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https://www.readbyqxmd.com/read/29325552/health-care-access-for-rural-youth-on-equal-terms-a-mixed-methods-study-protocol-in-northern-sweden
#1
Isabel Goicolea, Dean Carson, Miguel San Sebastian, Monica Christianson, Maria Wiklund, Anna-Karin Hurtig
BACKGROUND: The purpose of this paper is to propose a protocol for researching the impact of rural youth health service strategies on health care access. There has been no published comprehensive assessment of the effectiveness of youth health strategies in rural areas, and there is no clearly articulated model of how such assessments might be conducted. The protocol described here aims to gather information to; i) Assess rural youth access to health care according to their needs, ii) Identify and understand the strategies developed in rural areas to promote youth access to health care, and iii) Propose actions for further improvement...
January 11, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29324431/a-descriptive-qualitative-study-to-assess-patient-experiences-following-stoma-reversal-after-rectal-cancer-surgery
#2
Maria Reinwalds, Andrea Blixter, Eva Carlsson
Standard surgical treatment for patients operated for rectal cancer is abdominoperineal excision of the tumor result- ing in a permanent colostomy or an anterior resection, often with construction of a temporary loop ileostomy. Both options impact bowel function. Living with a permanent colostomy has been studied in depth, but knowledge is limited about patients' experiences living with a resected rectum after stoma reversal and how it affects daily life. A qualitative study was conducted to describe the rst 4 to 6 weeks after reversal of a temporary loop ileostomy due to rectal cancer...
December 2017: Ostomy/wound Management
https://www.readbyqxmd.com/read/29321831/changes-in-smoking-prevalence-and-cessation-support-and-factors-associated-with-successful-smoking-cessation-in-swedish-patients-with-asthma-and-copd
#3
Marcus Stegberg, Mikael Hasselgren, Scott Montgomery, Karin Lisspers, Björn Ställberg, Christer Janson, Josefin Sundh
Introduction: Our aim was to investigate changes in smoking prevalence, smoking cessation support and factors associated with successful smoking cessation in patients with asthma and COPD. Methods: Questionnaires about available smoking cessation resources were completed by 54 primary health-care centers and 14 hospitals in central Sweden in 2005 and 2012. Patient data were collected using record reviews and patients questionnaires for two cohorts of randomly selected asthma and COPD patients in 2005 (n = 2306; with a follow up in 2012), and in 2014/2015 (n = 2620)...
2018: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/29319834/nordiska-riktlinjer-f%C3%A3-r-kosttillskott-och-uppf%C3%A3-ljning-efter-obesitaskirurgi-monitorering-och-supplementering-med-vitaminer-och-mineraler
#4
Anna Laurenius, Ingmar Näslund, Jorunn Sandvik, Per Videhult, Mikael Wirén
Each year 6,800 bariatric operations are performed in Sweden. Bariatric surgery involves both a reduced intake and a reduced absorption of vitamins and minerals. There has been debate about whose responsibility long-term follow-up is, particularly regarding monitoring vitamin and mineral status. The Swedish Society for Bariatric Surgery and the Norwegian Association for Bariatric Surgery, who oversee their respective national quality registers, have appointed an expert group to develop guidelines for postoperative supplementation and nutritional monitoring of vitamins and minerals, along with a schedule for routine follow-up...
January 9, 2018: Läkartidningen
https://www.readbyqxmd.com/read/29316514/risk-based-cost-benefit-analysis-for-evaluating-microbial-risk-mitigation-in-a-drinking-water-system
#5
Viktor Bergion, Andreas Lindhe, Ekaterina Sokolova, Lars Rosén
Waterborne outbreaks of gastrointestinal diseases can cause large costs to society. Risk management needs to be holistic and transparent in order to reduce these risks in an effective manner. Microbial risk mitigation measures in a drinking water system were investigated using a novel approach combining probabilistic risk assessment and cost-benefit analysis. Lake Vomb in Sweden was used to exemplify and illustrate the risk-based decision model. Four mitigation alternatives were compared, where the first three alternatives, A1-A3, represented connecting 25, 50 and 75%, respectively, of on-site wastewater treatment systems in the catchment to the municipal wastewater treatment plant...
