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  • 2801.
    Svensson, Ove
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Gambling: Electronic friends or a threat to one's health and personal development?2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 2, p. 7207-Article in journal (Refereed)
    Abstract [en]

    Gambling has become quite common in Sweden. The Swedish National Institute of Public Health (2010) has reported that about 70% of the Swedish population has gambled at least once during the last 12 months. Half of the population had gambled with money by 18 years of age and about 11% had gambled for the first time when they were 12-years-old or younger. In the report from the Swedish National Institute of Public Health, gambling problems are related to health problems and risky alcohol consumption. The highest problem rate is found among men aged 18 to 24; almost 1 in 10 had some gambling problems. The share of problem gamblers is found to be twice as high among the under-age gamblers as it is among the population as a whole. Young people gamble less but develop gambling problems to a larger extent than adult gamblers. In this article young people's gambling and their gambling careers are analysed as a natural part of their internalisation of other adult habits.

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  • 2802.
    Svensson, Ove
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), Wellfare and Well-being (V&V).
    Ungdomars spelkarriärer: från speldebut till konstruktion av självidentitet och livsstil utan spel2010In: Spelberoendes riksförbund 10 år: en jublieumsskrift / [ed] Per Binde och Jakob Jonsson, Östersund: Statens folkhälsoinstitut , 2010, p. 135-156Chapter in book (Other (popular science, discussion, etc.))
  • 2803.
    Svensson, Ove
    et al.
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM), Social Change, Learning and Social Relations (SLSR). Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Hallberg, Lillemor
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Hunting for health, well-being, and quality of life2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 2, article id 7137Article in journal (Refereed)
    Abstract [en]

    Health, well-being, quality of life, and lifestyle are central concepts within health science, although generally accepted definitions are still lacking. Lifestyle can either be seen as an independent variable and the cause of unhealthy behaviour or as a dependent variable, which is affected by conditions in the society. In the first case, the attention is directed on each individual case: maintaining or improving health requires changes in lifestyle and living habits. In this perspective, diet and physical activity are important features for health promotion. In the second case the attention is rather directed on structural conditions in society, for example the food industry, the lunches for children at school, and the "fast food" industry should be influenced to protect human health. The structural perspective has, so far, received restricted impact when it concerns prevention and promotion of health. Processes of individualisation in the society have to an increasing extent viewed health as an affair for the individual. The benefits of physical activity, healthy food and beverage, social support, and joy are documented scientifically. In general, the trend towards increasing responsibility for one's lifestyle and health is positive, but might reinforce the inequality in health. With an even harder climate in society there might be a risk that individual health projects undermine the solidarity and the will to accept costs for medical treatment and care for people who risk their health through an unhealthy and risk-taking lifestyle. However, we argue that peoples' well-being and quality of life presupposes a society that stands up for all people.

  • 2804.
    Svensson, Ove
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), Wellfare and Well-being (V&V).
    Hallberg, Lillemor R-M
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Jakten på hälsa, välbefinnande och livskvalitet2010In: Hälsa och livsstil: forskning och praktiska tillämpningar / [ed] Lillemor R-M Hallberg, Lund: Studentlitteratur, 2010, p. 35-52Chapter in book (Other academic)
  • 2805.
    Svensson, Patrik
    Halmstad University.
    A correlation study between unilateral countermovent jumps, unilateral drop jumps and different sprint distances2015Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Sprinting and jumping is an important physical part of soccer. Games are often won or lost cause of this two factors. Also the ability to sprint, how often you can sprint and how well you can sprint late in a game is what differ between the absolute world class players and other top class players. A players ability to produce power affects the players ability to sprint and jump. Power production can be tested as well as trained with plyometric exercises. Two plyometric exercises commonly used to test players abilities are the counter movement jump and the drop jump which can be performed either unilateral or bilateral. Relationships between bilateral counter movement jump and sprint is well established. But the relationship between unilateral countermovement jumps and unilateral drop jumps and sprint are not as well examined. Aim:  The aim of this study is to examine which one of the two tests, unilateral CMJ and unilateral DJ, that have the highest correlation with short sprinting. Method: 14 male junior soccer players playing on a high national junior level participated in this study. Two blocks of sprints was performed, 0-15 m and 0-30 m with time measured on every 5 m. Two trials of unilateral countermovement jumps and unilateral dropjumps was performed on the subjects dominant leg. Spearman’s two-tailed correlation test was used and a value of > ±0.6 was considered to be a strong correlation. Results: 10 subjects attended both the sprint and jump trials. No strong correlations was found. The highest relationships was that between unilateral counter movement jump and 0-30 m sprint (rs = -0,30) and that between unilateral drop jump and time between 20-30 m sprint (rs = 0,30). No strong correlations was found. Conclusion: The results showed no strong relationships between the jumps and any of the sprint distances. Therefore neither of the jumps can be said to better predict sprint performance on any distances up to 30 m. Neither can the results from this study be of use to recommend any of the jumps before the other in training as plyometric exercises to improve performance on the acceleration phase or the top-speed phase.

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  • 2806.
    Svensson, Robin
    et al.
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Sköld, Pontus
    Rekommendationer för Styrketräning; En litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Några ändamål med styrketräning kan vara muskelhypertrofi, ökad muskelstyrka,

    sportspecifik förbättring eller rehabilitering. Vid träning för hypertrofi kan den metaboliska

    stressen vara en viktig faktor och på samma vis är intensiteten en av de viktigaste variablerna

    då individen tränar för ökad muskelstyrka. Volym och intensitet är centrala

    styrketräningsvariabler i ett träningsprogram och det är viktigt att träningsprogrammet

    varieras. C-uppsatsen är utformad som en litteraturstudie och är baserad på vetenskapliga

    artiklar och tryckt litteratur. Dessa artiklar är hämtade från databasen Pubmed och tidsskriften

    Journal of Strength and Conditioning Research. Materialet sammanställdes och jämfördes mot

    varandra. Vid träning för muskelhypertrofi rekommenderas att en nybörjare tränar med ett

    repetitionsantal på 8 - 12 repetitioner med 1 - 3 set. En intensitet på 60 - 85 % av 1RM

    rekommenderas och en träningsfrekvens på 2 - 3 dagar i veckan. Då nybörjare tränar för att

    öka i muskelstyrka rekommenderas 1 - 3 set per övning och ett repetitionsantal på 8 - 12.

    Intensiteten bör ligga på 60 - 70 % av ett 1RM med en träningsfrekvens på 2-3 dagar i veckan.

    Vid träning för muskelhypertrofi rekommenderas 1 - 12 repetitioner för vältränade individer,

    detta i samband med periodisering. Antal set rekommenderas variera mellan 1 - 6 set och

    intensiteten bör ligga på 67 - 100 % utav 1RM. Träningsfrekvensen rekommenderas ligga

    mellan 2 - 4 dagar i veckan. Vid träning för muskelstyrka rekommenderas 3 - 12 repetitioner

    med 4 set eller mer per övning. Intensiteten bör ligga på 70 - 85% av 1RM med en

    träningsfrekvens på 2 - 4 dagar i veckan. Litteraturstudiens resultat visar att det finns många

    olika rekommendationer. Det finns alltså inget träningsprogram som passar alla. Med detta

    sagt menar vi att varje individs träningsprogram bör vara anpassat efter individens mål och

    förutsättningar. För att se vad som passar individen bör denna testa sig fram för att hitta sitt

    optimala träningsupplägg.

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  • 2807.
    Svensson, Therese
    et al.
    Halmstad University.
    Olli, Isabella
    Halmstad University.
    Mötet mellan sjuksköterskan och patienten med missbruksproblematik2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Alkohol/substansmissbruk är ett ökande problem i Sverige vilket leder till att fler människor

    söker sjukhusvård på grund av komplikationer av missbruket. Frågeställningar som ställdes: Hur

    upplever sjuksköterskor mötet med patienter med missbruksproblematik? Vilka problem eller

    förebyggande åtgärder upplever sjuksköterskan vid omvårdnad av patienter med missbruk? Hur

    upplever sjuksköterskan vårdrelationen mellan patienten med missbruksproblem och

    sjuksköterskan? Syftet med studien var att belysa sjuksköterskans upplevelse av att vårda

    patienter med missbruksproblematik. Metoden var en litteraturstudie med samma eftersökning i

    tre databaser som resulterade i elva vetenskapliga artiklar som svarade på syftet. I föreliggande

    litteraturstudies resultat belystes sjuksköterskors upplevelser av: känsla av osäkerhet, bristande

    kunskap och vårdrelation. Samtliga artiklar kom fram till att osäkerhet hos sjuksköterskan och

    bristande kunskap inom missbruksproblematik är grunden till problemen inom omvårdnad och

    orsakar flera frågetecken gällande vårdrelationen mellan sjuksköterska och patient vilket

    litteraturstudiens resultat också visar. Ytterligare utbildning till sjuksköterskor om

    missbruksproblematik måste tas på allvar och verkställas snarast möjligt för att uppnå god

    omvårdnad till patienter med missbruksproblematik.

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  • 2808.
    Svensson, Åsa
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskors erfarenheter av att vårda barn i specialiserad palliativ sjukvård i hemmet2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Vård av svårt sjuka barn i hemmet är ett komplext uppdrag. I syfte att beskriva sjuksköterskors erfarenheter av att vårda barn i specialiserad palliativ sjukvård i hemmet (ASIH) genomfördes en deskriptiv kvalitativ intervjustudie med fem sjuksköterskor på en ASIH-verksamhet i södra Skåne. Data bearbetades med kvalitativ innehållsanalys. Resultatet beskrivs under kategorierna organisatoriska förutsättningar och personella resurser. Sjuksköterskorna beskrev att den känslomässiga påverkan var stor och osäkerhet kunde upplevas då organisationen och planeringen kring det sjuka barnet gick för snabbt och var otillräcklig. Då vårdhandlingar genomfördes med konsekvens och tydliga riktlinjer på alla plan kunde sjuksköterskan med ro ägna tid åt att ge ärlig och konsekvent information till föräldrarna som då i sin tur kunde uppleva trygghet. Skillnader i upplevelser kunde bland annat bero på vilken typ av patient det var, hur föräldrarna uppträdde samt vilka personliga erfarenheter sjuksköterskorna bar med sig. Hemmets utformning och teknisk apparatur påverkade upplevd säkerhet och osäkerhet. Konklusionen var att en tydligt inriktad vårdplan som sjuksköterskorna inklusive samarbetspartners kunde följa och förmedla till föräldrarna på ett ärligt och konsekvent sätt ledde till att sjuksköterskorna kunde bemöta barn och familjer bättre. Fler studier behövs eftersom ASIH är under utveckling i Sverige.

