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  • 301.
    Hallberg, Inger
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Rosenqvist, A. M
    Department of Geriatrics, Ryhovs Hospital, Jönköping, Sweden.
    Kartous, L
    Department of Geriatrics, Ryhovs Hospital, Jönköping, Sweden.
    Löfman, Owe
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    Wahlström, Ola
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Ortopedi och Idrottsmedicin. Östergötlands Läns Landsting, Ortopedicentrum, Ortopedkliniken Linköping.
    Toss, Göran
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Internmedicin. Östergötlands Läns Landsting, Medicincentrum, Endokrin- och magtarmmedicinska kliniken US.
    Health-related quality of life after osteoporotic fractures2004Ingår i: Osteoporosis International, ISSN 0937-941X, E-ISSN 1433-2965, Vol. 15, nr 10, s. 834-841Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To estimate the impact of osteoporosis fractures on health-related quality of life (HRQOL) in postmenopausal women. Methods: To compare the impact on HRQOL of different osteoporotic fractures, 600 consecutive women 55-75 years old with a new fracture (inclusion fracture) were invited by mail. After exclusions by preset criteria (high-energy fractures, ongoing osteoporosis treatment, or unwillingness to participate), 303 women were included, 171 (56%) of whom had a forearm, 37 (12%) proximal humerus, 40 (13%) hip, and 55 (18%) vertebral fracture, respectively, and all were investigated and treated according to the current local consensus program for osteoporosis. In addition, HRQOL was evaluated by the SF-36 questionnaire and compared with local, age-matched reference material. Examinations were performed 82 days (median) after the fracture and 2 years later. Results: HRQOL was significantly reduced at baseline regarding all SF-36 domains after vertebral fractures and most after hip fractures, but only regarding some domains after forearm and humerus fracture. After 2 years, improvements had occurred after all types of fractures, and after forearm or humerus fracture, HRQOL was completely normalized in all domains. However, 2 years after hip fracture, HRQOL was still below normal regarding physical function, role-physical and social function, while after vertebral fracture, scores were still significantly lower for all domains, physical as well as mental. Patients with one or more previous fractures before the inclusion fracture had lower HRQOL at baseline and after 2 years, compared with those with no previous fracture. Patients with osteoporosis (T-score < - 2.5 in hip or spine) had lower HRQOL than those with normal BMD. Conclusion: Vertebral and hip fractures have a considerably greater and more prolonged impact on HRQOL than forearm and humerus fractures. The number of fractures was inversely correlated to HRQOL. These differences should be taken into account when making priorities in health care programs.

  • 302. Hallberg, Jonas
    et al.
    Hallberg, Niklas
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    Towards second-generation smart card-based authentication in health information systems: the secure server model.2001Ingår i: Medinfo, ISSN 1569-6332, Vol. 10, nr Pt 2, s. 1257-1261Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Conventional smart card-based authentication systems used in health care alleviate some of the security issues in user and system authentication. Existing models still do not cover all security aspects. To enable new protective measures to be developed, an extended model of the authentication process is presented. This model includes a new entity referred to as secure server. Assuming a secure server, a method where the smart card is aware of the status of the terminal integrity verification becomes feasible. The card can then act upon this knowledge and restrict the exposure of sensitive information to the terminal as required in order to minimize the risks. The secure server model can be used to illuminate the weaknesses of current approaches and the need for extensions which alleviate the resulting risks.

