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  • 1.
    Andersson, John
    et al.
    Sahlgrenska University Hospital/Östra,Scandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, .
    Angenete, Eva
    Sahlgrenska University Hospital/Östra,Scandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, .
    Gellerstedt, Martin
    Angerås, Ulf
    Sahlgrenska University Hospital/Östra,Scandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery.
    Jess, Peter
    Roskilde Hospital, Department of Surgery, Roskilde.
    Rosenberg, Jacob
    Herlev Hospital, University of Copenhagen, Department of Surgery.
    Fürst, A
    Caritas Clinic St Josef, Department of Surgery, Regensburg, Germany,.
    Bonjer, J
    VUmc University Medical Center, Amsterdam.
    Haglind, Eva
    Sahlgrenska University Hospital/Östra,Scandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, .
    Health-related quality of life after laparoscopic and open surgery for rectal cancer in a randomized trial2013In: British Journal of Surgery, ISSN 0007-1323, E-ISSN 1365-2168, Vol. 100, no 07, p. 941-949Article in journal (Refereed)
  • 2.
    Dåderman, Anna Maria
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Fredriksson, Björn
    Department of Forensic Psychiatry, Huddinge, Sweden.
    Nilsson, Lars-Håkan
    Department of Forensic Psychiatry, Stockholm, Sweden.
    Kristiansson, Marianne
    The National Board of Forensic Medicine, Huddinge, Sweden.
    Lidberg, Lars
    Karolinska Institutet.
    The abuse of a sleeping pill that contains the active substance flunitrazepam (FZ)--for example, Rohypnol--and the effects of FZ intoxication, such as enhanced violence and disturbed memory2004In: The journal of the American Academy of Psychiatry and the Law, ISSN 1093-6793, E-ISSN 1943-3662, Vol. 32, no 4, p. 467-468Article in journal (Other (popular science, discussion, etc.))
  • 3. Dåderman, Anna Maria
    et al.
    Lidberg, Lars
    Karolinska Institutet, Department of Forensic Psychiatry, University Hospital, Huddinge, Sweden.
    Flunitrazepam (Rohypnol) abuse in combination with alcohol causes premeditated, grievous violence in male juvenile offenders1999In: The journal of the American Academy of Psychiatry and the Law, ISSN 1093-6793, E-ISSN 1943-3662, Vol. 27, no 1, p. 83-99Article in journal (Refereed)
    Abstract [en]

    This study focuses on 19 juvenile offenders who were frequently intoxicated by flunitrazepam (FZ), almost exclusively under the brand name Rohypnol. Street names for Rohypnol tablets are Rophies, Ropies, Roofies, Ropes, Roches, Rochas, Rochas Dos, Rophs, Ropers, Ribs, R-25, Roach-2s, Trip and Fall, Remember All, Mind Erasers, Forget Pills, and the Date Rape Drug. An overdose of FZ gives an increased feeling of power and self-esteem, reduces fear and insecurity, and provides the belief that everything is possible. FZ is also associated with loss of episodic memory and with impulsive violence, particularly when combined with alcohol. The subjects were taken from a subpopulation of 47 male juvenile offenders from Swedish national correctional institutions. Background information for subjects was obtained by in-depth interviewing and personality inventories including the Zuckerman Sensation-Seeking Scales, the Eysenck Personality Questionnaire, and the Karolinska Scales of Personality. Data concerning previous criminal offenses was obtained from the Swedish National Police Board. Almost all of the FZ abusers had been previously sentenced for serious violent offenses. Our data suggest that FZ abused by psychiatrically vulnerable subjects (i.e., with high scores on boredom susceptibility and verbal aggression) poses a serious hazard both to the abusers as well as the community. Our results support the finding that FZ should be classified as a Schedule I drug (i.e., a drug similar to heavy narcotics).