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  • 2809.
    Svensson, Åsa
    et al.
    Halmstad University, School of Health and Welfare.
    Larsson, Amelie
    Halmstad University, School of Health and Welfare.
    Barns delaktighet i vården: En enkätstudie av barn och föräldrars uppfattning om barns delaktighet2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Children's perception of participation in health care is rarely based on the children’s experiences. A prerequisite for a child-centered perspective in health care is that children themselves participate in evaluations. Studies show that it is important to take part of opinions regarding participation in health care due to the fact that children and parents' perceptions not always are consistent. The aim of this study was to investigate how the child and their parent perceive the child's participation in health care. Two questionnaires, one intended for children and one for the parents were used in the study. The study was conducted using a quantitative method with descriptive design. The survey was carried out in pediatric wards and child clinics at a midsize hospital in western Sweden. 19 children in the age of 10-17 years and 18 accompanying parents participated in the study. Children’s and parents' responses indicate favorable conditions for participation. A majority of the children stated an experience of involvement. However, trends indicate that there is some difference between children's experience of participation, related to the age of the child. Some discrepancies can be discerned between the children’s and the parents' responses. Relying solely on the parents' admission of the child's perception is therefore not sufficient. Further research of children's participation in activities directed to children is desirable.

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  • 2810.
    Svenungsson, Johanna
    Halmstad University, School of Health and Welfare.
    Den viktiga vikten: Tävlingsaktiva kvinnliga crossfitatleters upplevelser, tankar och känslor om kroppsideal och kroppsuppfattning2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The female body ideal has changed in Western culture, where an athletic, toned but still narrow ideal is advocated (Homan, 2010). At the same time, the growth of crossfit has increased over the past decade (Dawson, 2017). Crossfit is seen as masculine sport, were women are encouraged to challenge the female ideals and push their bodies (Knapp, 2015a). An imbalance between one´s individual body ideal and view of one's own body can lead to a poorer body perception, which can generate in unhealthy eating behaviors, excessive exercise, exercise dependence and negative thoughts and feelings towards one's own body (Grogan, 2006). Furthermore, the choice of competing in a sport can be a risk factor for body dissatisfaction (Washington & Economides, 2017). The purpose of the current study is to study competitively active female crossfit athletes their thoughts and feelings about the body ideal and body image. Eight female crossfit athletes from three boxes around Sweden aged 20-54 (M = 30) participated. Participants were interviewed individually for 45-60 minutes. The study was of a qualitative nature and was analyzed based on guidelines by Lundman and Hällgren-Granheim's (2012) qualitative content analysis. The results showed that women mainly experienced positive thoughts and feelings about their own body, which is a sign of body satisfaction. Furthermore, all women felt that they focused less on their own appearance and experienced greater acceptance to their own body after starting with crossfit, which is in line with previous studies (Knapp, 2015b; Padmore & Puff Olge, 2018). The current study can contribute with an understanding of how crossfit can shape women's experiences, thoughts and feelings both positively and negatively in relation to body ideal, body perception and exercise which may be of interest to e.g. box owners, coaches and trainers.

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  • 2811.
    Svorén, Emma
    et al.
    Halmstad University, School of Health and Welfare.
    Wennerholm, Sofie
    Halmstad University, School of Health and Welfare.
    Flyktingars upplevelser av hälso- och sjukvården: en litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    To escape from their countries of origin because of war and persecution affects refugees’ mental health. Many refugees have been through traumatic events that they may have a need to share with the health care. The health care may face war-affected refugees which can be problematic because they speak a different language and come from a different culture. Therefore, the aim was to highlight the refugees experience of the health care. In this literature review, results of 11 scientific articles were analyzed using content analysis. The three main themes that emerged in the analysis were Language barriers, Cultural differences and Varying trust in health care. The nurse can daily meet refugees in the health care organization, both in primary care and in hospital. It is therefore important that the nurse has knowledge of refugees’ experiences of health care in order to conduct a good transcultural nursing. It is thus important with good communication between health care personnel and refugees, which is hampered by language difficulties and cultural differences.

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  • 2812.
    Sylwander, Charlotte
    Halmstad University, School of Business, Engineering and Science.
    A Longitudinal Study of Frequency of Orthorexia Nervosa and Jump Performance among Adolescents in Team Ball Sports2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Orthorexia Nervosa (ON) is described as a pathological obsessive focus on healthy eating with a belief that the right food can prevent illness and promote health. Athletes have been known to be at higher risk for developing an eating disorder and recent studies indicate the same results regarding ON. Because of an increase in body image dissatisfaction among Swedish adolescents and the fact that athletes have been known to be at higher risk for development ON, this group is of great interest. Eating disorders have a negative effect on physical performance and today it is not known the impact ON might have. Aim: The aim was to study the frequency of indicated orthorexia nervosa, differences between sexes, if it affects performance in countermovement jump with arm swing, and to see the development of all questions over two years among 14-year-old adolescents in team ball sports. Methods: Adolescents (N=53) attending a sport secondary school with team ball sport profiles (football, ice hockey, floorball and basketball) were included. Frequency of indicated ON was measured by ORTO-15 and jump performance by countermovement jump with arm swing (CMJ-AS). Results: Frequency of indicated ON in 7th grade was 18% and in 9th grade 16%, no change over time but significant more subjects with non-ON in both grades than ON (p=0.05). The frequency among girls was: 7th grade 20%, 9th grade 23% with no significant increase. Frequency among boys was: 7th grade 17%, 9th grade 13% with no significant decrease. No differences between sexes was found. Jump performance increased significant among the group with non-ON (+2.5 cm, p=0.05) but not for the ON-group (+1.5 cm, p=0.36). Conclusion: The results showed a high frequency rate of indicated ON with no difference between sexes. No increase of indicated ON occurred over two years. Regarding ONs possible impact on jump height, significance was discovered in the extreme non-ON group but not for the extreme ON-group which is of clinical relevance and could indicate an impact. At time of writing, this is the first study researching the effect ON might have on jump performance in long-term and more studies on several groups are needed in the future before declaring anything. 

  • 2813.
    Sylwander, Charlotte
    Halmstad University, School of Health and Welfare.
    The impact of chronic widespread pain on health status and long-term health predictors: a general population cohort study2019Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research states that chronic widespread pain (CWP) has a negative impact on health status and daily life activities. Risk factors for developing CWP are, e.g. female sex, other chronic diseases, smoking, inactivity, sleeping problems and obesity. The average prevalence of CWP is 9.6-15% in the general population. The results vary regarding sex differences in prevalence, pain experience, impact on daily life, work, and health status. Therefore, the overall aim was to investigate CWP’s impact on health status and long-term lifestyle predictors for better health when having CWP.

    Method: The study is a general population cohort study including 975 participants (442 men, 533 women) at the age of 35-54 years with a 12- and 21-year follow-up. CWP was defined according to the American College of Rheumatology’s (ACR) definition stating pain must be present for at least three months, below and above the waist, on both sides of the body, and the axial skeleton to be classified as widespread. Using a pain mannequin and additional questions the individuals were sorted in three different pain groups: no chronic pain (NCP), chronic regional pain (CRP), and CWP. The questionnaire included questions about lifestyles factors (personal support, friendship circuit, smoking, alcohol intake, physical activity and sleeping habits) and SF-36 measuring health status. Differences in health status were analysed by independent samples t-test and health predictors by logistic regression analysis. The results were further analysed using Tengland’s two-dimensional health theory and the relational gender theory.

    Results: The prevalence of CWP was higher among women during all time points, but health status was statistically significant reduced for both women and men with CWP (p <0.001) showing no sex differences of clinical relevance. At the 12-year follow-up, 58% of the women and 53% of the men had persistent CWP (p <0.001). At the 21-year follow-up, 59% of the women and 29% of the men had persistent CWP (p <0.001). Health predictors for better health when having persistent CWP were male sex (OR 3.03-6.76), having social support (OR 9.27), no sleeping problems (OR 3.48-4.76), being a former smoker (OR 4.38-7.83) and a weekly intake of alcohol (OR 4.94).

    Conclusion: More women reported persistent CWP in a 12- and 21-year perspective than men, but when having CWP the health status was equally as bad among women and men. Modifiable health factors such as having no sleeping problems was strongly associated with better mental health, and personal support could be of importance for a better vitality. The higher prevalence reported among women and male sex as a health predictor seems to be influenced by the psychosocial mechanisms of gender. However, health status did not show any association with the relational gender theory. The results suggests, even though men have less prevalence of CWP the condition should be regarded as having the same impact for women and men in health care. Further research should continue studying persistent CWP and possible confounders to establish the sex and gender differences in the long-term perspective.

  • 2814.
    Sällfors, Christina
    et al.
    The Nordic School of Public Health, Göteborg University, Sweden.
    Hallberg, Lillemor R.-M.
    The Nordic School of Public Health, Göteborg University, Göteborg, Sweden.
    Fasth, Anders L.
    Department of Paediatrics, Göteborg University, Göteborg, Sweden.
    Well-being in children with juvenile chronic arthritis2004In: Clinical and Experimental Rheumatology, ISSN 0392-856X, E-ISSN 1593-098X, Vol. 22, no 1, p. 125-130Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to describe a model for predicting well-being in children with juvenile chronic arthritis (JCA). METHODS: 125 children (43 boys) (median age 14.1 yrs; range 10.3-17.8) rated disability and discomfort (Childhood Health Assessment Questionnaire). Pain control, pain reduction and fatigue were evaluated (visual analogue scales). In addition, variation of pain intensity was rated by a pain intensity scale. Analysis by the stepwise regression technique was used to explain the variability in well-being. Eight independent variables were included as possible predictors in the model (p < 0.1). RESULTS: The analyses indicated that well-being in children with JCA is related to three clusters of variables; pain "as it normally is", number of pain-free days and attending physical education classes. The analysis explained a substantial portion of the total variance in the children's well-being (55.1%). CONCLUSION: Pain is a robust predictor of well-being in children with JCA. This supports the concept of the benefits of reducing chronic joint pain as a major goal in caring of these children.