December 27, 2017: Water Research
https://www.readbyqxmd.com/read/29316201/women-s-situation-specific-strategies-in-managing-participation-restrictions-due-to-early-rheumatoid-arthritis-a-gender-comparison
#6
Gunnel Östlund, Mathilda Björk, Ingrid Thyberg, Eva Valtersson, Annette Sverker
INTRODUCTION: The present study explored how women describe their use of situation-specific strategies when managing rheumatoid arthritis (RA). The aim was also to compare women's strategies with those of men, and see the extent to which they used the same strategies. METHODS: The data were collected using semi-structured interviews based on the critical incident technique. The sample consisted of women with early rheumatic arthritis (n = 34), and the results were compared with data reported in a previous study on men (n = 25) from the same cohort...
January 9, 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29314355/cancer-patients-motives-for-psychosocial-consultation-oncology-social-workers-perceptions-of-226-patient-cases
#7
Joakim Isaksson, Sara Lilliehorn, Pär Salander
OBJECTIVE: Although oncology social workers (OSWs) have emerged as a core profession in the provision of psychosocial services, there is a lack of empirical studies that describe their daily clinical work with patients. The overall aim of this study was to explore cancer patients' motives for consulting an OSW. METHODS: From a nationwide survey, we used data from 226 patient cases that OSWs met face to face. The OSWs were asked to describe how the case was referred to them, the patient's characteristics, and what they perceived as the patient's motives for contacting them as well as additional motives that came up during the consultations...
January 4, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29310657/-right-to-recommend-wrong-to-require-an-empirical-and-philosophical-study-of-the-views-among-physicians-and-the-general-public-on-smoking-cessation-as-a-condition-for-surgery
#8
Joar Björk, Niklas Juth, Niels Lynøe
BACKGROUND: In many countries, there are health care initiatives to make smokers give up smoking in the peri-operative setting. There is empirical evidence that this may improve some, but not all, operative outcomes. However, it may be feared that some support for such policies stems from ethically questionable opinions, such as paternalism or anti-smoker sentiments. This study aimed at investigating the support for a policy of smoking cessation prior to surgery among Swedish physicians and members of the general public, as well as the reasons provided for this...
January 8, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29310377/fat-grafting-for-resurfacing-an-exposed-implant-in-lower-extremity-a-case-report
#9
Yun-Nan Lin, Chieh-Han Chuang, Shih-Hao Huang, Shu-Hung Huang, Tsai-Ming Lin, I-Wen Lin, Sin-Daw Lin, Yur-Ren Kuo
RATIONALE: Although numerous reconstruction protocols have been reported for lower leg trauma, those for distal leg trauma remain few. We present the case of a woman with an implant exposure wound, who was successfully treated through fat grafting, without major flap surgery. PATIENT CONCERNS: An 83-year-old woman with an exposed implant in lower extremity received reconstruction surgery once and the surgery failed. She refused additional major surgery and negative pressure wound therapy...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29302163/inconvenient-human-rights-water-and-sanitation-in-sweden-s-informal-roma-settlements
#10
Martha F Davis, Natasha Ryan
Following an increase in Roma migration under the European "freedom of movement" laws, Swedish municipalities initiated more than 80 evictions of informal Roma settlements on the grounds of poor sanitation between 2013 and 2016. These evictions echo policies from earlier in the 20th century, when Roma living in Sweden were often marginalized through the denial of access to water and sanitation facilities. The recent Swedish evictions also follow similar government actions across Europe, where Roma settlements are controlled through the denial of access to water and sanitation...