  • 303.
    Hallberg, Niklas
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Johansson, M
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    A prototype computer network service for occupational therapists. 1999Ingår i: Computer Methods and Programs in Biomedicine, ISSN 0169-2607, E-ISSN 1872-7565, Vol. 59, s. 45-54Artikel i tidskrift (Refereegranskat)
  • 304.
    Hallert, Eva
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för molekylär och klinisk medicin, Reumatologi.
    Husberg, Magnus
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Skogh, Thomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för molekylär och klinisk medicin, Reumatologi. Östergötlands Läns Landsting, Medicincentrum, Länskliniken för Reumatologi i Östergötland.
    Costs, disease and function in recent-onset rheumatoid arthritis - a 3-year-follow-up (the Swedish TIRA-project)2004Ingår i: Svenska Läkaresällskapets riksstämma,2004, 2004Konferensbidrag (Refereegranskat)
  • 305.
    Hammer, Ann
    et al.
    Rehab Örebro US.
    Nilsagård, Ylva
    Sjukgymnastik Örebro US.
    Forsberg, Anette
    Rehab Örebro US.
    Pepa, Helena
    Sjukgymnastik Örebro US.
    Skargren, Elisabeth
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Sjukgymnastik.
    Öberg, Birgitta
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Sjukgymnastik. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    Evaluation of therapeutic riding (Sweden)/hippotherapy (United States). A single-subject experimental design study replicated in eleven patients with multiple sclerosis2005Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 21, nr 1, s. 51-77Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to investigate whether therapeutic riding (TR, Sweden) hippotherapy (HT, United States) may affect balance, gait, spasticity, functional strength, coordination, pain, self-rated level of muscle tension (SRLMT), activities of daily living (ADL), and health-related quality of life. Eleven patients with multiple sclerosis (MS) were studied in a single-subject experimental design (SSED) study, type A-B-A. The intervention comprised ten weekly TR/HT sessions of 30 minutes each. The subjects were measured a maximum of 13 times. Physical tests were: the Berg balance scale, walking a figure of eight, the timed up and go test, 10 m walking, the modified Ashworth scale, the Index of Muscle Function, the Birgitta Lindmark motor assessment, part B, and individual measurements. Self-rated measures were: the Visual Analog Scale for pain, a scale for SRLMT, the Patient-Specific Functional Scale for ADL, and the SF-36. Data were analyzed visually, semi-statistically and considering clinical significance. Results showed improvement for ten subjects in one or more of the variables, particularly balance, and some improvements were also seen in pain, muscle tension, and ADL. Changes in SF-36 were mostly positive, with an improvement in Role-Emotional seen in eight patients. Conclusively, balance and Role-Emotional were the variables most often improved, but TR/HT appeared to benefit the subjects differently.

  • 306.
    Hanberger, Lena
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för molekylär och klinisk medicin, Pediatrik. Östergötlands Läns Landsting, Barn- och kvinnocentrum, Barn- och ungdomskliniken i Linköping.
    Ludvigsson, Johnny
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för molekylär och klinisk medicin, Pediatrik. Östergötlands Läns Landsting, Barn- och kvinnocentrum, Barn- och ungdomskliniken i Linköping.
    Nordfeldt, Sam
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Barn- och ungdomspsykiatriska kliniken.
    Quality of care from the patient's perspective in pediatric diabetes care2006Ingår i: Diabetes Research and Clinical Practice, ISSN 0168-8227, E-ISSN 1872-8227, Vol. 72, nr 2, s. 197-205Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study aimed to investigate perceived quality of diabetes care. A geographic population of 400 type 1 diabetes patients <20 years received the validated questionnaire quality of care from the patient's perspective (QPP) including additional context-specific items. Primary endpoints were perceived reality of care by specific items and factors and their subjective importance, respectively. Relations to severe hypoglycemia, HbA1c, insulin dose, BMI, age, duration and sociodemographic factors were also studied. On average, a high perceived quality of care was reported from both parents and adolescents (response rate 285/400 (71%) and 155/237 (65%), respectively), highest regarding possibility to talk to nurse/doctor in privacy, respect, general atmosphere, continuity in patient-physician relationship and patient participation. Lower perceived reality with higher subjective importance was seen for information about results from medical examinations and treatments and information about self-care, access to care and waiting time. While parents' and their adolescents' mean ratings correlated well for reality r = 0.95 (p < 0.001) and importance r = 0.53 (p = 0.023), parents rated reality level higher (p = 0.012) and importance even higher (p < 0.001). The QPP instrument used with additional context-specific items can provide specific information to be used in quality of care development. In our setting, improvements are needed regarding patient information, access to care and waiting time. © 2005 Elsevier Ireland Ltd. All rights reserved.