  • 2815.
    Sällström, Benjamin
    et al.
    Halmstad University. Halmstad University, School of Business and Engineering (SET).
    Kareliussén, Tobias
    Halmstad University. Halmstad University, School of Business and Engineering (SET).
    Hur påverkas muskelaktiviteten vid styrketräning med en tjock stång i jämförelse med en standardolympisk stång?: En EMG- studie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Many everyday tasks and also many sports require good grip and forearm strength. Everything from carrying boxes and lifting a child to grab the arms and legs in various martial arts, or holding a tennis racket involving the hand and forearm muscles in various ways. It is therefore important to train these muscles to prevent injuries and congestion and to perform well in sport. A well known way to train functional strength in the hand and forearm muscles is weight training with thick handles. The purpose of this study was to investigate the differences in muscle activity in the upper arm and forearm muscles as well as the deltoids between two bars of different diameter (28mm and 57mm) in two different weight training exercises using electromyography (EMG). The weight training exercises consisted of a pulling exercise in the form of a bench row and a pressing exercise in the form of close-grip bench press. The study also examines whether there is a connection between hand strength and muscle activity, and if there is any connection between hand size and muscle activity. Results show that muscle activity between the thick bars remained unchanged in the close-grip bench press. In the bench row exercise, however, significant increases were seen in the forearm flexors and m. biceps brachii while lifting the thicker bar. The forearm extensors showed an indication of muscle activity increases while lifting the thicker bar. However, there was no connection between hand strength and muscle activity and no correlation between hand size and muscle activity. The conclusion is that the pulling exercise with the thicker bar results in higher muscle activity in comparison to a standard Olympic bar in several muscles involved, not just those directly affected by the thicker bar.

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  • 2816.
    Särnblad, Linda
    et al.
    Halmstad University, School of Health and Welfare.
    Svensson, Sandra
    Halmstad University, School of Health and Welfare.
    Orsaker till otillräcklig fysisk aktivitet2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Insufficiently activity has become a major public health problem throughout the world. Many people are insufficiently active and the more sedentary individuals are, the higher risk that they will suffer from a disease. The aim of this study was to investigate the causes of an inadequate physical activity among people aged 40-75 years. The study was conducted as an integrative literature review that handles both qualitative and quantitative research. The results are based on twelve articles and presented under five themes: behavioral factors, competing demands, perceived barriers, situational aspects and personal factors. Attitudes towards physical activity are based on people's upbringing and past experiences. Many lack knowledge about the positive effects of physical activity and, when coupled with a lack of encouragement and support, there is a risk that people will be insufficiently active. One of the primary reasons for insufficient activity was lack of time which was otherwise devoted to family and work. People who have experienced health benefits and receive support have an easier time implementing a healthy change in their level of physical activity. This support can take the form of health talks which foster a sense of security for the person and increase the likelihood that a positive change is implemented. To motivate improved health, it is important that district nurses have a good background  knowledge as to the common reasons why people are insufficiently active. 

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  • 2817.
    Sävenfalk, Susanne
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Jansson, Desirée
    Halmstad University, School of Social and Health Sciences (HOS).
    Bära eller brista: Faktorer i kommunikation och teamarbete som påverkar patientsäkerheten2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patient safety and the task of preventing the occurrence of adverse events is a highly current issue. The problem with adverse events is extensive and in Sweden, adverse events are causing 630 000 additional days of health care each year resulting in human suffering as well as financial consequences for the society. The number of patients harmed due to hospital-acquired conditions is a direct measurement of patient safety.  Inadequate communication and teamwork is a significant reason for the occurrence of adverse events. The purpose of this study, performed as a literary survey, was to illustrate factors that could influence the communication and teamwork in the health care setting and the significance this had for patient safety. Fifteen scientific articles were analyzed and the results showed that communication and teamwork were influenced by a number of factors such as permitting climate, work environment, organization and leadership, and education in communication and teamwork. Knowledge and skills in communication and teamwork is just as important as the clinical skills but has, as of yet, not been prioritized enough which indicates that there is an increased need for education and training in order to improve the conditions for a safe practice in patient care.

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  • 2818.
    Sävström, Anders
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Söderström, Patrik
    Halmstad University, School of Social and Health Sciences (HOS).
    Effekter av psykologisk rådgivning på viktnedgång hos barn och ungdomar med övervikt och fetma – en litteraturstudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Overweight and obesity is an increasing problem among children and adolescents. The purpose of this study was to examine the positive effects psychological counselling may have on individuals with this health status. This study is a literature study and the result is gathered from the database PubMed.  Multidisciplinary treatment seems to be the most effective and psychological treatment is an important part of that. Children and adolescents needs early care so that this health state will not increase and be carried on in to adulthood with further health implications as a result.

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  • 2819.
    Söderberg, Sofia
    Halmstad University, School of Business, Engineering and Science.
    Samband mellan relativ styrka, upplevd ansträngning och prestation i en standardiserad högintensiv styrketräningssekvens med och utan en föregående maxning i stöt hos Crossfitatleter2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Crossfit can be seen as one of the foremost workout trends in the world. Nevertheless, there is a lack of research regarding the physical adaptations of the sport and which factors may affect Crossfit performance. Crossfit has been shown to improve both aerobic and anaerobic performance, such as increased maximal oxygen uptake (VO2max) and increased power development (e.g. peak power), but also have positive effects on a person’s body composition and well-being. Previous research has also shown that strength is associated with Crossfit performance and that body weight can affect performance in other sports such as weightlifting and sprint.Methods: The study was conducted with an experimental cross-over design. Sixteen subjects between 18-50 years who regularly performed Crossfit (at least two times a week the last six month) participated in the study. The study consisted of two test occasions separated by one week. One test occasion contained a maximal strength test (1RM, 1-repetition-maximum) in clean and jerk before the Crossfit workout (WOD, workout of the day) ”Grace” was performed, and time was taken. Immediately after Grace the subjects rated their perceived exertion (rate of perceived exertion, RPE) using the Borg-scale. At the other test occasion, the subjects performed as many clean and jerks as at the 1RM test, but at a lower weight and less rest between the repetitions, before performing Grace.Results: Fifteen subjects conducted both tests. The study showed that there was no correlation between relative strength and the performance in Grace either without (r = -0,07) or with (r = 0,05) a previous 1RM test in clean and jerk. However, the result showed that there was a small correlation between RPE and the performance in Grace without a previous 1RM test in clean and jerk (r = 0,14) and a medium correlation between RPE and the performance in Grace with a previous 1RM test in clean and jerk (r = 0,40). Conclusions: The result indicates that body weight and strength don’t affect performance in Grace either without or with a previous 1RM test in clean and jerk. However, the high p- values means that the result of the study can’t be generalized to other than the subjects included in the current study. The conclusion is that further research needs to be conducted to determine how relative strength and RPE affect and correlate with Crossfit performance. 

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  • 2820.
    Söderhäll, Jimmie
    et al.
    Halmstad University, School of Health and Welfare.
    Ohrberg, Rasmus
    Halmstad University, School of Health and Welfare.
    Känslornas inspel vid återhämtning efter akut idrottsskada: en reflexiv tematisk analys2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to increase the knowledge of athletes' emotional conditions during their rehabilitation after an acute sports injury, also the importance of emotional response during the rehabilitation process. Furthermore, the purpose of the study was to increasing knowledge of athletes' motivation during the rehabilitation. The study proceeded through a reflexive thematic analysis. A semi-structured interview guide was constructed, where the first part was focusing on emotional responses during the rehabilitation, and the second on motivation for rehabilitation. Participants in the study were eight elite team playing men between the ages of 21 and 26 (M=23.75. SD=1.91) who suffered an acute sports injury where at least one month of rehabilitation was required. The results showed that the emotional state during rehabilitation changed based on the impact of factors like, acceptance of the injury, progress during the rehabilitation, and support from physiotherapists. Even the emotional responses mattered, as the athletes experienced disgust/reluctance and fear early in the rehabilitation. The results showed that athletes' motivation was guided by selfdetermination factors such as identification and evaluation. Even controlled motivation was found, based on the desire to socialize and help their teammates. As all athletes referred to negative emotional responses early in rehabilitation, it is important that research continues to highlight the problem.

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  • 2821.
    Söderlin, M. K.
    et al.
    Research and Development Centre, Spenshult Rheumatology Hospital, Oskarström, Sweden.
    Petersson, I. F.
    Department of Orthopaedics, Lund University, Skåne University Hospital, Lund, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult Rheumatology Hospital, Oskarström, Sweden.
    Svensson, B.
    Department of Rheumatology, Lund University, Skåne University Hospital, Lund, Sweden.
    Smoking at onset of rheumatoid arthritis (RA) and its effect on disease activity and functional status: Experiences from BARFOT, a long-term observational study on early RA2011In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 40, no 4, p. 249-255Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To assess the effects of smoking on disease outcome in a large cohort of patients with early rheumatoid arthritis (RA).

    METHODS: Between 1996 and 2004, 1787 adult patients (disease duration ≤ 1 year) were included in the BARFOT early RA study in Sweden. Smoking status was recorded at inclusion in the study. Disease Activity Score using 28 joint counts (DAS28), C-reactive protein (CRP), Health Assessment Questionnaire (HAQ) score, rheumatoid factor (RF), antibodies to cyclic citrullinated peptide (anti-CCP), general health (GH) and pain visual analogue scales (VAS), and drug treatment were registered at inclusion and at follow-up at 3, 6, and 12 months. European League Against Rheumatism (EULAR) response and remission criteria were applied at 3, 6, and 12 months.

