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The COVID-19 pandemic and the Swedish strategy : Epidemiology and postmodernism

The aim is to outline the underlying epidemiological thinking and mentality in post-materialist and postmodern Sweden behind the Swedish strategy. The aim is not to investigate the handling of the pandemic in Sweden in the long-run. Overconfidence in herd immunity, overconfidence in individual responsibility in a pandemic needing community-centered approaches, overconfidence in evidence-based medi

Lost in Translation? Care Coordination cross Contexts in Swedish Homecare Nursing

The responsibilities for delivery of care in Sweden is divided between the regions and the municipalities. The regions run the hospitals and the primary care centres (PCCs) whereas the municipalities are responsible for homecare nursing and nursing homes. The homecare nurses and the doctors they need to seek advice from, thus belong to different organizations/contexts. As more patients with multi-

Treatment adherence and abandonment in acute myeloid leukemia in pediatric patients at a low-resource cancer center in India

Aim: One of the causes for lower cure rates in acute childhood leukemia in low- and middle- income countries (LMIC) compared to high-income countries is abandonment from treatment. The International Society of Pediatric Oncology (SIOP) defines abandonment as failure to begin treatment or an absence of 4 weeks during treatment. The aim of this study was to evaluate the extent of abandonment among p

Parents' experiences of their child being admitted to a paediatric intensive care unit : a qualitative study–like being in another world

Background: There is very little research on the parent's experiences of having a child admitted to a paediatric intensive care unit. Identifying and describing ‘such experiences’ could facilitate better parental support from the paediatric intensive care team and help the parents manage a stressful situation. Aims: This study aimed to describe parents' experiences of having their child admitted t

Referring to multimodal rehabilitation for patients with musculoskeletal disorders - a register study in primary health care

BACKGROUND: In 2008, the Swedish government introduced a National Rehabilitation Program, in which the government financially reimburses the county councils for evidence-based multimodal rehabilitation (MMR) interventions. The target group is patients of working age with musculoskeletal disorders (MSD), expected to return to work or remain at work after rehabilitation. Much attention in the evalua

Consensus statement on current and emerging methods for the diagnosis and evaluation of cerebrovascular disease

Cerebrovascular disease (CVD) remains a leading cause of death and the leading cause of adult disability in most developed countries. This work summarizes state-of-the-art, and possible future, diagnostic and evaluation approaches in multiple stages of CVD, including (i) visualization of sub-clinical disease processes, (ii) acute stroke theranostics, and (iii) characterization of post-stroke recov

Informal and formal care : Substitutes or complements in care for people with dementia? Empirical evidence for 8 European countries

Background: In order to contain public health care spending, European countries attempt to promote informal caregiving. However, such a cost reducing strategy will only be successful if informal caregiving is a substitute for formal health care services. We therefore analyze the effect of informal caregiving for people with dementia on the use of several formal health care services. Study design:

Validation of healthcare databases: why to do it and how to do it

Healthcare databases are unique tools in public health research to evaluate the healthcareperformance and treatment compliance. Knowledge about the data quality is required toenable interpreting the results from statistical analyses. We summarize different samplingmethods suitable for the validation of healthcare databases and discuss their advantages anddisadvantages.You will learn from the prese

Exposure to culturally sensitive sexual health information and impact on health literacy : a qualitative study among newly arrived refugee women in Sweden

In Sweden, migrants have poorer sexual and reproductive health compared to the general population. Health literacy, in the form of the cognitive and social skills enabling access to health promoting activities, is often poorer among migrants, partly due to language and cultural barriers. Culturally sensitive health education provides a strategy for enhancing health literacy. Since 2012, specially

Qualitative research ethics on the spot: Not only on the desktop

Background: The increase in medical ethical regulations and bureaucracy handled by institutional review boards and healthcare institutions puts the researchers using qualitative methods in a challenging position. Method: Based on three different cases from three different research studies, the article explores and discusses research ethical dilemmas. Objectives and ethical considerations: First, a

Sick leave and disability pension among Swedish testicular cancer survivors according to clinical stage and treatment

Purpose. To investigate if testicular cancer survivors (TCSs) have a higher incidence of work loss compared with the population, accounting for stage, treatment and relapse.Material and methods. A cohort of 2146 Swedish TCSs diagnosed 1995-2007 (seminoma n = 926, non-seminoma n = 1220) was identified in the SWENOTECA (Swedish-Norwegian Testicular Cancer Group) register, and matched 1:4 to populati

Nurses’ experiences of encountering undocumented migrants in Swedish emergency healthcare

Purpose – The purpose of this paper is to investigate how nurses’ working in emergency health care in Sweden experience their encounter with undocumented migrants. Design/methodology/approach – A total of 16 qualitative interviews were conducted and analyzed using a phenomenographic approach, aiming at describing various ways in which nurses experienced undocumentedness. Findings – The process of

Utilisation of physician services in the 50+population: the relative importance of individual versus institutional factors in 10 European countries

We analysed the relative importance of individual versus institutional factors in explaining variations in the utilisation of physician services among the 50+ in ten European countries. The importance of the latter was investigated, distinguishing between organisational (explicit) and cultural (implicit) institutional factors, by analysing the influence of supply side factors, such as physician de

Being in want of control: Experiences of being on the road to, and making, a suicide attempt.

Attempted suicide is a risk factor for future suicidal behaviour, but understanding suicidality from the perspective of people who have experienced attempted suicide is limited. The aim of the study was to explore the lived experience of being suicidal and having made a suicide attempt, in order to identify possible implications for health care professionals. Semi-structured individual interviews

Detectability of pathological lesions in lumbar spine radiography

Thirty images with added simulated pathological lesions at two different dose levels (100% and 10% dose) were evaluated with the free-response forced error experiment by nine experienced radiologists. The simulated pathological lesions present in the images were classified according to four different parameters: the position within the lumbar spine, possibility to perform a symmetrical (left-right

An ultrasonic method for detection of fluid properties in the paranasal sinuses

We propose a method for detection of the degree of infection in the paranasal sinuses utilizing a previously published method whereby the viscosity in a sealed container may be measured using an ultrasound Doppler method. As ultrasound propagates in a liquid medium, due to attenuation, the resulting pressure gradient will cause the liquid to move in the propagation direction - the wellknown effect