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Health-related quality of life in persons with Parkinson's disease. Aspects of symptoms, caregiving and sense of coherence.

Popular Abstract in Swedish Populärvetenskaplig sammanfattning Parkinson's sjukdom är näst efter Alzheimer's sjukdom den vanligast förekommande neurologiska sjukdomen. Parkinson's är en förhållandevi's vanlig neurologisk sjukdom och det finn's belägg för den i alla kulturer där sjukdomsstatistik för's. I Sverige lever idag cirka 20 000 personer med sjukdomen. Förekomsten av sjukdomen är starkt åAbstract Aims: The aim of this thesis was to investigate how the impact of Parkinson’s disease, a chronic neurodegenerative disorder, influences the person’s health-related quality of life. The aim was also to investigate nursing assessment and management of Parkinson’s in elderly persons. Methods: The study started in1998, one year later a follow-up was conducted. The sample contained in the fir

IMPROVED SAFETY AND QUALITY OF CARE FOR PATIENTS WITH A HIP FRACTURE Intervention Audited by the National Quality Register RIKSHÖFT

Popular Abstract in Swedish Förbättrad patientsäkerhet och omvårdnad av patienter med höftraktur Intervention granskad i det nationella kvalitetsregistret RIKSHÖFT Varje år drabbas ca 18 000 personer i Sverige av höftfraktur efter fall. Höftfraktur är ett samlingsnamn för två frakturtyper i den övre delen av lårbenet. Den ena frakturtypen är lokaliserad till lårbenshalsen (cervikal fraktur) och dAim: Hip fractures are common and costly. The overall aim of this thesis was to explore how different clinical pathways influence safety and quality of care among patients with a hip fracture and to test the usefulness of the national quality register RIKSHÖFT as a working tool. The aim in paper I was to improve the outcome of patients with a hip fracture through optimized preoperative pain relief

Problemidentifiering och idéuppsnappning i kvalitetsarbetet - en undersökning av fortlöpande kvalitetsförbättring i butikskedjor

I retailbranschen krävs ett fokus på detaljer, och med snabba förändringar som en dominerande faktor, behöver dessa detaljer ständigt kvalitetsförbättras. I den allt hårdnande konkurrensen behövs ledare och medarbetare som ständigt tänker på organisationens behov. Problemet för detaljhandelns centraliserade butikskedjor kan vara att lyckas förankra förändring och kvalitetsförbättring för butiken i

Health-related quality of life in diabetic patients with carpal tunnel syndrome

P>Aims To determine health-related quality of life (HRQL) in diabetic and non-diabetic patients with carpal tunnel syndrome (CTS) before and after surgical treatment. Methods In a prospective study, 35 consecutive diabetic patients with CTS were age and gender matched with 31 non-diabetic patients with idiopathic CTS. At baseline (preoperatively), 6, 12 and 52 weeks after surgical carpal tunnel re

Health economic aspects of vertebral augmentation procedures

We reviewed all peer-reviewed papers analysing the cost-effectiveness of vertebroplasty and balloon kyphoplasty for osteoporotic vertebral compression fractures. In general, the procedures appear to be cost effective but are very dependent upon model input details. Better data, rather than new models, are needed to answer outstanding questions. Vertebral augmentation procedures (VAPs), including v

Impact of yoga on blood pressure and quality of life in patients with hypertension - a controlled trial in primary care, matched for systolic blood pressure

Background: Medical treatment of hypertension is not always sufficient to achieve blood pressure control. Despite this, previous studies on supplementary therapies, such as yoga, are relatively few. We investigated the effects of two yoga interventions on blood pressure and quality of life in patients in primary health care diagnosed with hypertension. Methods: Adult patients (age 20-80 years) wit

Improving Predictive Models of In-Stream Phosphorus Concentration Based on Nationally-Available Spatial Data Coverages

Spatial data are playing an increasingly important role in watershed science and management. Large investments have been made by government agencies to provide nationally-available spatial databases; however, their relevance and suitability for local watershed applications is largely unscrutinized. We investigated how goodness of fit and predictive accuracy of total phosphorus (TP) concentration m

Quality of life in chronic conditions using patient-reported measures and biomarkers : a DEA analysis in type 1 diabetes

BACKGROUND: A chronic disease impacts a patient's daily life, with the burden of symptoms and managing the condition, and concerns of progression and disease complications. Such aspects are captured by Patient-Reported Outcomes Measures (PROM), assessments of e.g. wellbeing. Patient-Reported Experience Measures (PREM) assess patients' experiences of healthcare and address patient preferences. Biom