    RESULTS: The proportion of patients who smoked at inclusion in the study fell from 29% in 1996 to 20% in 2004. There were no significant differences in disease activity at inclusion stratified according to smoking status. At 12 months of follow-up, 18% of current smokers at inclusion, 12% of previous smokers, and 11% of never smokers had high disease activity (DAS28 > 5.1, p = 0.005). Significantly fewer current smokers were in remission at 12 months (33%) compared to never smokers (36%) and previous smokers (42%) (p = 0.013). Current smoking at inclusion independently predicted poor EULAR response up to 12 months of follow-up.

    CONCLUSION: The present study gives some support to earlier data indicating that RA patients who smoke have a more active disease but further studies are needed to confirm this.

  • 2822.
    Söderlin, Maria
    et al.
    R&D Center, Spenshult Rheumatology Hospital, Oskarström, Sweden.
    Bergman, Stefan
    R&D Center, Spenshult Rheumatology Hospital, Oskarström, Sweden.
    Andersson, Maria
    R&D Center, Spenshult Rheumatology Hospital, Oskarström, Sweden.
    The Effect of Socioeconomic Class and Immigrant Status on Disease Activity in Rheumatoid Arthritis. Data from BARFOT, A Multicenter Study of Early RA2013In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 72, no Suppl. 3, p. A395-A395Article in journal (Refereed)
    Abstract [en]

    Background: There are no studies reporting the effect of immigrant status and socioeconomic status on outcome in rheumatoid arthritis (RA) in Sweden.

    Objectives: We wanted to study the effect of immigration and socioeconomic class on outcome in RA in Sweden.

    Methods: Between 1992 and 2005, 2,800 adult patients were included in the BARFOT early RA study in Sweden. Disease Activity Score 28 joints (DAS28), Health Assessment Questionnaire (HAQ), drug treatment and European League Against Rheumatism (EULAR) response criteria were applied up to 8 years. The patients completed in 2010 a questionnaire enquiring about demographics and lifestyle factors

    Results: A total of 139/1430 (9.5%) of the patients were immigrants. Immigrants had higher baseline mean HAQ (immigrants 1.2 vs. non-immigrants 0.97, p=0.001), DAS28 (5.6 vs. 5.2, p=0.0001), visual analog scale (VAS) pain (56 mm vs. 45 mm, p=0.0001), VAS global health (53 mm vs. 44 mm, p=0.0001) and tender joint count (TJC) (10 vs. 8, p=0.0001), these differences persisting up to 2 years of follow-up and for HAQ up to 8 years of follow-up. Immigrant status did not have effect on swollen joint count (SJC), ESR, CRP or EULAR response. Socioeconomic class did not have impact on treatment or outcome.

    Conclusions: Immigrants scored worse in pain, function and TJC up to 2 years of follow-up, but did not differ in objective measures of inflammation or EULAR outcome as compared to non-immigrants. This could be due to different perceptions of health and pain and/or the stress of immigration. Socioeconomic class did not have impact on treatment or outcome and this could be due to the relatively egalitarian society in Sweden.

    Disclosure of Interest: M. Söderlin Consultant for: Pfizer, Speakers bureau: Abbott, MSD, BMS, Pfizer, S. Bergman: None Declared, M. Andersson: None Declared

  • 2823.
    Söderlin, Maria K.
    et al.
    Research and Development Center, Spenshult Rheumatology Hospital, Oskarström, Sweden.
    Andersson, Maria
    Research and Development Center, Spenshult Rheumatology Hospital, Oskarström, Sweden.
    Bergman, Stefan
    Research and Development Center, Spenshult Rheumatology Hospital, Oskarström, Sweden.
    Second-hand exposure to tobacco smoke and its effect on disease activity in Swedish rheumatoid arthritis patients. Data from BARFOT, a multicenter study of RA2013In: Clinical and Experimental Rheumatology, ISSN 0392-856X, E-ISSN 1593-098X, Vol. 31, no 1, p. 122-124Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: We studied the prevalence and effect on disease activity of ever having had second-hand exposure to tobacco smoke in Swedish rheumatoid arthritis (RA) patients who had never smoked.

    METHODS: Between 1992 and 2005, 2,800 patients were included in the BARFOT early-RA study in Sweden. Disease Activity Score 28 joints (DAS28), C-reactive protein (CRP), Health Assessment Questionnaire (HAQ), rheumatoid factor (RF), general health and pain visual analogue scales (VAS), and drug treatment were registered at inclusion and at follow-up at 3, 6, and 12 months and 2 and 5 years. EULAR response criteria were applied at the same follow-up points. In 2010, a self-completion postal questionnaire was sent to 2,102 patients in the BARFOT study enquiring about lifestyle habits such as whether they had ever been exposed to tobacco smoke as a result of someone else smoking.

    RESULTS: A total of 963/1,421 patients (68%) had had second-hand exposure to tobacco smoke. At 3, 6, and 12 months, at 2 years, and at 5 years of follow-up, there were no differences in EULAR response between patients who had never smoked and who had been exposed or had not been exposed second-hand to tobacco smoke (p=0.91, p=0.88, p=0.84, p=0.61 and p=0.85, respectively).

    CONCLUSIONS: We did not find any association between second-hand exposure to tobacco smoke and disease activity in RA. © Clinical and Experimental Rheumatology 2013.

  • 2824.
    Söderlin, Maria K.
    et al.
    R and D Center, Spenshult Rheumatology Hospital, Oskarström, Sweden.
    Bergman, Stefan
    R and D Center, Spenshult Rheumatology Hospital, Oskarström, Sweden.
    Absent "Window of Opportunity" in smokers with short disease duration. Data from BARFOT, a multicenter study of early rheumatoid arthritis2011In: Journal of Rheumatology, ISSN 0315-162X, E-ISSN 1499-2752, Vol. 38, no 10, p. 2160-2168Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To study the effect of disease duration and smoking on outcome in early rheumatoid arthritis (RA).

    METHODS: Between 1996 and 2004, 1587 patients were included in the BARFOT early RA (disease duration ≤ 1 year) study in Sweden. European League Against Rheumatism (EULAR) response, Health Assessment Questionnaire (HAQ), rheumatoid factor (RF), and antibodies to cyclic citrullinated peptide (anti-CCP) were recorded at study start and at 3, 6, and 12 months.

    RESULTS: In total, 180 RA patients (11%) had disease duration ≤ 12 weeks. These patients achieved good EULAR response significantly more often at 3 and 12 months than patients with a longer disease duration despite having more aggressive disease [EULAR good response was achieved by 35% and 35% at 3 and 12 months, respectively, among the patients with disease duration ≤ 12 weeks, by 35% and 41% of patients with disease duration of 13-24 weeks, and by 28% and 33% of patients with disease duration of 25-52 weeks (p = 0.02 for 3 months; p = 0.02 for 12 months)]. There was a significant correlation between improvement in Disease Activity Score-28 (DAS28), its individual variables, and Health Assessment Questionnaire (HAQ) and disease duration up to 12 months after study start. For smokers, no such trend was seen.

    CONCLUSION: Up to 12 months after inclusion in the study, there was a significant correlation between improvement in DAS28, its individual components, and HAQ and disease duration, with patients who had a shorter disease duration improving most. Smokers had poorer EULAR response and showed no improvement with regard to disease duration. The Journal of Rheumatology Copyright © 2011. All rights reserved.

  • 2825.
    Söderlund Asklund, Malin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Valladares, Therese
    Halmstad University, School of Social and Health Sciences (HOS).
    När själen värker: - hälsofrämjande åtgärder vid depressiva symtom2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inom de närmsta decennierna kommer depression att rankas som den näst största sjukdomen globalt sett. Det är av största vikt att sjuksköterskan har kunskap om hälsofrämjande åtgärder under depression och arbetar förebyggande för att kunna möta och hantera denna utmaning. Därför var syftet med denna litteraturstudie att belysa hälsofrämjande åtgärder hos personer med depressiva symtom. Vetenskapliga artiklar söktes systematiskt i databaserna Pubmed, Cinahl och PsychInfo. Det resulterade i 18 artiklar som svarade mot syftet. I resultatet framkom tre teman: alternativa kommunikationskanaler, utbildning och fysisk aktivitet. Webb och IT som en kommunikationskanal mellan patient och vårdgivare hade positiva effekter vid depression, i form av symtomlindring och ökad följsamhet till läkemedel. Strukturerad utbildning och kunskap ledde till ökad förståelse och lindring av symtom samt att åtgärder inspirerade av kognitiv beteendevetenskap bidrog till symtomlindring. Vårdguider och arbetsböcker användes som hjälpmedel till egenvård. Fysisk aktivitet lindrade depressiva symtom för vissa men mest för dem där träning ingick i program som bestod av flera delar. Hälsofrämjande åtgärder före och under depression bör vara sammansatta, strukturerade och individanpassade. Det finns ett behov av forskning kring hur sjuksköterskor kan ha terapeutiska relationer till patienten via webben då det tillhör framtidens vård. 

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  • 2826.
    Söderström, Elenor
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Bonde, Sandi
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Humor och demens: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    With an aging population, the onset of dementia is increasing and all indicates a continued significant increase. Symptoms that occur in dementia affect the individual physically, psychologically and socially. There is no cure for dementia but there are medicines that relieve symptoms. Humor has proved useful in nursing care for nurses and patients. The purpose of the study was to highlight the importance of humor in dementia, from the perspective of individuals living with dementia, informal caregivers and formal caregivers. The method was a literature study where the result was based on twelve articles, of which nine qualitative and three quantitative. The result showed that humor in nursing in dementia can preserve the healthcare provider's unique human dignity. By strengthening communication and the relationship between dementia and caregivers, promoting positive feelings for both those with dementia and their caregivers, facilitates the adaptation to the new situation that dementia imply for those with dementia and their caregivers and highlighting the personal and individual. Nurses and other healthcare professionals can use humor in nursing patients with dementia. However, further research is needed in the area that can be used as a basis for education and use of humor in the care of people with dementia.