  • 307.
    Hansson, Björn T
    et al.
    Landstinget i Östergötland.
    Rahmqvist, Mikael
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Inget stöd för könsskillnader i studie av väntetid till vård2007Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 104, nr 43, s. 3187-3189Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    In Sweden the time patients spend on different waiting lists is regularly analysed in follow-up surveys and published on the Internet, but when these figures do not differ between men and women there is an interesting demand for analysing the figures separately for the sexes. With the aim of investigating gender differences we have analysed the time spent on 32 different waiting lists by 44,000 patients in hospital health care including surgery, orthopaedics, otorhinolaryngology, ophthalmology and thoracic surgery. When controlling for the patients' medical need and age we found that there were few significant gender differences regarding the time spent waiting for an appointment or elective surgery. Our conclusion is that it is not sufficient to draw conclusions on unadjusted figures for waiting lists for men and women respectively. Instead we recommend regularly performing regression analysis based on individual raw data.

  • 308.
    Hass, Ursula
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Ask, Per
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Wårdell, Karin
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Biomedicinsk instrumentteknik.
    Competence Centre NIMED and it's graduate education - collaboration between university and industry.1999Ingår i: Ann Int Conf of the IEEE Engineering in Medicine and Biology Society,1999, 1999Konferensbidrag (Övrigt vetenskapligt)
  • 309.
    Hassling, Linda
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Graspemo, Gabriella
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Nordfeldt, Sam
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för molekylär och klinisk medicin, Pediatrik.
    Eriksson, Henrik
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    Health education technology: Experiences from the use of the cultural probe method2004Ingår i: Medinfo 2004,2004, Bethesda, MD: American Medical Informatics Association , 2004Konferensbidrag (Refereegranskat)
  • 310.
    Hassling, Linda
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Nordfeldt, Sam
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för molekylär och klinisk medicin, Pediatrik.
    Eriksson, Henrik
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    Use of cultural probes for representation of chronic disease experience: Exploration of an innovative method for design of supportive technologies2005Ingår i: Technology and Health Care, ISSN 0928-7329, Vol. 13, nr 2, s. 87-95Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Chronic diseases do not only manifest themselves as sets of pathophysiological factors. They bring about an equally important psychosocial impact. Unfortunately, it is difficult to account for this impact in the development of supportive technologies. This study describes and explores a method for elicitation of requirements on technologies supporting self-management including emotional aspects. The method takes advantage of a self-documentary media kit for collection of data from the everyday context of chronic disease. The resulting contextual data can contribute new insights to multi-disciplinary teams in the design of supporting technologies.

  • 311.
    Hatakka, Mika
    et al.
    Åbo.
    Keskinen, Esko
    Åbo.
    Gregersen, Nils-Petter
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap.
    Glad, Alf
    Oslo.
    From control of the vehicle to personal self-control, broadening the perspectives to driver education2002Ingår i: Transportation Research Part F: Traffic Psychology and Behaviour, ISSN 1369-8478, E-ISSN 1873-5517, Vol. 5, nr 3, s. 201-215Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    The objective is to formulate guidelines and goals for future development in the area of driver training and education. The content of this paper is not empirical, but merely an analytical summary or review. A four-level descriptive model is presented in which driver behaviour is conceptualised as a hierarchy, in which the goals and motives of the driver play an essential role. The recent constructivist ideas in mainstream pedagogy and psychology of learning are combined with a hierarchical approach to driver behaviour. A comprehensive framework for goals and contents of driver education (GDE framework) is presented. Two main conclusions can be drawn. Firstly, the conceptual analysis points towards a need to emphasise the motivational aspects in driver education more than it is done at present. Secondly, in order to reach the goals, pedagogical methods should be re-evaluated. For example, active learning methods and use of self-reflection should be promoted in driver education.

