for age, gender and disease subgroup.

    CONCLUSION: Work productivity was reduced in patients with SpA and more so in women. Worse quality of life, disease activity, physical function, self-efficacy and depression were all associated with reduced productivity at work in patients with SpA.

    © The Author 2013. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved.

  • 4.
    Johansson, Gunnar
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Kostråd i vården: en väg kantad av motgångar och möjligheter2010Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, nr 51-52, s. 3276-3278Artikkel i tidsskrift (Fagfellevurdert)
  • 5.
    Lydell, Marie
    et al.
    Primary Health Care, Research and Development Unit, Falkenberg, Sweden & Section of Primary Health Care, Department of Public Health and Community Medicine, The Sahgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hildingh, Cathrine
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Primary Health Care, Research and Development Unit, Falkenberg, Sweden.
    Månsson, Jörgen
    Primary Health Care, Research and Development Unit, Falkenberg, Sweden & Section of Primary Health Care, Department of Public Health and Community Medicine, The Sahgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Marklund, Bertil
    Primary Health Care, Research and Development Unit, Falkenberg, Sweden & Section of Primary Health Care, Department of Public Health and Community Medicine, The Sahgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Grahn, Birgitta
    Research and Development Centre, Kronoberg County Council, Växjö, Sweden & Division of Physiotherapy, Department of Health Sciences, Lund University, Lund, Sweden.
    Thoughts and feelings of future working life as a predictor of return to work: a combined qualitative and quantitative study of sick-listed persons with musculoskeletal disorders2011Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 33, nr 13-14, s. 1262-1271Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose. The main aim of this study was to describe the thoughts and feelings of future working life related to return to work (RTW) in sick-listed persons due to musculoskeletal disorders (MSD). Further aim was to compare these descriptions with the person’s actual working situation 1, 5 and 10 years after a rehabilitation period.

    Methods. This study consisted of two parts. The first part had an explorative design, and qualitative content analysis was chosen in order to analyse the response to an open question regarding future working life answered before, persons sick-listed due to MSD (n = 320), took part in a rehabilitation programme 10 years ago. The second part had a prospective design and quantitative analysis was used to compare the results of the qualitative analysis with RTW and the working situation 1, 5 and 10 years after baseline.

    Results. Three categories emerged from the data with a total of nine subcategories. In the categories Motivation and optimism and Limitations to overcome, there were significantly more persons who had RTW 1 year after baseline when compared with the category Hindrance and hesitation. There were also some significant differences between the subcategories.

    Conclusions. The question, regarding thoughts and feelings of future working life, may be a simple screening method to predict RTW in persons sick-listed with MSD. This will guide the rehabilitation team to adjust the rehabilitation to each person’s needs and facilitating RTW.

  • 6.
    Meesters, Jorit J. L.
    et al.
    Epi-centre Skåne, Skåne University Hospital, Medicon village, Lund, Sweden & Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, Netherlands.
    Petersson, Ingemar F.
    Epi-centre Skåne, Skåne University Hospital, Medicon village, Lund, Sweden & Department of Orthopedics, Clinical Sciences, University of Lund, Lund, Sweden.
    Bergman, Stefan
    Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden & Spenshult, Research and Development Center, Oskarström, Sweden.
    Haglund, Emma
    Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden & Spenshult, Research and Development Center, Oskarström, Sweden.
    Jacobsson, Lennart T. H.
    Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Bremander, Ann
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Bio- och miljösystemforskning (BLESS), Biomekanik och biomedicin. Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden & Spenshult, Research and Development Center, Oskarström, Sweden.
    Sociodemographic and disease-related factors are associated with patient-reported anxiety and depression in spondyloarthritis patients in the Swedish SpAScania cohort2014Inngår i: Clinical Rheumatology, ISSN 0770-3198, E-ISSN 1434-9949, Vol. 33, nr 11, s. 1649-1656Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Anxiety and depression are common among patients with rheumatic diseases. This study aims to explore which factors are associated with self-reported anxiety and depression in a well-defined cohort of spondyloarthritis (SpA) patients. In 2009, 3,711 patients from the SpAScania cohort were sent a postal questionnaire to assess health-related quality of life (HRQoL) and physical and mental functioning. The Hospital Anxiety and Depression Scale measured anxiety (HADS-A) and depression (HADS-D), subscales 0-21, best-worst. HADS ≥8 indicates possible cases of anxiety or depression. One-way ANOVA (p < 0.05) tested for differences among the SpA subtypes in HADS scores. Linear regression analysis adjusted for age, gender, and disease duration was used to test for associations between HADS and independent variables. In total, 2,167 (58 %) patients (52 % females, mean age 55.4 years) returned the questionnaire. In total, 683 (32 %) cases were classified as "possible anxiety" and 305 (14 %) as "possible depression" cases with mean (SD) HADS-A 5.9 (4.3) and HADS-D 4.4 (3.6). There were no differences among the SpA subtypes in HADS-A and HADS-D. HADS-A and HADS-D were associated with lower education, lower physical activity (HADS-D only), chronic pain problems, more fatigue, lower general health, lower HRQoL, lower level of functioning, higher disease activity, and lower self-efficacy. Associations with anxiety and/or depression appear multifactorial in patients with SpA including both personal and disease-related factors. Since these comorbidities are increased in SpA and treatable, they should be screened for in clinical practice, possibly with instruments like the HADS. © 2014, Clinical Rheumatology

  • 7.
    Nilsson, Ulrica G
    et al.
    Centre of Health Care Sciences Orebro University Hospital, Örebro and School of Health and Medical Sciences, Örebro University, Sweden.
    Ivarsson, Bodil
    Department of Cardiothoracic Surgery, Skåne University Hospital and Lund University, Sweden.
    Alm-Roijer, Carin
    The Faculty of Health and Society, Malmö University, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    The desire for involvement in healthcare, anxiety and coping in patients and their partners after a myocardial infarction2013Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 12, nr 5, s. 461-467Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: There is a lack of data about the information preferences of patients and their partners after a myocardial infarction. Aim: This paper explores anxiety, depression, coping and the desire to be actively involved in care in relation to age, gender and education level in myocardial infarction patients and partners. Methods: One hundred and twenty-eight patients and their partners answered the Swedish version of the Krantz Health Opinion Survey, the Hospital Anxiety and Depression Scale, and the Mastery Scale one year after the patient’s myocardial infarction. Results: More active roles in decision-making during care were desired by females, younger patients and partners, and patients and partners with higher education levels. Female partners reported more anxiety than male partners, and female patients reported more depression than male patients. No differences between groups were detected in coping; overall coping was rated high. Conclusions: Secondary prevention should consist of person-centred support to both the patients and their partners, since factors such as age, gender and education level can influence information preferences during patient care. © The European Society of Cardiology 2012.

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