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  • 2827.
    Sörensen, Joel
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson Quartieri, Oskar
    Halmstad University, School of Health and Welfare.
    Upplevda utmaningar och copingstrategier hos före detta RIG-studenter: En retrospektiv longitudinell studie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to investigate the experiences of challenges and coping strategies among former student-athletes who had studied at different RIG’s in Sweden. Seven participants, four women and three men, in the ages between 22–31 (M=25.1, SD=3.1) took part in the study. To investigate the purpose, a semi-structured interview guide was applied, based on the holistic athletic career model (Wylleman et al., 2013). Questions about sport, studies, private life and a combination of all three factors were central. The result showed that the biggest challenge during the first year was adapting to a new environment, the hardest challenge overall during the second year consisted of dealing with a higher athletic and academic level as well as time management and the most important challenge during the third year was dealing with even higher athletic levels and dealing with the future, what would happen after RIG. The factors that were mentioned the most were the difficulty to dedicate enough time to the sport, the studies and the private life, dealing with injuries, as well as making time for personal activities and recovery. The study also showed that the most important coping strategy consisted of social support from family, friends and coaches, in terms of instrumental and emotional support. Even personal resources, for example self-discipline, self-regulation, planning and stress management were important coping strategies. Based on the result of the present study, it is recommended that coaches, teachers and parents get a better understanding of the life as a RIG-student, in order to normalize the concept of dual careers in society.

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  • 2828.
    Sörensen, Tina
    Halmstad University, School of Teacher Education (LUT).
    "Massage och avslappning är lite knepigt i början men med lite övning så blir det riktigt bra"En förskoleklass upplevelser av massage och avslappning som aktivitet.2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studien är  att undersöka hur 23 barn i en förskoleklass upplever aktiviteten massage och avslappning under fyra veckor. Undersökningen genomfördes ur ett sociokulturellt perspektiv där barn, lärande och socialt samspel med varandra är i fokus.

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  • 2829.
    Sörmdal, Diana
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Wester, Åsa
    Halmstad University, School of Social and Health Sciences (HOS).
    Åbinger, Gabriella
    Halmstad University, School of Social and Health Sciences (HOS).
    Hjärtsviktssjuka personers behov av psykosocialt stöd i hemmet2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Heart failure is one of the most common diseases and a major cause of hospitalization in Sweden. Professional health care provided at home might decrease the number of days of hospitalization for the heart failure patient. If not the heart failure patient´s need for support

    takes into consideration, there is a risk that professional caregivers in the home do not pay attention to the patient`s need of psychosocial support. The purpose of this study was to describe the heart failure patient's need for psychosocial support while being cared for in the

    home. A systematic literature review was chosen, 19 articles where selected and analyzed by qualitative content analysis. Two main categories revealed: professional support and informal support. Results of the study describe the supportive services in the form of psychosocial support on heart failure patient experience in the home. The professional care made a holistic assessment of the patient and they noticed psycho-social needs. By enhancing the inherent ability with supportive services, the patient could cope with the mental symptoms of heart failure. For the professional support the involvement of the supporting effort was of paramount importance. If the heart failure patient felt participating in the care, the patients

    feeling of mastering the disease situation and strengthening of the dignity increased. The literature study caters mainly to district nurses in municipal home care and is transferable to persons with other palliative diseases. Further research is needed to gain an overall picture of the heart failure patient's home care would be to examine how patients' coping, affect their psychosocial well-being.

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  • 2830.
    Talaeizadeh, Mojgan
    et al.
    Halmstad University, School of Health and Welfare.
    Karlsson, Ann-Sofie
    Halmstad University, School of Health and Welfare.
    Patienters följsamhet till ögonbottenscreening: en litteraturstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The prevalence of diabetes and its complications are increasing throughout the world. Diabetic retinopathy is the most commen serious complication and can exist with increasing severity whitout the patient noticing anything amiss. This necessitates the need for a regular screening according to a fixed plan. Research has shown that patients´compliance with the screening program is not always optimal, leading to a risk for serious complications including blindness. The purpose of this study was to demonstrate factors which may affect patient compliance to eye screening. The study was conducted as an integrative literature search. The analysis resulted in five themes. Patient knowledge regarding their condition and its treatment, and inadequate information about the screening program were seen as risk factors for a poor compliance. Information in the form of dialogue resulted in better informed patients with an improved compliance. Other factors affecting compliance was logistic difficulties, economic conditions, social circumstances and patients emotions. The results of this literature study can help ophthalmic nurses gain a better understanding of the problems with compliance in the setting of fundus screening programs, which also can be applied in the education of eye and diabetics nurses. Further research to illustrate the specifics of the situation in Sweden would be of use.

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  • 2831.
    Taneera, Jalal
    et al.
    Hematopoietic Stem Cell Laboratory, Lund Strategic Research Center for Stem Cell Biology and Cell Therapy, Lund University, Lund, Sweden.
    Rosengren, Anders
    Department of Physiological Sciences, Lund University, Lund, Sweden.
    Renstrom, Erik
    Department of Physiological Sciences, Lund University, Lund, Sweden.
    Nygren, Jens Martin
    Hematopoietic Stem Cell Laboratory, Lund Strategic Research Center for Stem Cell Biology and Cell Therapy, Lund University, Lund, Sweden.
    Serup, Palle
    Department of Developmental Biology, Hagedorn Research Institute, Copenhagen, Denmark.
    Rorsman, Patrik
    Department of Physiological Sciences, Lund University, Lund, Sweden.
    Jacobsen, Sten Eirik W
    Hematopoietic Stem Cell Laboratory, Lund University, BMC, B10, SE-221 84 Lund, Sweden.
    Failure of Transplanted Bone Marrow Cells to Adopt a Pancreatic β-Cell Fate2006In: Diabetes, ISSN 0012-1797, E-ISSN 1939-327X, Vol. 55, no 2, p. 290-296Article in journal (Refereed)
    Abstract [en]

    Recent studies in normal mice have suggested that transplanted bone marrow cells can transdifferentiate into pancreatic beta-cells at relatively high efficiency. Herein, adopting the same and alternative approaches to deliver and fate map-transplanted bone marrow cells in the pancreas of normal as well as diabetic mice, we further investigated the potential of bone marrow transplantation as an alternative approach for beta-cell replacement. In contrast to previous studies, transplanted bone marrow cells expressing green fluorescence protein (GFP) under the control of the mouse insulin promoter failed to express GFP in the pancreas of normal as well as diabetic mice. Although bone marrow cells expressing GFP under the ubiquitously expressed beta-actin promoter efficiently engrafted the pancreas of normal and hyperglycemic mice, virtually all expressed CD45 and Mac-1/Gr-1, demonstrating that they adopt a hematopoietic rather than beta-cell fate, a finding further substantiated by the complete absence of GFP(+) cells expressing insulin and the beta-cell transcription factors pancreatic duodenal homeobox factor-1 and homeodomain protein. Thus, transplanted bone marrow cells demonstrated little, if any, capacity to adopt a beta-cell fate.

  • 2832.
    Taubner, Helena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Afasi och narrativt aktörskap – mediebilder, självberättelser och multimodala litteracitetspraktiker2019Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aphasia is an aquired language disability, most commonly caused by stroke. Since aphasia involves difficulties producing and/or understanding language, written as well as spoken, it entails a reduced ability and opportunity to author one’s own narrative. In the face of this reduced narrative agency (Baldwin, 2005), people who acquire aphasia need to renegotiate their identity. To do so they mirror their stories of self in social structures, including the contemporary communication landscape in which digital tools play an important part, but also norms and attitudes – strongly influenced by the media – towards people with language disabilities. Drawing on theories about the interplay between agency and social structures, this doctoral thesis aims to – by studying media representations of people with aphasia, stories of self authored by people with aphasia and literacy practices within a group of people with aphasia – examine narrative agency in people who live with aphasia in a society influenced by textual and digitally mediated communication.Three studies (A-C), presented in four articles, were conducted. Study A aimed at investigating narrative types in Swedish newspaper articles about living with aphasia. A majority of the newspapers contained stories in which the person with aphasia was talked aboutrather than talked to. In the few cases in which the person was given voice (or was assisted by a vicarious voice), the stories were mainly framed as successs stories. Study B then aimed at examining stories of self authored by nine individuals with aphasia who were interviewed and then observed in social media. They applied a variety of strategies to manage their stigma (Goffman, 1963)and to navigate identity dilemmas (Bamberg, 2011). In addition, the participants experienced a higher degree of narrative agency when communicating in social media than in other practices. The key to this enhanced narrative agency was the multimodality offered by the digital tools. Finally, study C aimed at describing literacy practices within a group of people with aphasia attending an aphasia course at a Swedish folk high school. Ethnographic data were collected during three weeks. The group’s narrative agency was strongly influenced by the use of digital screens to access multimodal literacy practices and by co-creation of literacy events between group members in which they used each other’s abilities. To discuss the overall findings from all three studies, Bourdieus thinking tools linguistic capital, linguistic markets and legitimate language (1991)were used. Although aphasia means partial language loss, some linguistic capitals may remain. When a linguistic market includes multiple modalities, a person with aphasia may chose ways of communication based on her remaining abilities. Thus, her narrative agency increases when her remaining linguistic capitals correspond to what is considered legitmate language within a certain linguistic market. That was the case when the participants in study B and C engaged in multimodal literacy practices. But when the stories of people with aphasia are told in Swedish newspapers, they are portrayed with a low degree of narrative agency. In addition, the newspaper stories are framed as success stories, meaning that when people with aphasia renegotiate their stories of self, they mirror their stories in grand narratives about happy endings. Further research is suggested about representations of people with aphasia in other media types (with a higher degree of multimodality), but also about how the linguistic capitals of people with aphasia interact with other forms of social capital such as gender and class.

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    Afasi och narrativt aktörskap - Taubner 2019
  • 2833.
    Taubner, Helena
    Halmstad University, School of Social and Health Sciences (HOS).
    DYSLEXI, INTERNET OCH STIGMA: en netnografisk studie av nätbaserad kommunikation hos personer med dyslexi2013Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Titel (translated from Swedish): Dyslexia, the internet and stigma – a netnographic study of online communication in people with dyslexia

    Author: Helena Taubner

    Supervisor: Åsa Wengelin

    Examinator: Magnus Tideman

    Masters thesis (30 ECTS) in Disability Studies, University of Halmstad, Sweden, spring 2013

    The thesis is written in Swedish.