  • 4.
    Dåderman, Anna Maria
    et al.
    Karolinska Institutet, Stockholms universitet.
    Lidberg, Lars
    Karolinska Institutet.
    Rohypnol bör klassas som narkotika [Flunitrazepam should be classified as a controlled substance in Sweden]1999In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 96, no 9, p. 1005-1007Article in journal (Refereed)
    Abstract [en]

    Flunitrazepam, widely known by its trade names (e.g. Rohypnol®), may cause severe violence, especially in combination with alcohol. Flunitrazepam abusers become coldblooded, ruthless and violent, and do not remember their violence. Reputedly it is supplied to professional hit-men and enforcers by their bosses to promote ruthless efficacy. One case report describes how a young man, intoxicated with flunitrazepam and involved in causing serious knife and gunshot wounds and taking hostages, felt so invincible that he openly challenged the police, threatening them with an assault rifle, but was himself shot. Flunitrazepam may exert pharmacological effects on GABA-ergic systems, thus lowering serotonin levels. The impulsive execution of violent crimes and suicid attempts in which a violent method (hanging, shooting, selfstabbing) has been used are associated with the presence of low serotonin levels. It is therefore recommended that flunitrazepam should be classified as a controlled substance in Sweden as it is elsewhere.

  • 5.
    Eriksson, Carolina
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Karlsson, Maria
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskors upplevelser av arbetsrelaterad stressoch faktorer som bidrar till arbetsrelaterad stress: en litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Long-term stress can lead to reduced health among nurses which can result in impaired quality of care. Stress in nurses' work needs to be studied in order to prevent stress and impaired quality of care. Aim: The aim of this study was to describe nurses' experience of occupational stress and factors that contribute to occupational stress. Method: The method used was a literature review. Results: The analysis resulted in five themes which describe nurses' experiences of occupational stress and factors that contribute to occupational stress. These themes are; The nursing profession's change, Experience and education, High workload, Organization and work environment and Practical nursing. The result in this study shows that the strongest factors contributing to occupational stress in the nursing profession was; administrative work, objectification of patients, nurses' work experience and level of education, understaffing, high workload, time pressure, lack of support from management, cost savings, patient safety and palliative care. The nurses' experienced that their profession is changing and that the management does not appreciate or listen to them. Nurses' experienced feelings of inadequacy and powerlessness when they could not give patients good care because of occupational stress. They were afraid to hurt patients because of the stressful work environment. Conclusion: This study gives a deeper understanding of how nurses experience occupational stress and found several factors contributing to occupational stress. These findings can be used by health management and others to prevent occupational stress for nurses.

  • 6.
    Erlandsson, Soly
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Punzi, E.
    Department of Psychology, Gothenburg University, Sweden.
    A biased ADHD discourse ignores human uniqueness2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, article id 1319584Article in journal (Refereed)
  • 7.
    Fakhardzinava, Katsiaryna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olsson, Åsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors uppfattningar om psykosocial arbetsmiljö: Vilka faktorer ligger till grund för bra eller dålig arbetsmiljö?2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: We are facing a global lack of working nurses since nurses end their carrier earlier than their planned retirement. The psychosocial work environment is a big problem in the nursing field and affects the nurses´ health status, suffering and stress level.

    Aim: The aim with this study was to describe nurses´ perceptions of factors that affects their psychosocial working environment.

    Method: A literature overview

    Results: The collegial relationships, the workplace manager, the structure of the working hours and the organization and staffing makes the ground for however the nurses will appreciate and stay at their workplace, or if they are going to dislike the work and leave either the workplace or the nursing-field entirely.

    Conclusion: Adequate staffing, good relations with the co-workers, a manager that sees and appreciates the nurses is work environmental factors that increase the chances that the nurses is going to appreciate their work, and remain at their workplace. To achieve a good work environment there should be enough time for the nurses´ to take good care of the patients and colleagues. There should also be a supporting management at the work place and a good cooperation in the working team. A mean manager, understaffing, bad relationships with colleagues, and a lack of trust and independence increases the risk that the nurses will leave both the workplace and the entire nursing field.

