Perker med no-life i Velfærds-danmark

Migrant youth with no-life in Danish welfare society This article analyses how children and youngsters with ethnic minority background are constructed as ”strange troublemakers” and assume identities as “migrant with no-life” in a social educational leisure institution, ”Baglandet”. Baglandet admits children considered to be ”associationless” and ”at risk of criminality”, and attempts to ease the children back into ”normal” institutions. However, the institution is a part of the Danish social welfare system characterized by contradictory and paradoxical institutional logics as well as professional practices. Dynamics of both inclusion and exclusion are at stake in this system, and therefore Baglandet works simultaneously both with and against its own purpose. One problematic consequence of this is the production and institutionalising of deviant identities for ethnic minority children in Denmark

Potentiale for flere uheldsdata på baggrund af fejlklassificeringer af ekstrauheld

Af tidligere studier vides det, at der er stor usikkerhed forbundet med den officielle uheldsdatabase, der er grundlag for trafiksikkerhedsarbejdet. Usikkerheden er ikke ønskelig, og lægger op til, at undersøge om der på andre måder kan opnås yderligere kendskab til flere uheldsdata. Andre måder at indsamle data på er ved selvrapportering, forsikringsdata og sygehusdata, dog kan ingen af de nævnte benyttes direkte i trafiksikkerhedsarbejdet, da uheldene ikke stedfæstes. Men hvilke muligheder er der så for flere uheldsdata? Hvis uheld skal indgå i det stedbestemte trafiksikkerhedsarbejde, skal de være stedfæstede. Uheld registreret af politiet stedfæstes. Dette omfatter person- og materielskadeuheld samt ekstrauheld, der alle er en del af den officielle uheldsstatistik. Generelt indgår ekstrauheld sjældent i trafiksikkerhedsarbejdet, og udviklingen i antal ekstrauheld præsenteres sjældent. Imidlertid er udviklingen i antal ekstrauheld interessant, da den afviger fra uheldsudviklingen generelt. Antallet af registrerede ekstrauheld er steget fra år 2000 til 2015, ligesom uheldsarten udgør en større og større andel af de samlede registrerede uheld. En stigning i ekstrauheld er ikke et problem i sig selv, men hvis stigingen skyldes, at uheldene ikke er korrekt registrerede, og uheldet dermed burde indgå i den officielle statistik, går værdifulde uheldsdata tabt. Det er således undersøgt, om der ligger et potentiale for flere uheldsdata i de registrerede ekstrauheld, grundet fejlklassificeringer

Enhanced function and quality of life following 5 months of exercise therapy for patients with irreparable rotator cuff tears - an intervention study

BACKGROUND: Rotator cuff rupture is associated with dysfunction, pain and muscular weakness related to the upper extremity. Some evidence exists to support the beneficial effect of exercises but there is lack of evidence of which exercises imply the best effect and how physiotherapy should be administered. Therefore, the purpose of this study was to examine the effect of a neuromuscular exercise program for patients with irreparable rotator cuff rupture. METHODS: Based on sample-size calculations thirty patients with chronic irreparable rotator cuff tears (of at least m. supraspinatus and m. infraspinatus) was consecutively included. Twenty-four patients completed the five months training to restore function with focus on centering the humeral head in the glenoid cavity trough strengthening m. deltoideus anterior and m. teres minor. The primary outcome measure was Oxford Shoulder Score which was completed at baseline, 3 and 5 months follow-up. One-way, repeated-measure ANOVA was used if data was normally distributed. Secondary outcome measures included EQ-5D, range of motion, strength and muscle activity. Paired t-test and Wilcoxon Signed Ranks Test was used to the appropriate outcomes. RESULTS: Improvements was seen for both primary and secondary outcomes from baseline to follow-up. Oxford Shoulder Score improved from 25.6 (SD 8.1) at baseline to 33.8 (SD 8.7) at 3 months (p = 0.004) and 37.2 (SD 8.2) at five months (p < 0.001). Range of motion in abduction significantly increased by 34.4° (95 % CI: 11.6–57.2). Strength measured in flexion 45, flexion 90 and abduction also significantly increased at 5 months by 10.2 (95 % CI: 0.8–19.6), 7.0 (95 % CI: 0.0–14.0) and 12.3 (95 % CI: 3.4–21.3) respectively. The remaining outcomes for range of motion and strengths only showed small and non-significant changes. Furthermore patients reported higher levels of quality of life and reduced level of pain after five months. CONCLUSION: Following a five months exercise protocol patients with irreparable rotator cuff tears showed increased function in their symptomatic shoulder, reduced pain and increased quality of life. This study therefore supports the use of exercise therapy in patients with irreparable rotator cuff rupture. TRIAL REGISTRATION: This study is approved by The National Committee on Health Research Ethics (N-20120040) and registered retrospectively at ClinicalTrials.gov in April 2016 (NCT02740946). ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12891-016-1116-6) contains supplementary material, which is available to authorized users