  • 312.
    Hedin, H
    et al.
    Uppsala.
    Borgquist, Lars
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Allmänmedicin.
    Larsson, S
    Uppsala univ.
    A cost analysis of three methods of treating femoral shaft fractures in children: A comparison of traction in hospital, traction in hospital/home and external fixation2004Ingår i: Acta Orthopaedica Scandinavica, ISSN 0001-6470, Vol. 75, nr 3, s. 241-248Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: There is no consensus as to which is best treatment of femoral fractures in children. Patients and methods: We performed a cost analysis comparing three treatments of femoral shaft fractures in children aged 3-15 years at 3 hospitals during the same period (1993-2000). The analysis included total medical costs and costs for the care provider and were calculated from the time of injury up to 1 year. Results: At hospital 1, treatment consisted of external fixation and early mobilization. At hospital 2, the treatment was skin or skeletal traction in hospital for 1-2 weeks, followed by home traction. At hospital 3, treatment was skin or skeletal traction in hospital until the fracture healed. Results: The average total costs per patient were EUR 10,000 at hospital 1, EUR 23,000 at hospital 2, and EUR 38,000 at hospital 3. Interpretation: The main factor for determining the cost of treatment was the number of days in hospital, which was lower in children treated with external fixation.

  • 313.
    Heintz, Emelie
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Peebo, Bourghardt B.
    Ryhov County Hospital.
    Wiréhn, Ann-Britt
    Linköpings universitet, Institutionen för hälsa och samhälle, Tema hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Rosenqvist, U.
    Motala Hospital.
    Levin, Lars-Åke
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    QUALITY-ADJUSTED LIFE-YEAR (QALY) WEIGHTS ASSOCIATED WITH DIFFERENT SEVERITY LEVELS OF DIABETIC RETINOPATHY in VALUE IN HEALTH, vol 13, issue 7, pp A297-A2972010Ingår i: VALUE IN HEALTH, Blackwell Publishing Ltd , 2010, Vol. 13, nr 7, s. A297-A297Konferensbidrag (Refereegranskat)
    Abstract [en]

    n/a

  • 314.
    Henriksson, Martin
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Burström, Kristina
    Inst för folkhälsovetenskap Karolinska institutet.
    Kvalitetsjusterade levnadsår och EQ-5D. En introduktion2006Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 103, nr 21-22, s. 1734-1739Artikel i tidskrift (Refereegranskat)
  • 315.
    Henriksson, Martin
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Epstein, David
    University of York.
    Palmer, Steve
    University of York.
    Sculpher, Mark
    University of York.
    The cost-effectiveness of an early interventional strategy in non-ST-elevation acute coronary syndrome2006Ingår i: Society for Medical Decision Making SMDM,2006, 2006Konferensbidrag (Refereegranskat)
    Abstract [en]

       