  • 8.
    Gellerstedt, Martin
    et al.
    University West, Department of Economics and IT, Division of Computer Science and Informatics.
    Bengtsson, U
    The Asthma and Allergy Research Group, Department of Respiratory Medicine and Allergy,Sahlgrenska University Hospital, Gothenburg, Sweden.
    Niggemann, B
    Department of Pneumology and Immunology, University Children’s Hospital Charité, Berlin, Germany.
    Methodological issues in the methodological issues in the diagnostic work-up of food allergy: a real challenge2007In: Journal of investigational allergology & clinical immunology, ISSN 1018-9068, E-ISSN 1698-0808, Vol. 17, no 6, p. 350-356Article in journal (Refereed)
    Abstract [en]

    The standard of reporting in diagnostic studies has generally been low. Fortunately, this issue has begun to be addressed in recent years through the discussion of important methodological issues in educational series, textbooks, and checklists. Double-blind, placebocontrolled, oral food challenges (DBPCFC) are considered to be the gold standard for diagnosis of food allergy. However, there is no consensus regarding how to interpret the outcome and how to defi ne positive and negative provocations in DBPCFC. Furthermore, since most theories on the diagnosis of food allergy rely on the assumption that the DBPCFC has a high accuracy, this accuracy must be formally statistically evaluated. In this review, we discuss essential methodological issues for diagnostic accuracy studies in general and for oral food challenges in particular and discuss the importance of methodological issues as a guide for forthcoming studies of diagnostic procedures.

  • 9.
    Gellerstedt, Martin
    et al.
    University West, Department of Economics and IT.
    Magnusson, J
    Sahlgrenska University Hospital, Department of Respiratory Medicine and Allergy.
    Gråjö, Urban
    University West, Department of Economics and Informatics.
    Ahlstedt, S
    Karolinska Institute, Institute of Environmental Medicine.
    Bengtsson, U
    Sahlgrenska University Hospital, Department of Respiratory Medicine and Allergy.
    Interpretation of subjective symptoms in double-blind placebo-controlled food challenges - interobserver reliability2004In: Allergy. European Journal of Allergy and Clinical Immunology, ISSN 0105-4538, E-ISSN 1398-9995, Vol. 59, no 3, p. 354-6Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Subjective symptoms after food challenges are difficult to interpret and no standard is available. We discuss a strategy for how to interpret a diary. Furthermore, the interobserver reliability is evaluated. METHODS: Diaries for 32 patients with subjective symptoms were used. The diaries were re-evaluated with a predefined strategy by three independent observers. RESULTS: The proportion of positives was 21.9% among the old diagnoses, according to the new approach 34.4% (observers I and II) and 37.5% (observer III) were positive. The new approach had high interobserver reliability (97 and 100%). CONCLUSIONS: The proportion of positives depends on how subjective symptoms are interpreted. Interpretations of subjective symptoms in diaries could be made with high interobserver reliability.

  • 10.
    Huremovic, Viktorija
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Tobin, Antonia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Faktorer som påverkar den mentala hälsan och utvecklingen hos familjehemsbarn2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Foster care can be an alternative if a child cannot stay in their biological family. Many children in foster care do not have a good mental health because of their situation and earlier experiences. John Bowlby's attachment theory provides an explanation of mental health and development in children. It is important for children to have at least one person to attach to. Aim: The aim of this study was to investigate factors that affect the mental health and development of children in foster homes. Method: In this literature review nine qualitative and quantitative articles were analyzed, which resulted in three themes. Results: The first theme deals with how important the foster parents are. How they act and how they support their foster children affect the children's mental health. The second theme describes the importance of stability in the foster home and the last theme describes the effect that continuity of school and other activities have on the mental health and development of the foster children. Conclusion: Children in foster care need homes where they can attach to their foster parents. It is important for the children to have and feel stability in one foster home and that they are not forced to move to new foster homes. Continuity in school and activities has an important role in making them involved in family and it is critical that they can keep contact with friends and other people who are involved in their activities