    Our communication continually changes, and the internet is an important factor in that development. New ways of making writing more efficient, for example the use of abbreviations and special symbols are emerging. We mix written language with photos, films, sound clips and links. Norms for what is considered to be the correct use of language are displaced. When our abilities do not match society’s expectations, stigmatization occurs. This is what happens to a person with dyslexia when the demands placed upon them for their reading and writing abilities become too high. What happens when the communication moves into the online environment? The following three issues are addressed:

    How do individuals with dyslexia communicate online?

    How do individuals with dyslexia relate to their online communication?

    How do individuals with dyslexia control their stigma when communicating online?

    The study is a two-part qualitative case study based upon semi-structured interviews and netnographic shadowing with two informants, Andreas and Linda. The results were analysed with reference to Goffman’s theory of stigma. In spite of the fact that Andreas has greater difficulties with reading and writing than Linda, he experiences less stigma in relation to communication, since he more consciously manages to control his stigma. A crucial factor for both informants is whether or not the online forum is synchronous or asynchronous (it is impossible for them to pass in synchronous forums). Hence, the study suggests that the degree of stigmatization does not necessarily correspond to the degree of difficulties with reading and writing.

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  • 2834.
    Taubner, Helena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Multimodality as a key to identity re-negotiation when living with post-stroke aphasia in a digitalised society2019Conference paper (Refereed)
  • 2835.
    Taubner, Helena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Online and offline re-negotiation of identity when living with post-stroke aphasia2017Conference paper (Refereed)
  • 2836.
    Taubner, Helena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Online re-negotiation of identity in post-stroke aphasia2016Conference paper (Refereed)
  • 2837.
    Taubner, Helena
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Hallén, Malin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Wengelin, Åsa
    Department of Swedish, University of Gothenburg, Gothenburg, Sweden.
    Still the same? – Self-identity dilemmas when living with post-stroke aphasia in a digitalised society2020In: Aphasiology, ISSN 0268-7038, E-ISSN 1464-5041, Vol. 34, no 3, p. 300-318Article in journal (Refereed)
    Abstract [en]

    Background: Self-identity construction through “stories of self” is highly relevant for people with aphasia, not only because the onset entails a “biographical disruption” but also since their ability to keep their “stories of self” going is reduced. Three dilemmas (constancy/change, sameness/difference and agency/dependency) are known to be central to identity. In a digitalised society like Sweden, self-identity construction, including the navigation of these dilemmas, takes place both online and offline. Nevertheless, research combining aphasia, identity and online issues is scarce.

    Aim: This qualitative study aims, in terms identity dilemmas, to investigate self-identity construction in working-age persons living with post-stroke aphasia in a digitalised society (i.e. Sweden). Are the dilemmas relevant to the participants, and if so, how do they navigate them online and offline?

    Methods and Procedures: Nine individuals (three men and six women, aged 24–54 at onset) with mild or moderate post-stroke aphasia participated. The data comprises nine individual audio-recorded interviews and 1,581 screenshots from online observations. Qualitative analyses were performed (vertically and horizontally), combining inductive and deductive approaches.

    Outcomes and Results: All three dilemmas are relevant to the participants. They construct their self-identity as both the same as they were pre-stroke and changed. They are both the same and different in relation to other stroke survivors (with or without aphasia), i.e. both “disabled” and “normal”. They display both dependency and agency. Thus, they navigate the dilemmas by constantly negotiating what to include in their stories of self. In addition, telling one story of self offline does not imply telling the same story online.

    Conclusion: The dilemmas are intertwined and highly relevant to the participants. Offline and online settings evoke different ways for them to navigate the dilemmas. Increased awareness of the possible struggle with self-identity dilemmas in people with aphasia, and the possible difference between their online and offline self-identities, should be of value to family members, clinicians and researchers. Further research based on a larger sample is suggested. © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

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  • 2838.
    Tebelius, Ulla
    Halmstad University, School of Social and Health Sciences (HOS).
    Girls involvement in Sport - Dynamics of sport participation of 12-19 years old female athletes2001In: Kinanthropologica, ISSN 1212-1428, Vol. 37, no 2, p. 67-80Article in journal (Refereed)
    Abstract [en]

    This paper discusses the significance of sports participation among girls at adolescence. The empirical study consisted of two complete sports teams (sports gymnastics and football) of 26 female-athletes. The girls were interviewed on four occasions between the ages of 12 and 19. The girls’ participation is described in an interactionist perspective as a socialisation process, which included learning the language, rules and norms of sport as well as creating an image of themselves as sports girls. Being more involved they realised the discrepancy between the norms of sport and their view of themselves as young females. They handled this discrepancy in different ways by either adopting the sports norms, behaving playful in relation to their sport or by choosing a less regulated activity. This should be seen as conscious choices. The girls were positioning themselves as physical active females within the cultural and ideological context of the contemporary social world.

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  • 2839.
    Tegenstrand, Marie
    et al.
    Halmstad University.
    Wang, Johanna
    Halmstad University.
    Tala med mig, inte om mig!: Bedsiderapport ur ett patientperspektiv2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Överrapportering vid skiftbyten sker dagligen mellan sjuksköterskan som ska avsluta sitt skift och sjuksköterskan som ska börja sitt skift och under överrapporteringen överlämnas patientansvaret till nästa sjuksköterska. Traditionell överrapportering sker övergripligen på sjuksköterskeexpeditionen utan patienters delaktighet. I Sverige har sjukvården en skyldighet att göra patienter delaktiga i sin egen vård och därmed behöver den traditionella överapporteringen förändras. Bedsiderapport som överrapporteringsmetod gör det möjligt för patienter att vara delaktiga. Syftet med studien var att belysa patienters erfarenheter av bedsiderapport inom slutenvården. En litteraturstudie genomfördes och resultatet baserades på nio vetenskapliga artiklar. Artiklarnas resultat analyserades och utmynnade i fyra teman, att vara en person, att känna empowerment, att vara delaktig, att känna sårbarhet. Resultatet visar på att patienters erfarenheter av bedsiderapport leder till en känsla av att få vara en person som känner empowerment, delaktighet men även sårbarhet. Bedsiderapport överensstämmer med personcentrerad vård och ökar patienters delaktighet. Ytterligare forskning behövs angående hur bedsiderapport kan implementeras på bästa sätt i den kliniska verksamheten för att ersätta den traditionella överrapporteringen i svensk sjukvård.

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  • 2840.
    Teleman, Britta
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Karsson, Caroline
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Vinblad, Elin
    The Child and Youth Rehabilitation Centre, Region Skåne, Sweden.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Co-construction of child personas in the development of a digital communication support system for increased participation in pediatric habilitation2019In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 61, no S2, p. 17-17Article in journal (Refereed)
    Abstract [en]

    Introduction: Digital communication support systems have great potential to facilitate the provision of child-centered care where children and young people are allowed and enabled to participate in planning and decision-making in their own habilitation. The aim of this study was to co-construct child personas together with children and young adults from pediatric habilitation for the design of a digital communication support system.

    Patients and methods: The child, parent and practitioner perspectives on goals, needs and behaviours in relation to participation in pediatric habilitation were characterized based on interviews with 20 children (6-17 years old) and 8 young people (18-30 years old) with intellectual disabilities, physical disabilities or autism spectrum disorders, 17 parents (aged 31-62 years) and 10 practitioners. Data were interpreted and explained together with children from the interviews (n=14) in two explorative design workshops and a validation workshop.

    Results: We present findings and insights on how to co-construct child personas in the context of pediatric habilitation. The work resulted in three personas with different priorities that model the behaviors, attitudes, and goals of three user archetypes tailored for developing digital communication support systems in this particular use context.

    Conclusion: By applying our progressive steps of data collection and analysis, we arrive at authentic child-personas that are now used to design and develop a digital communication support system for the particular goals, needs and behaviors of children in pediatric habilitation.

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  • 2841.
    Telemo Nilsson, Sara
    et al.
    Halmstad University, School of Business, Engineering and Science.
    Rexha, Laurinda
    Halmstad University, School of Business, Engineering and Science.
    When the physical patient becomes digital: A study of the innovation “digital health care center” on the Swedish market2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Object of study: The innovation “Digital health care center” from a multi-level stakeholder’s perspective.

    Problem: A new technology era has opened up for new kind of innovations. Digital health care centers are a service that recently has been introduced on the Swedish market, which needs further investigation. To be able to better understand, explain and predict future behavior of an innovation the innovation could be theoretical conceptualized and classified. In the specific area of health care, new innovation should preferable be investigated in from a multilevel perspective, including different stakeholders opinions. One if the stakeholders are the customers. If new innovative products and services want to be successful, it required consumers to adopt the product or service, but relatively few studies have focused on the adoption of technology services among customers.

    Purpose: The purpose of this thesis is to gain a better understanding of the innovation “digital health care center” in Sweden.

    Research question: How can the innovation “digital health care center” be described through a stakeholder perspective?

    Method: The empirical data were collected through qualitative semi-structured interviews and a structured quantitative questionnaire.

    Conclusions: The innovation digital health care center can from a multi-level perspective be described as an innovation that contributes and have an impact on the market and the healthcare industry in many ways. The innovation could be described as a complement to traditional health care. The innovation has influences from different theoretical classes of innovation which means that the innovation cannot be categorized in a specific class. The innovation can be considered successful because it facilitates for the patient.. According to the stakeholder group potential patients, a majority of the respondents thinks that increased availability and time-efficiency would be facilitating factors and reasons for using the service. The innovation is described by the various stakeholders as contributing to a better society. The care becomes more productive, cost effective, more available, and in the broader perspective, the innovation contributes to increased digitalization of the healthcare sector as a whole. There are many new possible fields of application which in the healthcare industry which could develop the innovation further. Strengths and opportunities with the innovation can be considering outweighing weaknesses with the innovation and potential threats of the innovation. 