  • 316.
    Henriksson, Martin
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Lundgren, Fredrik
    Kärlkirurgen Universitetssjukhuset i Linköpings.
    Cost-effectiveness of screening 65 year old males for abdominal aortic aneurysm2004Ingår i: Health Technology Assessment International HTAi,2004, 2004Konferensbidrag (Refereegranskat)
  • 317.
    Henriksson, Martin
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Lundgren, Fredrik
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Kärlkirurgi. Östergötlands Läns Landsting, Hjärtcentrum, Thorax-kärlkliniken.
    Modelling the cost-effectiveness of screening for abdominal aortic aneurysm and assessing the value of further research2005Ingår i: IHEA,2005, 2005Konferensbidrag (Refereegranskat)
  • 318.
    Henriksson, Martin
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Lundgren, Fredrik
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Kärlkirurgi. Östergötlands Läns Landsting, Hjärtcentrum, Thorax-kärlkliniken.
    One-time Screening of Abdominal Aortic Aneurysm in 65-year-old Men2005Rapport (Övrigt vetenskapligt)
  • 319.
    Henriksson, Martin
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Lundgren, Fredrik
    Kärlkirurgen Universitetssjukhuset i Linköpings.
    Screening för pulsåderbråck i buken - en hälsoekonomisk utvärdering2004Rapport (Övrigt vetenskapligt)
  • 320.
    Henriksson, Martin
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle.
    Nordlund, Anders
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Rikscentrum arbetslivsinriktad rehabilitering IHS.
    Janzon, Magnus
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Kardiologi. Östergötlands Läns Landsting, Hjärtcentrum, Kardiologiska kliniken.
    Swahn, Eva
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Kardiologi. Östergötlands Läns Landsting, Hjärtcentrum, Kardiologiska kliniken.
    A comparison of EQ-5D and SF-6D utilities2003Ingår i: iHEA 2003, San Francisco. Muntlig posterpresentation,2003, 2003Konferensbidrag (Refereegranskat)
  • 321.
    Henriksson, Martin
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Ramsberg, Joakim
    Läkemedelsförmånsnämnden.
    Cost-effectiveness of Strategies for Testing out Triptan Treatment on Migraine Patients2005Ingår i: Health Technology Assessment International,2005, 2005Konferensbidrag (Refereegranskat)
  • 322.
    Hensing, G
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap.
    Alexanderson, Kristina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap.
    The relation of adult experience of domestic harassment, violence, and sexual abuse to health and sickness absence.2000Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 7Artikel i tidskrift (Refereegranskat)
  • 323.
    Hensing, G
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap.
    Brage, S
    Nygård, JF
    Sandanger, I
    Tellnes, G
    Sickness absence with psychiatric disorders - an increased risk for marginalisation among men?2000Ingår i: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 35, s. 335-340Artikel i tidskrift (Refereegranskat)
  • 324.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Analysis of measurements from the first Swedish universal neonatal hearing screening program2007Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 46, nr 11, s. 680-685Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study analyses results from the first Swedish UNHS program. It includes over 33 000 measurement files from 14 287 children at two maternity wards. The screening program uses a two-stage TEOAE test procedure. A database was created in MedLog after data transformation in Word and Excel. The coverage rate was 99.1%. Bilateral pass rate after retesting was 97.0%. A unilateral pass criterion would have resulted in 1268 fewer children (9.0% of target group) for retesting and 231 fewer children (1.6% of target group) for diagnostic evaluation. When the first test was performed on the day the child was born, the pass rate was 64.8%, the pass rate increased to 89.2% when testing≥3 days after birth. High coverage rates and pass rates were found to be possible, independent of the number of children born at the maternity ward. Learning curves were observed in the program with improvements distributed over time. Test performance was clearly better when the children were tested day two after birth or later. © 2007 British Society of Audiology, International Society of Audiology, and Nordic Audiological Society.

  • 325.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Analysis of the results from the first universal neonatal hearing screening program in Sweden2004Ingår i: NHS2004 - The International Conference on Newborn Hearing Screening, Diagnosis and Intervention,2004, 2004Konferensbidrag (Övrigt vetenskapligt)
  • 326.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Hörselscreening: Hög tid testa alla nyfödda!2006Ingår i: Audionytt, ISSN 0347-6308, Vol. 1-2, s. 30-31Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 327.
    Hermansson, Ann-Charlotte
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, PC - Psykiatricentrum, FMC - Flyktingmedicinskt centrum.
    Krigsskadade flyktingar på den svenska arbetsmarknaden.2000Ingår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 1, s. 66-72Artikel i tidskrift (Övrigt vetenskapligt)
  • 328.
    Hermansson, Ann-Charlotte
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, PC - Psykiatricentrum, FMC - Flyktingmedicinskt centrum.
    Thyberg, M
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    Gerdle, Björn
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Rehabiliteringsmedicin. Östergötlands Läns Landsting, Medicincentrum, Smärt- och rehabiliteringscentrum.
    Survival with pain: an eight-year follow-up of war-wounded refugees.2001Ingår i: Medicine, conflict and survival, ISSN 1362-3699, E-ISSN 1743-9396, Vol. 17, nr 2, s. 102-111Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to investigate the nature of chronic pain in male war-wounded refugees and to examine the relationship between chronic pain and psychiatric symptoms. A culturally heterogeneous group of 44 war-wounded refugees were investigated during hospitalization, shortly after arrival, and followed up after two years. This study is an additional follow-up after eight years. The data collection methods used were structured interviews and physical examination. The measures of outcome were: Visual Analogue Scale (VAS) grading of pain, clinical categorization of pain into nociceptive or neurogenic, Hopkins Symptom Check List (HSCL-25), Post Traumatic Symptom Scale (PTSS-10). Chronic pain was found in 32 (73%) out of 44 subjects. The pain was purely nociceptive and neurogenic in 53% and 25%, respectively. The frequency of psychiatric symptoms was significantly related to the mean intensity of pain. War-wounded refugees display psychiatric symptoms and chronic pain in a complex pattern. Further research is needed as a basis for pain rehabilitation programmes suitable for this group.