December 2017: Health and Human Rights
https://www.readbyqxmd.com/read/29296926/evolution-trends-outcomes-and-economics-of-hematopoietic-stem-cell-transplantation-in-severe-autoimmune-diseases
#11
John A Snowden, Manuela Badoglio, Myriam Labopin, Sebastian Giebel, Eoin McGrath, Zora Marjanovic, Joachim Burman, John Moore, Montserrat Rovira, Nico M Wulffraat, Majid Kazmi, Raffaella Greco, Emilian Snarski, Tomas Kozak, Kirill Kirgizov, Tobias Alexander, Peter Bader, Riccardo Saccardi, Dominique Farge
Hematopoietic stem cell transplantation (HSCT) has evolved for >20 years as a specific treatment of patients with autoimmune disease (AD). Using European Society for Blood and Marrow Transplantation registry data, we summarized trends and identified factors influencing activity and outcomes in patients with AD undergoing first autologous HSCT (n = 1951; median age, 37 years [3-76]) and allogeneic HSCT (n = 105; median age, 12 years [<1-62]) in 247 centers in 40 countries from 1994 to 2015. Predominant countries of activity were Italy, Germany, Sweden, the United Kingdom, The Netherlands, Spain, France, and Australia...
December 26, 2017: Blood Advances
https://www.readbyqxmd.com/read/29294710/young-adults-victimized-as-children-or-adolescents-relationships-between-perpetrator-patterns-poly-victimization-and-mental-health-problems
#12
Åsa Källström, Karin Hellfeldt, Kathryn H Howell, Laura E Miller-Graff, Sandra A Graham-Bermann
Child and adolescent victims of violence are often exposed to more than one kind of physical, sexual, or emotional maltreatment. Both individually and cumulatively, such victimizations have significant ramifications on mental health. Yet little is known about the relationships in which these different kinds of victimizations occur and how the relationship between the victim and perpetrators may influence later mental health. This retrospective, self-report study of a nationally representative sample of 2,500 young adults in Sweden examines associations between different types of victimization (including poly-victimization), the victim's relationship to the perpetrator, and how these factors are related to current mental health...
April 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29294678/prevalence-and-correlates-of-sexual-physical-and-psychological-violence-against-women-and-men-of-60-to-74-years-in-sweden
#13
Petra Ahnlund, Tommy Andersson, Fredrik Snellman, Madelene Sundström, Gun Heimer
Past-year sexual, physical, and psychological violence against women and men aged 60 to 74 years was studied. The data derived from a nationally representative survey on violence in which approximately 2,800 women and men aged 60 to 74 years in Sweden participated. Women were significantly more likely to have been subjected to at least one form of violence in the past year. The prevalence of sexual violence as well as systematic and repeated psychological violence was found to be significantly higher for women than for men...
March 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29291191/experiences-of-unemployment-and-well-being-after-job-loss-during-economic-recession-results-of-a-qualitative-study-in-east-central-sweden
#14
Anne-Sofie Hiswåls, Anneli Marttila, Emelie Mälstam, Gloria Macassa
Introduction: Several studies have revealed an association between unemployment and ill health, and shown that unemployment can affect people differently. This study aimed to provide an understanding of the experiences of unemployment and perceptions of wellbeing among persons who involuntary lost their work during the recent economic recession in Gävle Municipality. Methods: Sixteen unemployed men and women aged 28-62 were interviewed face-to-face. A purposeful sampling strategy was used in order to suit the research question and to increase the variation among informants...
December 13, 2017: Journal of Public Health Research
https://www.readbyqxmd.com/read/29289940/prevalence-of-mental-ill-health-traumas-and-postmigration-stress-among-refugees-from-syria-resettled-in-sweden-after-2011-a-population-based-survey
#15
Petter Tinghög, Andreas Malm, Charlotta Arwidson, Erika Sigvardsdotter, Andreas Lundin, Fredrik Saboonchi
OBJECTIVES: To estimate the prevalence of and associations between anxiety, depression, post-traumatic stress disorder (PTSD), low subjective well-being (SWB), potential traumas and postmigration stress among refugees from Syria resettled in Sweden. DESIGN: A cross-sectional and population-based questionnaire study based on a known and complete sample frame. The survey included multiple measures of mental ill health and factors of particular relevance for refugees...