  • 11.
    Jansson, Nina
    et al.
    Sahlgrenska Academy at University of Gothenburg, Perinatal Center, Institute of Neuroscience and Physiology.
    Nisfelt, Anna
    Sahlgrenska Academy at University of Gothenburg, Perinatal Center, Institute of Neuroscience and Physiology.
    Gellerstedt, Martin
    University West, Department of Economics and IT, Division of Computer Science and Informatics.
    Wennergren, Margareta
    Sahlgrenska Academy at University of Gothenburg, Department of Obstetrics and Gynecology.
    Rossander-Hulthén, Lena
    Sahlgrenska Academy at University of Gothenburg, Department of Clinical Nutrition.
    Powell, Theresa L.
    University of Cincinnati, Department of Obstetrics and Gynecology, Cincinnati, OH, United States.
    Jansson, Thomas
    Sahlgrenska Academy at University of Gothenburg, Perinatal Center, Institute of Neuroscience and Physiology.
    Maternal hormones linking maternal body mass index and dietary intake to birth weight2008In: American Journal of Clinical Nutrition, ISSN 0002-9165, E-ISSN 1938-3207, Vol. 87, no 6, p. 1743-1749Article in journal (Refereed)
  • 12.
    Jenkins, Samantha
    et al.
    University West, Department of Engineering Science.
    Kirk, Steven
    IV.
    Guevara-Garcia, Alfredo
    Ayers, Paul W.
    Echegaray, Eleonora
    Toro-Labbe, Alejandro
    The mechanics of charge-shift bonds: A perspective from the electronic stress tensor2011In: Chemical Physics Letters, ISSN 0009-2614, E-ISSN 1873-4448, Vol. 510, p. 18-20Article in journal (Refereed)
    Abstract [en]

    The mechanism of charge-shift bonding is discussed from the perspective of the electronic stress tensor. In charge-shift bonds, the tensile mode of the stress tensor (attraction of electrons to the nuclei) is stronger, relative to the compressive modes (attraction of electrons toward the bond axis) than in conventional covalent bonds. Similar bonding indicators based on the eigenvalues of the tensor of second derivatives of the electron density and bond metallicity measures also correlate with charge-shift binding. These indicators seem preferable to the electron-density Laplacian and the local energy density because they can distinguish between weak covalent bonds and charge-shift bonds. 

  • 13.
    Jenkins, Samantha
    et al.
    University West, Department of Engineering Science.
    Restrepo, A.
    Univ Antioquia, Inst Quim, Medellin 1226, Colombia.
    David, J.
    Univ Eafit, Dept Ciencias Basicas, Medellin 3300, Colombia.
    Yin, D. L.
    Kirk, S. R.
    University West, Department of Engineering Science.
    Spanning QTAIM topology phase diagrams of water isomers W4, W5 and W62011In: Physical Chemistry, Chemical Physics - PCCP, ISSN 1463-9076, E-ISSN 1463-9084, Vol. 13, no 24, p. 11644-11656Article in journal (Refereed)
    Abstract [en]

