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OBJECTIVE: To investigate how people with multiple sclerosis (MS) experience their participation in individual, face-to-face cognitive behavioural therapy (CBT) aimed at alleviating depressive symptoms.METHOD: Semistructured interviews with 12 participants were conducted after CBT and analyzed using qualitative content analysis.RESULTS: Two main themes emerged: CBT as a demanding process and confr
Diabetic control was evaluated in 50 consecutive patients attending a community care centre, either by clinical criteria or by determination of glycosylated hemoglobin (HbA1). Two methods used for the determination of HbA1 were found to give similar results, namely ion exchange chromatography and agar gel electrophoresis. On a group basis, good correlation was observed between HbA1 samples analyse
On the basis of the GBD (Global Burden of Disease) 2013 Study, this article provides an overview of the global, regional, and country-specific burden of stroke by sex and age groups, including trends in stroke burden from 1990 to 2013, and outlines recommended measures to reduce stroke burden. It shows that although stroke incidence, prevalence, mortality, and disability-adjusted life-years rates
The object of this essay was to illustrate and analyse what determines that a contract treatment investigation for a drug addict is initiated and what factors influence the investigation itself, from the probation service officer's perspective. We selected the following two questions: - What does the probation service officer see as being the deciding factor for a contract treatment investig
Selektiv distribution är en distributionsform som innebär att de produkter som säljs inom systemet endast säljs till auktoriserade grossister och återförsäljare. De får i sin tur endast sälja till andra auktoriserade aktörer inom systemet eller till slutkund. För att bli auktoriserad ställs vanligtvis höga krav. De gäller bland annat krav på utbildad personal, försäljningsställets utformning och l
Oesophagectomy is a major procedure with known side effects and reduced postoperative quality of life (QOL). It has been shown that support of patients in their new life situation is often lacking. Knowledge about how QOL changes over time is fundamental for addressing patient needs and for determining the optimal timing of supportive care. The aim of this study was to identify QOL changes over ti
Humanity has a complex relationship with the natural world. One aspect of this relationship is that of dependence on the services that the natural world provides. Commonly referred to as ecosystem services, these are services such as the provisioning of freshwater, timber, and medicines, the regulation of climate, and the maintenance of air quality. This relationship is especially important in the
Energi och klimatpåverkan är ständigt aktuellt i dagens samhälle. För att motverka den globala uppvärmningen har EU tagit fram klimatmål där bland annat energianvändningen ska minska med 20 % mot 1990 års nivåer år 2020. En stor andel av energianvändningen orsakas i Sverige idag av bygg- och fastighetsbranschen där byggnadsbeståndet står för ca 30 % av energianvändningen. För att klara EU:s klimEnergy use and climate impact are important topics in today’s society. To combat global warming, the EU has set a goal framework with a 20 % reduction target until 2020 for domestic energy use compared to 1990. Today, the building sector in Sweden accounts for 30 % of the domestic energy use. To achieve the goals for energy and climate set by the EU, changes are required. The Swedish parliament ha
The Boston Psychiatric Rehabilitation (BPR) approach is individualized and characterized by being based entirely on the individual's unique needs and preferences in the areas of working, learning, social contacts, and living environment. Relatives of clients in mental health services influence the client's possibilities for recovery by their everyday relationship. Relatives have, however, traditio
Objectives:To compare the six-year outcome of a multidisciplinary rehabilitation program with continued care within primary care in terms of health-related quality of life and cost-effectiveness. Furthermore, predictors of total costs to society were examined. Methods:A prospective, matched, controlled, six-year follow-up was designed. The study included 236 patients (42 men, 194 women) nineteen
Objective. To analyse patients' self-reported reasons for not adhering to physical activity referrals (PARs). Design and setting. Data on 1358 patients who did not adhere to PARs were collected at 38 primary health care (PHC) centres in Sweden. Intervention. PHC providers issued formal physical activity prescriptions for home-based activities or referrals for facility-based activities. Subjects. O
This paper describes a development process concerning the active involvement of staff of different professions in developing and implementing methods for assessment of activities of daily living (ADL) in home-based geriatric rehabilitation. Although a variety of established ADL instruments exist, at the time for this study no I-ADL (Instrumental Activities of Daily Living) instrument suitable for
The aim of this work is to generate detailed and simplified kinetic models for the oxidation of the Primary Reference Fuels (PRF) n-heptane, iso-octane and their mixtures, with low numbers of species and reactions. These mechanisms are consistent in terms of the choice of kinetic parameters for the different reaction classes. The further aim is to validate the kinetic models for a wide range of di
Skogsbränder - en biologisk gåva eller ett ekonomiskt nederlag? I samband med ett allt varmare klimat, inte minst på de nordliga delarna av jordklotet, ökar även antalet stora skogsbränder i våra svenska skogar. Detta är förödande, inte minst för de skogstokiga svenska folket, utan också för de många skogsägarna och den svenska ekonomin i helhet. På många sätt kan däremot skogsbränderna också sesWith an increasing global temperature, at rates twice as fast as the global average in the northern boreal forests, an increasing wildfire frequency is to be expected. Previous studies have shown that forest areas in Eurasia with high risk of wildfires today are expected to more than double in size in the following 30 years. This will have a great impact on the fire regime, biodiversity, economic
OBJECTIVES: Loneliness and social isolation are major public health concerns that contribute to numerous health consequences. While many interventions effectively reduce loneliness and social isolation, their cost-effectiveness remain unclear. This study aimed to evaluate and consolidate evidence on the cost-effectiveness of interventions addressing loneliness or social isolation.METHODS: We condu
Background: Measuring health-related quality of life (HRQoL) in dialysis patients is essential for clinical assessment and economic evaluation. Despite the emergence and increasing use of updated instruments, evidence comparing their performance in Chinese dialysis patients remains limited. The aim of this study was to compare the measurement properties of the EQ-5D-5L and the SF-6Dv2 instruments
Background: Timely and safe elective health care facilitates return to normal activities for patients and prevents emergency admissions. Surgery is a cornerstone of elective care and relies on complex pathways. This study aimed to take a whole-system approach to evaluating access to and quality of elective health care globally, using inguinal hernia as a tracer condition. Methods: This was a prosp
Sammanfattning : Denna studie har utförts i överensstämmelse med The Swedish International Development Cooperation Agencys Minor Field Study-program och utgör två studenters examensarbete på civilingenjörsutbildningen i Ekosystemteknik på Lunds Tekniska Högskola. Studien bär titeln "Treatment and Disposal Methods for Wastewater Sludge in the Area of Beijing, China". Ämnet är mycket bret
BACKGROUND: Hospital performance, presented as the comparison of average measurements, dismisses that hospital outcomes may vary across types of patients. We aim at drawing out the relevance of accounting for patient heterogeneity when reporting on hospital performance.METHODS: An observational study on administrative data from virtually all 2009 hospital admissions for Acute Myocardial Infarction