December 29, 2017: BMJ Open
https://www.readbyqxmd.com/read/29284480/creating-research-and-development-awareness-among-dental-care-professionals-by-use-of-strategic-communication-a-12-year-intervention-study
#16
Helena Morténius, Svante Twetman
BACKGROUND: Despite the availability of contemporary research advances, only a limited fraction is implemented into dental practice. One possible way to facilitate this process is to stimulate the research and development (R&D) awareness and interest with aid of strategic communication. METHODS: The aim of the study was to analyse the role of a strategic communication in R&D awareness and interest among dental care professionals (DCP) over a 12-year period. A second aim was to compare the findings with those from primary care professionals (PCP)...
December 29, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/29284436/health-care-use-drug-treatment-and-comorbidity-in-patients-with-schizophrenia-or-non-affective-psychosis-in-sweden-a-cross-sectional-study
#17
Erica M Brostedt, Mussie Msghina, Marie Persson, Björn Wettermark
BACKGROUND: This study investigated the prevalence of schizophrenia (ICD-10 F 20) and of other non-affective psychosis (NAP, ICD-10 F 21 - F 29) in Sweden. It further assessed health care use, comorbidity and medication for these patient groups. Most studies either have a study population of patients with strictly defined schizophrenia or a psychosis population of which strict schizophrenia cases form a smaller set. The present study permits comparison of the two mutually exclusive patient groups using data at the individual level in the diagnosis of non-affective psychosis, use of health care, medical treatment and comorbidity by diagnosis or medical treatment...
December 29, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/29282099/the-focus-affinity-and-effects-trials-studying-the-effect-s-of-fluoxetine-in-patients-with-a-recent-stroke-statistical-and-health-economic-analysis-plan-for-the-trials-and-for-the-individual-patient-data-meta-analysis
#18
Catriona Graham, Steff Lewis, John Forbes, Gillian Mead, Maree L Hackett, Graeme J Hankey, John Gommans, Huy Thang Nguyen, Erik Lundström, Eva Isaksson, Per Näsman, Ann-Sofie Rudberg, Martin Dennis
BACKGROUND: Small trials have suggested that fluoxetine may improve neurological recovery from stroke. FOCUS, AFFINITY and EFFECTS are a family of investigator-led, multicentre, parallel group, randomised, placebo-controlled trials which aim to determine whether the routine administration of fluoxetine (20 mg daily) for six months after an acute stroke improves patients' functional outcome. METHODS/DESIGN: The core protocol for the three trials has been published (Mead et al...
December 28, 2017: Trials
https://www.readbyqxmd.com/read/29282050/changes-in-professionals-beliefs-following-a-palliative-care-implementation-programme-at-a-surgical-department-a-qualitative-evaluation
#19
Pia Hahne, Staffan Lundström, Helena Leveälahti, Janet Winnhed, Joakim Öhlén
BACKGROUND: One ambition regarding palliative care is that it should be more accessible to patients and families regardless of care setting. Previous studies show many difficulties and shortcomings in the care of patients with palliative care needs in acute care facilities, but also challenges regarding efforts to implement palliative care. The aim of this study is to evaluate how the implementation of palliative care, using a combination of integration and consultation strategies, can change beliefs regarding palliative care among professionals in a surgical department...
December 28, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29281749/therapists-experiences-of-mother-infant-psychoanalytic-treatment-a-qualitative-study
#20
Majlis Winberg Salomonsson, Mia Barimani
As part of a larger research project in Sweden, a qualitative study investigated psychotherapists' experiences of mother-infant psychoanalysis (MIP). A randomized controlled trial compared two groups of mother-infant dyads with psychological problems. One had received Child Health Center care, and the other received MIP. Previous articles on long-term effects have found that mothers who had received MIP were less depressed throughout a posttreatment period of 3½ years, and their children showed better global functioning and psychological well-being...
December 27, 2017: Infant Mental Health Journal
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