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Effects of a pharmacist-led structured medication review in primary care on drug-related problems and hospital admission rates: a randomized controlled trial.

Objective. To determine whether a pharmacist-led medications review in primary care reduces the number of drugs and the number of drug-related problems. Design. Prospective randomized controlled trial. Setting. Liljeholmen Primary Care Centre, Stockholm, Sweden. Subjects. 209 patients aged ≥ 65 years with five or more different medications. Intervention. Patients answered a questionnaire regarding

Misreporting and misclassification: implications for socioeconomic disparities in body-mass index and obesity.

Body-mass index (BMI) has become the standard proxy for obesity in social science research. This study deals with the potential problems related to, first, relying on self-reported weight and height to calculate BMI (misreporting), and, second, the concern that BMI is a deficient measure of body fat (misclassification). Using a regional Swedish sample, we analyze whether socioeconomic disparities

"I'm Dr Jekyll and Mr Hyde": Are GPs' antibiotic prescribing patterns contextually dependent? A qualitative focus group study.

Abstract Objective. To explore factors and circumstances contributing to prudent antibiotic prescribing for respiratory tract infections in primary care. Design. Two focus groups representing rural and urban areas. A semi-structured interview guide with open-ended questions and an editing analysis style was used. They were examined to identify meaning units that were sorted into categories in an i

Radiographic research in Sweden – A review of dissertations

Introduction: Radiographers have performed research since 1988 in Sweden. The amount of doctoral and licentiate dissertations written by registered diagnostic radiographers has increased considerably since 2000. How this new field of research was established and developed has facilitated understand of the boundaries that strengthen the professional evidence base. The aim of this dissertation revie

Preferences in regional public transport: a literature review

The purpose of this article is to analyse quality attributes of regional public transport and their influence on modal choice, demand, and customer satisfaction through a literature review. The review is based on a working definition of regional public transport with boundaries toward local as well as interregional public transport: Regional public transport (i) targets passengers travelling betwe

Elderly at risk in care transitions When discharge summaries are poorly transferred and used -a descriptive study

BACKGROUND: Discharge summary with medication report effectively counteracts drug-related problems among elderly patients due to insufficient information transfer in care transitions. However, this requires optimal transfer and use of the discharge summaries. This study aimed to examine information transfer with discharge summaries from hospital to primary care.METHODS: A descriptive study with da

Factors promoting and inhibiting sustained impact of a mental health task-shifting program for HIV providers in Ethiopia.

Background.Task-shifting mental health into general medical care requires more than brief provider training. Generalists need long-term support to master new skills and changes to work context are required to sustain change in the face of competing priorities. We examined program and context factors promoting sustainability of a mental health task-shifting training for hospital-based HIV providers

Riktlinjer för synergonomi - belysning och synförhållanden på arbetsplatsen

Belysningsområdet befinner sig i inledningen av ett omfattande teknikskifte. Ett teknikskifte som bland annat påverkar de synergonomiskaförhållandena i arbetet. Den nya LED-tekniken gör det möjligt att utformabelysningsanläggningar som minskar energibehov och kostnader, samtidigt som bättre och trivsammare arbetsmiljö som främjar hälsa ochvälbefinnande kan skapas. Men ny teknik innebär också nya u

Pharmacist-led medication reviews in Primary Healthcare for adult community-dwelling patients – a descriptive study charting a new target group.

BackgroundMedication treatment can reduce morbidity but can also cause drug-related problems (DRPs). One method to identify and solve DRPs is medication reviews (MRs) that are aimed at increased patient safety and quality in drug treatment. In Skåne county, Sweden, a well-established multi-professional model for MRs in nursing homes is practiced. However, a demand for MRs regarding community-dwell

Medical Nature-Based Rehabilitation Program for Individuals with Exhaustion Syndrome : Changes in Quality of Life, Exhaustion Symptoms and Overall Health

Stress-related health problems have increased sharply over the last two decades and have become a serious issue at all levels of society. In the Jönköping Region in southern Sweden, a nature-based rehabilitation (NBR) program for adults with Exhaustion Syndrome has been developed and then implemented into the Swedish National Healthcare System. The main aim of this study was to investigate the eff

Maldi-target integrated microfluidic PSA assay

An Integrated Selective Enrichment Target (ISET), microfabricated for efficient on-bead enzymatic digestion of proteins compatible for a direct interface with matrix-assisted laser desorption /ionization mass spectrometry (MALDI MS) is presented.

Econometric analysis of variation in cesarean section rates : A cross- sectional study of 59 obstetrical departments in Sweden

The objective of this study was to explain the variation in cesarean section rates among hospitals (obstetrical departments) in Sweden, and to discuss its potential economic consequences. Using data from The Swedish Medical Birth Registry 1991, we made a cross-sectional study of the cesarean section rate at the departmental level. We identified some 20 determinants, demand-related as well as suppl

Costs of treating primary open-angle glaucoma and ocular hypertension : A retrospective, observational two-year chart review of newly diagnosed patients in Sweden and the United States

Purpose: The objective of this study was to investigate what treatment strategies prevail in different countries for patients newly diagnosed with primary open-angle glaucoma (POAG) or ocular hypertension (OH) only and initiated on treatment with beta-blockers, and to estimate the total direct cost of treatment for two years. In addition, differences in costs between and within the countries and t

The humanistic and economic burden of chronic wounds : A systematic review

Chronic wounds are a health problem that have devastating consequences for patients and contribute major costs to healthcare systems and societies. To understand the magnitude of this health issue, a systematic review was undertaken. Searches were conducted in MEDLINE, EMBASE, EBM Reviews and Cochrane library, CINAHL, EBSCO, PsycINFO, and Global Health databases for articles published between 2000

Timely access to care in the treatment of rectal cancer and the effect on quality of life

Aim: The aim of this study was to investigate if a delay in a patient's first contact with a healthcare professional, and any subsequent delay in diagnosis, affected self-assessed quality of life prior to start of treatment for rectal cancer. Method: Questionnaires were administered when patients had been informed of the diagnosis and planned treatment. The primary end-point was self-assessed qual

Solving complex problems in emergencies : A Fire and Rescue Service perspective

Syftet med denna licentiatavhandling är att bidra till en ökad förståelse för hurräddningstjänsten kan förbättra sin förmåga att lösa komplexa problem vidstorskaliga olyckshändelser. Större olyckor är ofta komplexa och dynamiskahändelser som kännetecknas av en hög grad av osäkerhet, oförutsägbarhet ochtvetydighet. Under sådana förhållanden utmanas räddningstjänstens förmåga att lösa de olika och mGlobal trends suggest an increasing level of uncertainty regarding potential risks faced by individuals, organizations, or society as a whole. These trends are likely to alter the risk landscape, necessitating the enhancement of societal capabilities to effectively address emerging risks. Among the key actors dealing with such changes is the Fire and Rescue Service (FRS). However, these challenges