    Structural and chemical properties of the small water clusters W-4, W-5 and W-6 are investigated with the theory of atoms and molecules (QTAIM). For the W-4, W-5 and W-6 clusters, nine, fourteen and twenty-seven conformers, respectively, have been analyzed. For the W-4, W-5 and W-6 clusters one, two and three of these structures, respectively, have not been reported before. We then proceed to extend the W-4, W-5 and W-6 water cluster topology space using QTAIM; the Poincare-Hopf topological sum rules are applied to create rules to identify the spanning set of conformer topologies, this includes finding three, ten and eight new distinct topologies that satisfy the Poincare-Hopf relation for W-4, W-5 and W-6 respectively. The topological stability of degenerate solutions to the Poincare-Hopf relation is compared by evaluating the proximity to rupturing of critical points of the gradient vector field of the charge density. We introduce a QTAIM topology space to replace the inconsistent use of Euclidean geometry to determine whether a cluster is 1-, 2- or 3-D. We show from the topology of the charge density that the conformers of the W-4, W-5 clusters are more energetically stable in less compact, planar forms, conversely the conformers of W-6 are more energetically stable with compact 3-D topologies. Quantifying the degree of covalent character in the hydrogen bonding for the W-4, W-5 and W-6 clusters independently verifies this finding. Differences in simple rules for the number of hydrogen bonds obeying the Bernal-Fowler ice rules between W-4, W-5 and W-6 reflect the transition from 2-D to 3-D structures being more energetically stable. In addition, we identify a new class of O-O bonding interactions that are up to 48% longer than the inter-nuclear separation and appear to be failed hydrogen bonds.

  • 14.
    Karlsson, Ketty
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nylund, Lina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelse i mötet med den döende patienten och närstående2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During 2014 a total of 89062 people died in Sweden. Nurses' will meet patients who are in the end of their life. The work with dying patients can be emotionally draining but also very rewarding for the nurses.

    Aim: The aim of this study was to explore nurses' experiences of meeting the dying patients and their close ones.

    Method: The method used is a litterature based study with focus on qualitative studies. The articles were processed using the Friberg method of analysis.

    Results: There were ten articles which were analysed and compiled to a result. There are three themes and ten subthemes. The first theme is about seeing the work as a privilege - it's about happiness, gratefulness and benevolence. The second theme is about feeling frustration - it's about not being ready to meet the patient and their close ones, being uncertain and being alone during work. The third and last theme is to experience stress - it's about feeling pressure, feel sadness and to feel stress and anxiety.

    Conclusion: Both positive and negative experiences are shown in the result. The palliative care isn't just about caring for the patient, but also about supporting their next of kin in their mourning process. The nurses experiences can sometimes reflect in their work towards the patient and their kin, which puts the nurses in a difficult situation.

  • 15.
    Lenngerd, Nina
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Björk, mimi
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Konsekvenser av sömnbrist hos sjuksköterskor: En litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Sleep is crucial to maintaining good mental and physical health, it helps to repair and restore our brain and body. Sleep affects our language abilities, ability to concentrate, reading comprehension and the brain's ability to summarize what we hear. If our sleep is neglected, it compromises our performance, our mood and our interpersonal relationships. Sleep deprivation can lead to impaired decision-making capacity and increased risk-taking. This may cause the work performance to deteriorate.

    Aim:The aim of this study was to investigate sleep deprivation by nurses and its impact on work capacity.

    Method:A literature review based on an analysis of quantitative research.

    Results:The result showed that sleep deprivation often resulted in the nurses’ having difficulty staying awake during the daytime, and involuntary sleep episodes during working hours occurred. Lack of sleep had a negative effect on nurses' job performance, which often resulted in accidents and medical injuries related to decreased concentration and attention. Sleep deprivation was associated with the presence of depression and anxiety. Sleep deprivation also resulted in increased absenteeism, more health care visits, and somatic symptoms.

    Conclusion/Clinical significance: Nurse’s sleep should be fulfilled, as it is an essential basic need. Sleep deprivation can affect the nurse negatively and consequently patient safety. Since sleep deprivation can be equated with intoxication, the authors consider that it is crucial to recognize and discourage sleep deprivation to prevent healthcare-associated injuries

  • 16. Lidberg, Lars
    et al.
    Dåderman, Anna Maria
    Karolinska Institutet.
    Nedsatt serotoninhalt predisponerar för våld: Enkelt blodprov förutsäger farlighet1997In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 94, no 39, p. 3385-3388Article in journal (Refereed)
    Abstract [en]