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  • 2842.
    Teneberg, Susanne
    et al.
    Halmstad University, School of Information Technology. Institute of Medical Biochemistry, Göteborg University, P. O. Box 440, SE 405 30 Göteborg, Sweden.
    Leonardsson, I.
    Department of Clinical Microbiology and Immunology, Örebro Medical Centre Hospital, SE 701 85 Örebro, Sweden.
    Karlsson, H.
    Department of General Surgery, Örebro Medical Centre Hospital, SE 701 85 Örebro, Sweden.
    Jovall, P.-A.
    Department of Medical Microbiology, Dermatology, and Infection, University of Lund, SE 223 62 Lund, Sweden.
    Ångström, J.
    Institute of Medical Biochemistry, Göteborg University, P. O. Box 440, SE 405 30 Göteborg, Sweden.
    Danielsson, D.
    Institute of Medical Biochemistry, Göteborg University, P. O. Box 440, SE 405 30 Göteborg, Sweden.
    Näslund, I.
    Institute of Medical Biochemistry, Göteborg University, P. O. Box 440, SE 405 30 Göteborg, Sweden.
    Ljungh, A.
    Institute of Medical Biochemistry, Göteborg University, P. O. Box 440, SE 405 30 Göteborg, Sweden.
    Wadström, T.
    Institute of Medical Biochemistry, Göteborg University, P. O. Box 440, SE 405 30 Göteborg, Sweden.
    Karlsson, K.-A
    Institute of Medical Biochemistry, Göteborg University, P. O. Box 440, SE 405 30 Göteborg, Sweden.
    Lactotetraosylceramide, a novel glycosphingolipid receptor for Helicobacter pylori, present in human gastric epithelium2002In: Journal of Biological Chemistry, ISSN 0021-9258, E-ISSN 1083-351X, Vol. 277, no 22, p. 19709-19719Article in journal (Refereed)
    Abstract [en]

    The binding of Helicobacterpylori to glycosphingolipids was examined by binding of 35S-labeled bacteria to glycosphingolipids on thin-layer chromatograms. In addition to previously reported binding specificities, a selective binding to a non-acid tetraglycosylceramide of human meconium was found. This H. pylori binding glycosphingolipid was isolated and, on the basis of mass spectrometry, proton NMR spectroscopy, and degradation studies, were identified as Galβ3GlcNAcβ3-Galβ4Glcβ1Cer (lactotetraosylceramide). When using non-acid glycosphingolipid preparations from human gastric epithelial cells, an identical binding of H. pylori to the tetraglycosylceramide interval was obtained in one of seven samples. Evidence for the presence of lactotetraosylceramide in the binding-active interval was obtained by proton NMR spectroscopy of intact glycosphingolipids and by gas chromatography-electron ionization mass spectrometry of permethylated tetrasaccharides obtained by ceramide glycanase hydrolysis. The lactotetraosylceramide binding property was detected in 65 of 74 H. pylori isolates (88%) Binding of H. pylori to lactotetraosylceramide on thin-layer chromatograms was inhibited by preincubation with lactotetraose but not with lactose. Removal of the terminal galactose of lactotetraosylceramide by galactosidase hydrolysis abolished the binding as did hydrazinolysis of the acetamido group of the N-acetylglucosamine. Therefore, Galβ3GlcNAc is an essential part of the binding epitope.

  • 2843.
    Tholin, Anna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Lindqvist, Hanna
    Halmstad University, School of Social and Health Sciences (HOS).
    När minnet faller i glömska: Patientens upplevelse av Alzheimers sjukdom2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Alzheimer’s disease has, seen from an international and national perspective, high occurrence. Up to 90 000 people are diagnosed with Alzheimer’s disease in Sweden. It is important to pay attention to the patient’s experience for the nurse to be able to give good and adequate care. The purpose of this study was to highlight patient’s experience in the early stage of Alzheimer’s disease. A literature review was conducted and twelve research articles were processed and analyzed to conclude the result. The result revealed five main themes, to become a stranger in one’s life, acceptance and denial, coping with memory loss in everyday life, living with the idea of Alzheimer’s disease and fear of the future. Several persons with Alzheimer’s felt that the disease meant a big change and had a negative impact on their lives. People with Alzheimer’s developed different strategies to help them cope with the disease. People with Alzheimer’s experienced inadequacies in encounters with health care personnel. Further research should focus on health care encounters in patient perspective and their experience of received care in order to improve health care interventions and nurses’ attitudes.

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    När minnet faller i glömska
  • 2844.
    Thomas, Simi
    Halmstad University, School of Business, Engineering and Science.
    Determination of bone mineral content and its relationship with muscle strength, muscle mass and bone-specific physical activity scores: a cross sectional study in women2020Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: Osteoporosis is a disorder of the bones in which the bones become brittle, weak, and easily damaged or broken. A decrease in the mineralization and strength of the bones over time causes osteoporosis. Bone mineral content (BMC) is a measurement of bone mineral which found in a specific area. Physical activity helps to prevent osteoporosis by maintaining bone mass, stimulating bone formation, strengthening muscles, and improving balance. Moreover, loss of grip strength is associated with less skeletal muscle mass and low bone mineral content. Women are at greater risk of osteoporosis, age-related muscle loss occurs at an earlier time because of ensuing changes in hormonal status in menopause.

    Aim: The aim of the study was to examine whether bone mineral content is associated with handgrip muscle strength, lean body mass, fat free mass and bone specific physical activity scores, and to determine possible unique predictors of BMC in adult women.

    Methods: A total number of 33 women aged 21 to 64 years old took part in the study. Participants body composition were assessed by using Bio impedance analysis (BIA), hand grip strength was measured by using hand grip dynamometer and physical activity was evaluated by using a Bone Specific Physical Activity Questionnaire (BPAQ). Variables that significantly correlated with BMC were applied to a Hierarchical Multiple Regression analysis.

    Results: The main outcome of this study was that BMC was strongly correlated with the body composition variables soft lean mass (SLM) (r=0.936, p=0.000), fat free mass (FFM) (r=0.943, p=0.000) and skeletal muscle mass (SMM) (r=0.936, p=0.000) and with hand grip strength (r=0.752, p=0.000) in both hands and moderately correlated with BPAQ scores for current physical activity (cBPAQ rs= 0.466,p=0.011). Moreover, only weak correlations were found for past physical activity (pBPAQ rs = 0.302, p=0.136) and total physical activity (tBPAQ rs=0.349, p= 0.057). However, based on a Hierarchical Multiple regression analysis, where the most important predictor was SLM explaining 87.6% of variance by SLM, while cBPAQ accounted for a further 2% of variance. Together, these two factors predicted 89.5% of the variability in BMC.

    Conclusion: This study concluded that in women age 21 to 64 years, although bone mineral content is significantly associated with SLM, FFM, SMM, hand grip strength, current BPAQ and total body mass, only soft lean mass and current BPAQ were unique predictors of BMC. These findings further emphasise the importance of SLM for determining BMC in women and engage in physical activity to prevent future osteoporosis.

  • 2845.
    Thordarson, Samantha
    et al.
    Halmstad University, School of Health and Welfare.
    Ahmed Khan, Waseem
    Halmstad University, School of Health and Welfare.
    Sjuksköterskans insatser vid undernäring hos äldre: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses encounter of aged people who are malnourished or at risk of nutritional deficiency is expected in their line of work. The profession therefore has a responsibility to identify elderly with malnutrition and to take evidence based measures. The aim of this paper was to investigate how nurses can affect nutritional status in elderly people with malnutrition. The study was conducted as a general literature study with an inductive approach. The result was based on nine articles. Three categories were formed: Assessment of nutrition status, Multidisciplinary cooperation and, Supporting the Elderly. Collaboration between the nurse and other professions was identified as an important factor in increasing knowledge about the elderly's nutritional status. By using assessment tools, the work was structured and an overall picture of the elderly's health was created. Nursing's correct knowledge of nutrition is considered important for improving nutritional status among the elderly. Prevention of malnutrition can be accomplished by taking measures that support the elderly by providing: individually adapted diets, company, energy and protein enrichment, and following up on eating habits.

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  • 2846.
    Thored, Pär
    et al.
    Laboratory of Neurogenesis and Cell Therapy, Section of Restorative Neurology, University Hospital, Lund, Sweden.
    Heldmann, Ursula
    Laboratory of Neurogenesis and Cell Therapy, Section of Restorative Neurology, University Hospital, Lund, Sweden.
    Gomes-Leal, Walace
    Laboratory of Neurogenesis and Cell Therapy, Section of Restorative Neurology, University Hospital, Lund, Sweden.
    Gisler, Ramiro
    Laboratory of Neurogenesis and Cell Therapy, Section of Restorative Neurology, University Hospital, Lund, Sweden.
    Darsalia, Vladimer
    Lund Strategic Research Center for Stem Cell Biology and Cell Therapy, Lund, Sweden.
    Taneera, Jalal
    Department for Diabetes and Endocrinology, Clinical Research Centre, Malmö, Sweden.
    Nygren, Jens Martin
    Lund Strategic Research Center for Stem Cell Biology and Cell Therapy, Lund, Sweden.
    Jacobsen, Sten-Eirik W.
    Lund Strategic Research Center for Stem Cell Biology and Cell Therapy, Lund, Sweden.
    Ekdahl, Christine T.
    Laboratory of Neurogenesis and Cell Therapy, Section of Restorative Neurology, University Hospital, Lund, Sweden.
    Kokaia, Zaal
    Lund Strategic Research Center for Stem Cell Biology and Cell Therapy, Lund, Sweden.
    Lindvall, Olle
    Lund Strategic Research Center for Stem Cell Biology and Cell Therapy, Lund, Sweden.
    Long-term accumulation of microglia with proneurogenic phenotype concomitant with persistent neurogenesis in adult subventricular zone after stroke2009In: Glia, ISSN 0894-1491, E-ISSN 1098-1136, Vol. 57, no 8, p. 835-849Article in journal (Refereed)
    Abstract [en]

    Neural stem cells (NSCs) in the adult rat subventricular zone (SVZ) generate new striatal neurons during several months after ischemic stroke. Whether the microglial response associated with ischemic injury extends into SVZ and influences neuroblast production is unknown. Here, we demonstrate increased numbers of activated microglia in ipsilateral SVZ concomitant with neuroblast migration into the striatum at 2, 6, and 16 weeks, with maximum at 6 weeks, following 2 h middle cerebral artery occlusion in rats. In the peri-infarct striatum, numbers of activated microglia peaked already at 2 weeks and declined thereafter. Microglia in SVZ were resident or originated from bone marrow, with maximum proliferation during the first 2 weeks postinsult. In SVZ, microglia exhibited ramified or intermediate morphology, signifying a downregulated inflammatory profile, whereas amoeboid or round phagocytic microglia were frequent in the peri-infarct striatum. Numbers of microglia expressing markers of antigen-presenting cells (MHC-II, CD86) increased in SVZ but very few lymphocytes were detected. Using quantitative PCR, strong short- and long-term increase (at 1 and 6 weeks postinfarct) of insulin-like growth factor-1 (IGF-1) gene expression was detected in SVZ tissue. Elevated numbers of IGF-1-expressing microglia were found in SVZ at 2, 6, and 16 weeks after stroke. At 16 weeks, 5% of microglia but no other cells in SVZ expressed the IGF-1 protein, which mitigates apoptosis and promotes proliferation and differentiation of NSCs. The long-term accumulation of microglia with proneurogenic phenotype in the SVZ implies a supportive role of these cells for the continuous neurogenesis after stroke.