  • 329.
    Hermansson, Ann-Charlotte
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, PC - Psykiatricentrum, FMC - Flyktingmedicinskt centrum.
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    How do you feel? A self-rating scale for measuring well-being in refugees. 1999Ingår i: Transcultural Psychiatry, ISSN 1363-4615, E-ISSN 1461-7471, Vol. 36, s. 317-328Artikel i tidskrift (Refereegranskat)
  • 330.
    Hermansson, Ann-Charlotte
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, FHVC - Folkhälsovetenskapligt centrum, Socialmed FHVC.
    Nyce, James M
    Exploration of the life histories and future of war-wounded Salvadoran and Iranian Kurd quota refugees in Sweden: A qualitative approach2003Ingår i: International Journal of Social Welfare, ISSN 1369-6866, E-ISSN 1468-2397, Vol. 12, nr 2, s. 142-153Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study explores the life histories of ten Salvadoran and twelve Iranian Kurd refugees. Both groups came to Sweden as war-wounded quota refugees and their migration was forced. They had spent many years in guerilla movements and were experienced soldiers despite their youth. They were interviewed during hospitalisation shortly after arrival in Sweden, and followed-up after two years. The findings suggest that repatriation is a recurrent theme in the future plans of these refugees. The reconstruction of identity may take many forms due to a background as youth soldiers as well as their different experiences of the culture in the host country. Longitudinal studies of how refugees rebuild their lives are needed, and comprehensive analysis from different theoretical perspectives is a necessary complement to general adaptation models.

  • 331.
    Hermansson, Ann-Charlotte
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, PC - Psykiatricentrum, FMC - Flyktingmedicinskt centrum.
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, FHVC - Folkhälsovetenskapligt centrum, Socialmed FHVC.
    Thyberg, Mikael
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Rehabiliteringsmedicin. Östergötlands Läns Landsting, Medicincentrum, Smärt- och rehabiliteringscentrum.
    The long-term impact of torture on the mental health of war-wounded refugees: Findings and implications for nursing programmes2003Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 17, nr 4, s. 317-324Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Today, nurses from many disciplines are expected to provide nursing care to refugees severely traumatized in war and conflict. The general aim of this study was to explore the long-term impact of torture on the mental health of war-wounded refugees. The study group consisted of 22 tortured and 22 nontortured male refugees who had been injured in war. Standardized interview schedules, exploring different background characteristics, and three instruments for assessment of mental health were used: the Hopkins Symptom Checklist, the Post Traumatic Symptom Scale and a well-being scale. The prevalence of psychiatric symptoms was high in both groups. However, there were no significant differences in mental health between the tortured and the nontortured refugees. The patterns of associations between background characteristics and mental health were different in the two groups. The strongest associations with lower level of mental health were higher education in the tortured group and unemployment in the nontortured group. Methodological difficulties in research on sequelae of prolonged traumatization remain. Further studies within the caring sciences can broaden the present understanding of the impact of torture and other war traumas. ⌐ 2003 Nordic College of Caring Sciences.