Multi-Port Element for Grating Lobe Suppression in Sparse VHF Phased Array Radars

A multi-port element approach, engineered to address practical design challenges of very high frequency (VHF) phased array radar systems, is presented in this communication. A cornerstone of the antenna element design is its simplicity, which counteracts the mobility issues of physically large and unavoidably bulky ground-based VHF radar systems. The multi-port element introduces a third dimension

Social Norms and the Dominance of Low-Doers

Social norms play a fundamental role in holding groups together. The rationale behind most of them is to coordinate individual actions into a beneficial societal outcome. However, there are cases where pro-social behavior within a community seems, to the contrary, to cause inefficiencies and suboptimal collective outcomes. An explanation for this is that individuals in a society are of different t

Bedside vital parameters that indicate early deterioration

Purpose: The purpose of this paper is to determine associations between initially recorded deviations in individual bedside vital parameters that contribute to total Modified Early Warning Score (MEWS) levels 2 or 3 and further clinical deterioration (MEWS level=4). Design/methodology/approach: This was a prospective study in which 27,504 vital parameter values, corresponding to a total MEWS level

Flaunting our assets. Making the most of the Nordic registry goldmine : Cerebral palsy as an example

Aims:To describe the early experiences of a Nordic multidisciplinary cerebral palsy (CP) registry research program combining data from national medical quality registries, follow-up programs and cohort data, in addition to data from other national registries; to explore the scientific and practical uses of such research, and provide recommendations for facilitating similar work in the future. Meth

Quality of life and hernia development 5 years after open abdomen treatment with vacuum-assisted wound closure and mesh-mediated fascial traction

Purpose: To report incisional hernia (IH) incidence, abdominal wall (AW) discomfort and quality of life (QoL) 5 years after open abdomen treatment with vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM). Methods: Five-year follow-up of patients included in a prospective study 2006–2009. The protocol included physical examination, patient interview, chart review, questionnaire

Assessment of geometrical accuracy of magnetic resonance images for radiation therapy of lung cancers

The purpose of this research was to investigate the geometrical accuracy of magnetic resonance (MR) images used in the radiation therapy treatment planning for lung cancer. In this study, the capability of MR imaging to acquire dynamic two-dimensional images was explored to access the motion of lung tumors. Due to a number of factors, including the use of a large field-of-view for the thorax, MR i

Primary Stenting of the Superficial Femoral Artery in Patients with Intermittent Claudication Has Durable Effects on Health-Related Quality of Life at 24 Months : Results of a Randomized Controlled Trial

Background: Intermittent claudication (IC) is commonly caused by lesions in the superficial femoral artery (SFA), yet invasive treatment is still controversial and longer term patient-reported outcomes are lacking. This prospective randomized trial assessed the 24-month impact of primary stenting with nitinol self-expanding stents compared to best medical treatment (BMT) alone in patients with sta

Causes, pattern, predictors, and prognostic implications of new hospitalizations after transcatheter aortic valve implantation : A long-term nationwide observational study

Aims: The aim of this study was to investigate the pattern, causes, and predictors of all new hospitalizations in patients who underwent transcatheter aortic valve implantation (TAVI). Methods and results: The nationwide Swedish TAVI registry was merged with other mandatory healthcare registries, which enabled the analysis of all TAVI procedures, new hospital admissions, and death between the year

Association of autoimmune diseases with cardiomyopathy : A nationwide follow-up study from Sweden

Aims: Certain autoimmune diseases (ADs), such as Crohn's disease and celiac diseases, have been linked to acute cardiovascular disorders. We examined whether there is an association between 43 different ADs and risk of subsequent hospitalization and mortality of cardiomyopathy in a nationwide follow-up study in Sweden. Methods and results: All individuals in Sweden hospitalized with a main diagnos

Evaluating staging habitat quality to advance the conservation of a declining migratory shorebird, Red Knot Calidris canutus

Identifying where and when population ‘bottlenecks’ occur is critical to the conservation of migratory species, many of which are declining precipitously worldwide. Especially challenging is the evaluation of changes to staging sites. These sites are indispensable links in the migratory cycle but are typically used only briefly. We devised a field-based approach to assess the quality and carrying

Physical activity and health-related quality of life in men and women with hip and/or knee osteoarthritis before and after a supported self-management programme–a prospective observational study

Purpose: To study differences between men and women in physical activity (PA) and health-related quality of life (HRQoL) before and after participating in a supported osteoarthritis (OA) self-management programme. Materials and methods: A prospective observational study using data from a Swedish National Quality Register. Patients recorded between 2008 and 2013 with hip and/or knee OA with data at