  • 2847.
    Thoresen, Linda
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Hellberg, Sanna
    Halmstad University, School of Social and Health Sciences (HOS).
    Ensamhetens hav: Äldres upplevelser av ensamhet2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The elderly population is increasing both internationally and nationally. Loneliness has been reported to be more common in the older generation and could become a growing health problem. The nurse should have the ability to support older people so that they can form a meaningful existence, both individually and in interaction with other people. The aim of the study was to highlight the experience of loneliness in elderly people 65 years and over. The study was conducted as a literature review of 12 scientific articles. The results culminated in five categories: lack of togetherness, to be left behind, to experience limitations, to experience the great solitude and to experience the changeable solitude. The elderly experienced loneliness as being excluded and abandoned. The experience of loneliness could be huge and frightening but also result in a feeling of freedom. Loneliness could be perceived as changeable and was not always a constant feeling. Further research in elderly people's experiences of loneliness is important to increase knowledge of loneliness which can improve the care of the elderly in clinical practice.

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  • 2848.
    Thorsson, Maria
    Halmstad University, School of Social and Health Sciences (HOS).
    Operationsteamets erfarenheter av att arbeta med WHO:s checklista för säker kirurgi2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    WHO's checklist has significantly reduced complications and mortality and increased patient safety in surgical patients by being a standardized tool for communication and co-operation of the surgical team. At the end of 2011 most Swedish hospitals used WHO´s checklist, but there are only a few studies from Sweden after the introduction. The purpose of this pilot study was to investigate the surgical team´s experiences working with WHO´s checklist for safe surgery. A focus group interview was conducted with a surgical team. Data analysis was done by qualitative manifest content analysis. The result shows both benefits and difficulties when WHO´s checklist is used. The checklist is important for the team´s communication and planning and is a routine security and control to avoid mistakes. It´s a meeting point, it´s clarifying the facts, providing safer care and it takes less time if the team synchronizes itself, waits for each other, focuses and concentrates on the checklist. There is a need of shared responsibility to remember it and the commitment and support from the management for good implementation. Everyone must be involved, agree to use it and take it seriously. The checklist is less relevant for small procedures where the desire is to be able to modify it. Further studies of multidisciplinary team training for the development of the checklist would be interesting. In order to compare various professional categories with each other and gain deeper knowledge, it is necessary to do several focus group interviews. 

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  • 2849.
    Thorstensson, Carina
    Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden & Lund University, Lund, Sweden.
    Exercise and Functional Performance in Middle-aged Patients with Knee Osteoarthritis2005Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall purpose of this thesis was to explore the impact of exercise and functional performance on development and treatment of knee osteoarthritis in the middle aged.

    In this thesis, I have studied a population based cohort of middle-aged subjects (35-54 years, 42 % women) with chronic knee pain at baseline, to evaluate the longitudinal effect of muscle weakness on knee osteoarthritis development, the relationship between muscle function and joint load and the effects of exercise on joint load. I have also studied the effect of exercise on pain and function in another middle-aged cohort (36-65 years, 51 % women) with moderate to severe knee osteoarthritis, and explored their conceptions of exercise as treatment. In the first study, 148 subjects with chronic knee pain underwent radiographic examination and tests of functional performance at baseline. 94 of them had no radiographic signs of knee osteoarthritis. Five years later they had new radiographs taken and 41/94 (44 %) had developed incident knee osteoarthritis. I found that reduced functional performance, assessed by maximum number of one-leg rises from a stool, predicted knee osteoarthritis development. The result was controlled for the previously known risk factors of age, BMI and pain.

    In the second study, I used 3-dimensional motion analysis to explore the possibility of altering joint load by exercise. The medial compartment joint load (peak adduction moment) during maximum number of one-leg rises was assessed in 13 subjects with early radiographic signs of knee osteoarthritis from the cohort in study one, before and after 8 weeks of exercise. Two subjects were lost to follow up for reasons not related to the knee. The peak adduction moment could be reduced by exercise, and a high maximum number of one-leg rises was associated with lower levels of peak adduction moment.

    The third study included 61 subjects with moderate to severe radiographic knee osteoarthritis. They were randomized to 6 weeks of intensive exercise or to a control group. The effects of exercise were assessed using questionnaires. No effects were seen on pain or self estimated function, however, the quality of life improved. The individual response to exercise ranged from clinically significant improvement to clinically significant worsening.

    As an attempt to understand this large inter individual response to exercise, I designed the fourth study, where I interviewed 16 of the 30 patients in the exercise group about their conceptions of exercise as treatment. The interviews were analysed using qualitative methodology, and it was revealed that all patients were aware of the general health benefits of exercise, but had doubts about exercise as treatment of osteoarthritis even if they had perceived pain relief and improvement in physical function from the exercise intervention. The pain experienced during exercise caused the patients to believe that exercise was harmful to their knees, and some of them would prefer not to exercise at all. They thought that exercise should be introduced early during the course of the disease, and all of them expressed the need of continuous encouragement and support to adhere to exercise.

    From this thesis I conclude that reduced muscle function is a risk factor of knee osteoarthritis development among middle aged subjects with knee pain. Reduced muscle function is associated with increased joint load, which seem to be modifiable by exercise. Initial pain when starting exercise, or occasional pain from exercise, should be treated by combining exercise with pain relief such as analgesics or acupuncture. Pain contributes to the difficulty patients have determining the degree of benefit or damage related to exercise, and thus causes feelings of anxiety and helplessness (paper IV). Pain also seems to interfere with the possibility of achieving increased functional performance (paper II, III, IV).

  • 2850.
    Thorstensson, Carina A.
    et al.
    Spenshult Hospital for Rheumatic Diseases, Halmstad, Sweden & Lund University, Lund, Sweden.
    Henriksson, M.
    Karolinska Institutet, Stockholm, Sweden.
    von Porat, A.
    Lund University, Lund, Sweden.
    Roos, E. M.
    Spenshult Hospital for Rheumatic Diseases, Halmstad, Sweden & Lund University, Lund, Sweden.
    Eight weeks of exercise reduced knee adduction moment during one-leg rise in patients with early knee osteoarthritisManuscript (preprint) (Other academic)
    Abstract [en]

    Background

    Reduced functional performance is a risk factor for development of knee osteoarthritis, and peak knee adduction moment is associated with radiographic progression. Knee adduction moment can be reduced by high tibial osteotomy. The effect of dynamic stabilization through increased muscle performance is not known.

    Aims

    To study the effect from exercise on external peak knee adduction moment during one-leg rise, and the relationship between peak knee adduction moment during one-leg rise and maximum number of one-leg rise.

    Methods

    13 patients, aged 48–63, with mild to moderate knee osteoarthritis underwent 8 weeks of supervised exercise, aiming at increasing neuromuscular control and lower extremity strength. The maximum number of one-leg rise from a stool (48 cm), 3-dimensional gait analysis and self-estimated knee symptoms were assessed before and after exercise intervention. Peak external knee adduction moment during one-leg rise and gait was calculated using a Vicon system. The Knee injury and Osteoarthritis Outcome Score (KOOS) was used as assessment of knee symptoms. Patients defined their most symptomatic knee as index knee.

    Results

    Peak knee adduction moment during one-leg rise was reduced for the index knee from 0.57 Nm/kg at baseline to 0.51 after 8 weeks of exercise (p=0.04). The change for the opposite knee was not significant (from 0.58 to 0.56 Nm/kg, p=0.23). No significant changes were seen for index or opposite knees in peak adduction moment during gait (p>0.40). A higher maximum number of one-leg rise was correlated to a lower peak adduction moment for the index knee at baseline (rs =-0.35, p=0.24) and follow up (rs = -0.65, p=0.03). For the opposite knee the correlation was similar at baseline (rs= -0.47, p=0.10), and no correlation was seen at follow up (rs = 0.13, p=0.70). Correlations for change over time were poor (-0.43 to -0.03) and not significant (p>0.20). Patients with symptomatic knee osteoarthritis had higher peak adduction moment in their opposite knee, than patients without symptoms at baseline (0.72 (0.09) vs. 0.50 (0.11), p=0.01) and follow-up (0.66 (0.14) vs. 0.51 (0.07), p=0.04). The differences for the index knee pointed in the same direction, however not significant (p>0.28).

    Conclusion

    Peak knee adduction moment in the most symptomatic knee of middle-aged patients with early signs of knee osteoarthritis can be reduced by exercise. Improved muscular performance might reduce the risk of radiographic progression of knee osteoarthritis. It seem of importance to reduce pain prior to starting exercising. A lower maximum number of one-leg rise is associated with higher peak knee adduction moment and has the potential to serve as a surrogate in studies where 3-dimensional analysis is not feasible.

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