Holistic health care: Patients\u27 experiences of health care provided by an Advanced Practice Nurse

Introduction: Advanced Practice Nurse (APN) is a fairly new role in the Swedish health care system. Aim: To describe patients\u27 experiences of health care provided by an APN in primary health care. Methods: An inductive, descriptive qualitative approach with qualitative open‐ended interviews was chosen to obtain descriptions from 10 participants regarding their experiences of health care provided by an APN. The data were collected during the spring 2012, and a qualitative approach was used for analyze. Results: The APNs had knowledge and skills to provide safe and secure individual and holistic health care with high quality, and a respectful and flexible approach. The APNs conveyed trust and safety and provided health care that satisfied the patients\u27 needs of accessibility and appropriateness in level of care. Conclusion: The APNs way of providing health care and promoting health seems beneficial in many ways for the patients. The individual and holistic approach that characterizes the health care provided by the APNs is a key aspect in the prevailing change of health care practice. The transfer of care and the increasing number of older adults, often with a variety of complex health problems, call for development of the new role in this context

A scoping review of interventions for preventing and countering violent extremism: Current status and implications for future research

The growth of counter-terrorism efforts has been reported in a number of scholarly studies. These studies have also reported a shift in efforts to prevent future terrorism towards targeting potential future terrorists and preventing them from becoming radicalized, particularly in the Western world. The importance of evidence-based interventions is commonly stressed in the policy processes involved in installing interventions that have the aim of countering/preventing violent extremism (C/PVE). However, there is a lack of knowledge about the state of the evidence for interventions within this field. The objective of this scoping review was to map the evidence base for P/CVE interventions as reported in scholarly studies. We searched multiple databases using search terms related to violent extremism, terrorism and prevention to assess the research describing interventions for C/PVE. A total of 111 publications were included in the study. The interventions identified were most commonly implemented at the national level. Only 38 publications mentioned any kind of outcome and only two publications evaluated the comparative effectiveness of the interventions. The outcomes evaluated were knowledge and attitudes - outcomes without direct relevance for C/PVE. In conclusion, there is a lack of evidence-based interventions that focus on C/PVE. Future research should focus on evaluating the comparative effectiveness of outcomes that are relevant to C/PVE in order to fill this knowledge gap

Overview and breeding strategies of table potato production in Sweden and the Fennoscandian region

Recent reductions in the public commitment to potato breeding in Sweden, Norway and Finland call for an evaluation of the current situation regarding the commercial basis for, and structure of, potato breeding in these countries. We here review the extent of cultivation, processing and consumption of table potato in Sweden, as well as provide an overview of the potato breeding tools and programmes in the three countries. We then discuss various strategies to provide long-term stability and increase the impact of public potato breeding, based on the similar overall conditions for potato cultivation across the Fennoscandian region. The conclusions are twofold; first, an increased long-term funding of the public potato breeding programmes is necessary to maintain a minimum level of material, and second, a coordination of the breeding activities in the Fennoscandian region would be of great benefit to all involved stakeholders and allow an enhancement of the current national breeding programmes. In addition, we propose a minimum first field year population size for potato breeding

An intervention with dance and yoga for girls with functional abdominal pain disorders (Just in TIME): Protocol for a randomized controlled trial

©Anna Philipson, Stefan Särnblad, Lars Ekstav, Mats Eriksson, Ulrika L Fagerberg, Margareta Möller, Evalotte Mörelius, Anna Duberg. Background: Functional abdominal pain disorders (FAPDs) affect many children worldwide, predominantly girls, and cause considerable long-term negative consequences for individuals and society. Evidence-based and cost-effective treatments are therefore strongly needed. Physical activity has shown promising effects in the practical management of FAPDs. Dance and yoga are both popular activities that have been shown to provide significant psychological and pain-related benefits with minimal risk. The activities complement each other, in that dance involves dynamic, rhythmic physical activity, while yoga enhances relaxation and focus. Objective: This study aims to evaluate the effects of a dance and yoga intervention among girls aged 9 to 13 years with FAPDs. Methods: The study is a prospective randomized controlled trial among girls aged 9 to 13 years with functional abdominal pain, irritable bowel syndrome, or both. The target sample size was 150 girls randomized into 2 arms: an intervention arm that receives dance and yoga sessions twice weekly for 8 months and a control arm that receives standard care. Outcomes will be measured at baseline and after 4, 8, 12, and 24 months, and long-term follow-up will be conducted 5 years from baseline. Questionnaires, interviews, and biomarker measures, such as cortisol in saliva and fecal microbiota, will be used. The primary outcome is the proportion of girls in each group with reduced pain, as measured by the faces pain scale-revised in a pain diary, immediately after the intervention. Secondary outcomes are gastrointestinal symptoms, general health, mental health, stress, and physical activity. The study also includes qualitative evaluations and health economic analyses. This study was approved by the Regional Ethical Review Board in Uppsala (No. 2016/082 1-2). Results: Data collection began in October 2016. The intervention has been performed in 3 periods from 2016 through 2019. The final 5-year follow-up is anticipated to be completed by fall 2023. Conclusions: Cost-effective and easily accessible interventions are warranted to reduce the negative consequences arising from FAPDs in young girls. Physical activity is an effective strategy, but intervention studies are needed to better understand what types of activities facilitate regular participation in this target group. The Just in TIME (Try, Identify, Move, and Enjoy) study will provide insights regarding the effectiveness of dance and yoga and is anticipated to contribute to the challenging work of reducing the burden of FAPDs for young girls

Seasonal variation in child and old-age mortality in rural Ghana

Wetensch. publicati

Determinants of epidemiologic transition in rural Africa : the role of socioeconomic status and drinking water source

Background Many African countries experience a protracted epidemiologic transition, different from the classical transition in western societies. The factors driving this protracted transition are largely unknown. In northeast Ghana, we studied an ongoing epidemiologic transition and investigated the effects of socioeconomic status and drinking water source on the transition. Methods During a 9-year period, we followed a cohort of almost 30 000 individuals and collected information on mortality and fertility rates. In addition, using the standards set out by the WHO, we obtained the causes of death by verbal autopsy. Individuals were stratified according to their socioeconomic status and the households' use of an improved or unimproved drinking water source. Results Mortality rates decreased by −5.0% annually (p<0.001) and the main cause of death shifted from infectious to non-infectious diseases (p=0.014). General fertility rates and child-women ratios decreased annually by −12.7% (p<0.001) and −11.9% (p<0.001), respectively. There was no difference in the decline of mortality and fertility depending on socioeconomic status or drinking water source.Wetensch. publicati

Different Approaches to Evaluation of Information Systems

Outsourcing has been one of the most influential factors contributing to changes in information systems development in the last decade. The paper presents findings from an action research project of information systems development in an outsourcing context at a large university hospital in Denmark. The research, and general findings in the literature, indicates that the intended positive effects of outsourcing are hard to achieve without negative bi-products. Decision frameworks to guide the decision-making in this respect are evaluated based on the empirical findings. It is illustrated that the issues of flexibility and controllability are among the most important when an IT-department determines its outsourcing policies. Continuity issues are also important in understanding the relationship between buyer and seller in IS-acquisition as being more complex than in a simple market model

Genetic variants determining survival and fertility in an adverse African environment:a population-based large-scale candidate gene association study

Molecular Technology and Informatics for Personalised Medicine and Healt