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Psychometric properties of the DISABKIDS Chronic Generic Module (DCGM-37) when used in children undergoing treatment for cancer
Background: The aim was to evaluate data quality and psychometric properties of an instrument for measurement of health-related quality of life: DISABKIDS Chronic Generic Module (DCGM-37) used in school-aged children with cancer. Methods: All school-children diagnosed with cancer in Sweden during a two-and-a-half year period were invited to participate in the study. Analysis was performed on combi
Healthcare system intervention for safer use of medicines in elderly patients in primary care-a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change.
The elderly population is increasing and with advanced age comes a higher risk for contracting diseases and excessive medicine use. Polypharmacy can lead to drug-related problems and an increased need of health care. More needs to be done to help overcome these problems. In order for new models to be successful and possible to implement in health care they have to be accepted by caregivers. The ai
Does the choice of EQ-5D tariff matter? A comparison of the Swedish EQ-5D-3L index score with UK, US, Germany and Denmark among type 2 diabetes patients.
To compare the performance of the recently developed Swedish experience-based time trade-off (TTO) valuation of the EuroQol-5D-3L (EQ-5D-3L) against the hypothetical-based TTO valuations from UK, US, Germany and Denmark.
Quality of life in older people receiving ADL help: Help, help providers, and complaints.
Popular Abstract in Swedish Äldre personer som erhåller permanent hjälp i sitt dagliga liv har ökat i takt med att livslängden ökat. Många äldre personer kommer troligen framöver att erhålla hjälp i sitt ordinära boende, eftersom den kommunala vården och omsorgen framför allt inom särskilt boende har minskat i omfattning i förhållande till antalet äldre över 65 år. Svensk policy strävar mot att alThe aim of this thesis was to investigate self-reported diseases and complaints, quality of life (QoL), help received with activities of daily living among older people and in relation to who provided the help, and in comparison with those without ADL help. The aim was also to investigate older people’s experiences of receiving help. Data were collected using postal questionnaires in two populatio
Thermostable Phytase from a Bacillus sp.: Heterologous Production, Mutation, Characterization and Assay Development
Phytase is an important enzyme in the food/feed industry. It catalyzes the hydrolysis of phytate, an anti-nutrient compound present in cereals and grains, to release orthophosphate and myo-inositol-6-phosphate with lower degrees of phosphorylation. Phytic acid is a strong chelator capable of complexing with a variety of metal ions under neutral and alkaline conditions, as well as with proteins and
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Abstract in Danish Kapitlet viser først gennem en historisk analyse, at det er et relativt nyt fænomen, at de pårørende til mennesker, som trænger til hjælp i det danske sundhedssystem, på hospitalet, på plejehjemmet, i eget hjem og alle andre steder, beskrives og tænkes som en del af sundhedsvæsnet. Herefter gøres analytiske nedslag på hospitalet, plejehjemmet og i hjemmeplejen mhp. at se, hvorda
Dynamics of Energy-Efficient Technology for Commercial Buildings in Sweden: How much can really be achieved and how fast?
This paper discusses the results of a time-dynamic analysis of the possible effects of government and utility-sponsored energy-efficiency programs on electric energy use in Swedish commercial buildings. In the study, which includes efficient lighting, improvements in ventilation, commercial cooling and cooking, we use energy scenarios to analyse how policy measures can effect future energy demand.
Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery
Background: The Medical Outcomes General Health Survey (SF-36) is a widely used health status measure; however, limited evidence is available for its performance in orthopedic settings. The aim of this study was to examine the magnitude and meaningfulness of change and sensitivity of SF-36 subscales following orthopedic surgery. Methods: Longitudinal data on outcomes of total hip replacement (THR,
Pain, power and patience - A narrative study of general practitioners' relations with chronic pain patients
Background: Chronic pain patients are common in general practice. In this study "chronic pain" is defined as diffuse musculoskeletal pain not due to inflammatory diseases or cancer. Effective patient-physician relations improve treatment results. The relationship between doctors and chronic pain patients is often dysfunctional. Consultation training for physicians and medical students can improve
Importance of healthcare utilization and multimorbidity level in choosing a primary care provider in Sweden.
Abstract Objective. To study the associations between active choice of primary care provider and healthcare utilization, multimorbidity, age, and sex, comparing data from primary care and all healthcare in a Swedish population. Design. Descriptive cross-sectional study using descriptive analyses including t-test, correlations, and logistic regression modelling in four separate models. Setting and
Balance performance and self-perceived handicap among dizzy patients in primary health care.
Working for more and better primary care in the Baltic Sea Region
Job strain and stress of conscience among nurse assistants working in residential care.
The aim was to investigate job strain and stress of conscience among nurse assistants working in residential care and to explore associations with personal and work-related aspects and health complaints.
Planar dGEMRIC Maps May Aid Imaging Assessment of Cartilage Damage in Femoroacetabular Impingement
Three-dimensional (3-D) delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) helps quantify biochemical changes in articular cartilage that correlate with early-stage osteoarthritis. However, dGEMRIC analysis is performed slice by slice, limiting the potential of 3-D data to give an overall impression of cartilage biochemistry. We previously developed a computational algorithm to produce unfolde
"Young Women": The Meaning of a Collaborative Program Supporting Young Women's Rehabilitation and Reintegration into the Labor Market.
Women are at a higher risk for long-term sick leaves and mental ill health. The aim of this study was to explore a supportive program's meaning for women with anxiety/stress/depression problems that are unemployed and/or on a sick leave, and for the personnel involved. Seven women and the personnel (n = 5) were interviewed individually pre- and post-intervention. Data was analyzed using content an
Assessment of value for resource allocation in cancer care
There has been an increased interest in ways of measuring the value of new therapeutic options in oncology. An example of this in a European context is the ESMO Magnitude of Clinical Benefit Scale (ESMO-MCBS). The purpose of this study is to analyse how the value scales, exemplified with ESMO-MCBS, developed mainly to assist decisions by physicians, relate to other measures of clinical benefit and