    Deficient serotonergic function in the brain is associated with a risk of impulsive violence. The level of serotonergic function can be assessed indirectly in several ways: 1. determination of CSF (cerebrospinal fluid) content of the serotonin metabolite 5-HIAA (5-hydroxyindoleacetic acid); 2. determination of the plasma level of the amino acid tryptophan, the serotonin precursor (passage of tryptophan into the brain is dependent on the ratio of tryptophan to other competing amino acids); 3. analysis of platelet monoamine oxidase content, a putative correlate of serotonergic capacity in the brain; 4. by determining response to an OGTT (oral glucose tolerance test), another putative correlate of serotonergic function.

  • 17.
    Mohammad Taher, Bavrin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Reehorst, Kari Marie
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Indiska sjuksköterskors erfarenheter av att tillvarata den äldre patientens autonomi inom palliativ vård: en intervjustudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The aging population in the world has increased and many people are reaching very high ages. This has made palliative care important because the aging population requires more palliative care. India is classified as a developing country where the aging population over the past 20 years has increased. How Indian nurses maintain patients’ autonomy in palliative care is important to study to gain more knowledge and understanding among nurses.

    Aim:

    The aim of this study was to illuminate Indian nurses’ experiences of maintaining the elderly patients’ autonomy in palliative nursing care.

    Method:

    A qualitative content analysis was conducted in order to achieve variations of nurses’ experiences of maintaining patients’ autonomy in palliative nursing care. Six interviews were conducted. The interviews took place in a private hospital in east India.

    Results:

    The result shows one theme and two categories of value for nurses to maintain the patients’ autonomy in palliative care. The theme is: nurses’ compassion and respect for the patient. The categories are: to make the patients involved in their own care and to communicate with the patients.

    Conclusion:

    When supporting patients in palliative care, nurses need knowledge about these mentioned areas, so they can find strategies to meet the patients with respect and to maintain their autonomy

  • 18.
    Sahlberg, Emma
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Tornström, Helena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnors upplevelser av att leva med livmoderhalscancer: en litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year half a million women get diagnosed with cervical cancer. Cervical cancer affects women in several aspects of life and is the cause of many different experiences, both physical and psychological.

    Aim: The aim of this study was to illuminate women with cervical cancer and their experiences in daily life.

    Method: A literature review has been made of study five qualitative and five quantitative articles. Articles were analyzed by searching for similarities and differences. The studies were published between 2000 and 2013.

    Results: The results of the study appeared in three categories: The physical experience of cervical cancer, the psychological experience of cervical cancer and the social experiences of cervical cancer. The result showed that diarrhea, worry and anxiety were the most common problems experienced by women living with cervical cancer.

    Conclusion: The results of this study showed that the physical side effects of cervical cancer had an essential consequence on the psychological and social life of the affected women

  • 19. Samuelson, Gösta
    et al.
    Westman, G
    Bromatförgiftning hos barn: [Bromate poisoning in children].1978In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 75, no 10, p. 954-7Article in journal (Refereed)
  • 20.
    Strauss, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Östedt, Veronika
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av att leva med fibromyalgi2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Fibromyalgia is a chronic pain disorder. It affects muscles and connective tissue. It's a very complex disorder that has no adequate treatment or cure. The research has progressed but there are still some questions to be answered. Quality of life for these patients is decreased and leads to suffering. Aim: The aim of this study was to illuminate patients' experiences of living with fibromyalgia. Method: A literature overview where nine different qualitative studies between the years 1998-2012 were analyzed. Results: The analysis of the articles lead to six subthemes "Accepted and adapted to the new life", "Experienced a new I", "Experienced changes in the work situation", Experienced changes in privacy", Experienced ignorance" and "Experienced incomprehension" which lead to three main themes "Experienced an identity change", "Experienced a sense of isolation" and "Felt frustration in meeting with health care" Conclusion: The disorder affects the patients both mentally and physically. More research needs to be done for more knowledge about the disorder in order to improve patients care and quality of life

  • 21.
    Svensson, Ann-Charlott
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Söder, Therese
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vårda vårdarna: vilka strategier har sjuksköterskor för att hantera traumatiska situationer på arbetet?2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses often encounter traumatic events at work, but how do they handle and process the feelings that comes with that? And do they have the time to cope with the feelings afterwards?

    Aim: To highlight nurses' experiences of dealing with traumatic care situations.

    Method: A literature-based study with the analysis of qualitative research. Results: Three themes emerged from the results. Sense of belonging, keeping a distance and experience provides development. Sense of belonging shows that the feeling of being part of a team and being able to share emotions helps the nurses to deal and cope with traumatic situations. Keeping a distance shows that the nurses sometimes feel the need to keep their feelings on a distance to be able to deal with traumatic situations. Experience provides development shows that time and experience gives the nurses confidence and resistance which make it easier for them to deal with traumatic situations.

    Conclusion: The team makes a big difference in how the nurse will be able to deal with and process the feelings after encountering a traumatic situation at work. The number of traumatic experiences also played a role in how the nurses were able to deal with and process their feelings. With the experiences came the resistance which was good in the process of dealing with traumatic situations.

  • 22.
    Walladbegi, Java
    et al.
    University of Gothenburg, Department of Oral Medicine & Pathology, Institute of Odontology, The Sahlgrenska Academy, Box 450, 405 30, Gothenburg, Sweden.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Divison of Law, Economics, Statistics and Politics. University West, School of Business, Economics and IT, Divison of Informatics.
    Svanberg, Anncarin
    Uppsala University,Department of Hematology, Institute for Medical Sciences, Faculty of Medicine, Uppsala University Hospital, 751 85, Uppsala, Sweden.
    Jontell, Mats
    University of Gothenburg, Department of Oral Medicine & Pathology, Institute of Odontology, The Sahlgrenska Academy, Box 450, 405 30, Gothenburg, Sweden..
    Innovative intraoral cooling device better tolerated and equally effective as ice cooling.2017In: Cancer Chemotherapy and Pharmacology, ISSN 0344-5704, E-ISSN 1432-0843, Vol. 80, no 5, p. 965-972Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Most of the patients who receive myeloablative therapy prior to stem cell transplantation develop oral mucositis (OM). This adverse reaction manifests as oral mucosal erythema and ulcerations and may require high doses of morphine for pain alleviation. OM may also interfere with food intake and result in weight loss, a need for parenteral nutrition, and impaired quality of life. To date, there have been very few studies of evidence-based interventions for the prevention of OM. Cryotherapy, using ice chips, has been shown to reduce in an efficient manner the severity and extent of OM, although clinical applications are still limited due to several shortcomings, such as adverse tooth sensations, problems with infectious organisms in the water, nausea, and uneven cooling of the oral mucosa. The present proof-of-concept study was conducted to compare the tolerability, temperature reduction, and cooling distribution profiles of an intra-oral cooling device and ice chips in healthy volunteers who did not receive myeloablative treatment, and therefore, did not experience the symptoms of OM.

    METHODS: Twenty healthy volunteers used the cooling device and ice chips for a maximum of 60 min each, using a cross-over design. The baseline and final temperatures were measured at eight intra-oral locations using an infra-red thermographic camera. The thermographic images were analysed using two digital software packages. A questionnaire was used to assess the tolerability levels of the two interventions.

    RESULTS: The intra-oral cooling device was significantly better tolerated than the ice-chips (p = 0.0118). The two interventions were equally effective regarding temperature reduction and cooling distribution.

    CONCLUSIONS: The intra-oral cooling device shows superior tolerability in healthy volunteers. Furthermore, this study shows that temperature reduction and cooling distribution are achieved equally well using either method.

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