  • 332.
    Hermansson, Ann-Charlotte
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, FHVC - Folkhälsovetenskapligt centrum, Socialmed FHVC.
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, FHVC - Folkhälsovetenskapligt centrum, Socialmed FHVC.
    Thyberg, Mikael
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Rehabiliteringsmedicin. Östergötlands Läns Landsting, Medicincentrum, Smärt- och rehabiliteringscentrum.
    The Mental Health of War-wounded Refugees: An 8-year Follow-up2002Ingår i: Journal of Nervous and Mental Disease, ISSN 0022-3018, E-ISSN 1539-736X, Vol. 190, s. 374-380Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The complex nature of recent wars and armed conflicts has forced many war-injured persons into exile. To investigate their long-term mental health, three instruments for assessing mental health (HSCL-25, PTSS-10, and a Well-Being scale) were presented to 44 war-wounded refugees from nine different countries 8 years after arrival in Sweden. The prevalence of psychiatric symptoms was high and corresponds to findings in previous studies of refugee patient populations. A lower level of mental health was associated with higher education, unemployment, and poor physical health. The findings suggest a high psychiatric morbidity and a need for psychiatric interventions in this refugee group. Methodological issues to be considered in research on sequels of war traumas are discussed.

  • 333.
    Hollman, Gunilla
    et al.
    Linköpings universitet, Institutionen för medicin och vård, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Kristenson, Margareta
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum.
    Is the prevalence of the metabolic syndrome increasing among middle-aged Swedes?2006Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

       

  • 334.
    Hollman, Gunilla
    et al.
    Linköpings universitet, Institutionen för medicin och vård, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Kristenson, Margareta
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum.
    Metabolt syndrom i en svensk medelålders population, prevalens och relation till psykosociala faktorer2005Konferensbidrag (Övrigt vetenskapligt)
  • 335.
    Hollman, Gunilla
    et al.
    Linköpings universitet, Institutionen för medicin och vård, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Kristenson, Margareta
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum.
    Psychosocial factors and health related to quality of life among middle-aged individuals with and without the metabolic syndrome2006Konferensbidrag (Övrigt vetenskapligt)
  • 336.
    Hollman, Gunilla
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Omvårdnad.
    Kristenson, Margareta
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    Psychosocialfactors and healthrelated quality of life among middle-aged individuals with and without the metabolic syndrome2006Ingår i: International symposium on Atherosclerosis,2006, 2006Konferensbidrag (Övrigt vetenskapligt)
  • 337.
    Holm, E
    et al.
    Umeå.
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    A discrete time-space geography for epidemiology: from mixing groups to pockets of local order in pandemic simulations.2007Ingår i: MEDINFO 2007 - Proceedings of the 12th World Congress on Health (Medical) Informatics – Building Sustainable Health Systems / [ed] Klaus A. Kuhn, James R. Warren, Tze-Yun Leong, 2007, Vol. 12, nr 1, s. 464-Konferensbidrag (Refereegranskat)
    Abstract [en]

    The World Health Organization urges all nations to develop and maintain national influenza preparedness plans. Important components of such plans are forecasts of morbidity and mortality based on local social and geographic conditions. Most methodologies for simulations of epidemic outbreaks are implicitly based on the assumption that the frequency and duration of social contacts that lead to disease transmission is affected by geography, i.e. the spatial distribution of physical meeting places. In order to increase the effectiveness of the present methods for simulation of infectious disease outbreaks, the aim of this study is to examine two social geographic issues related to such models. We display how the social geographic characteristics of mixing networks, in particular when these significantly deviate from the random-mixing norm, can be represented in order to enhance the understanding and prediction of epidemic patterns in light of a possible future destructive influenza pandemic. We conclude that social geography, social networks and simulation models of directly transmitted infectious diseases are fundamentally linked.

  • 338.
    Holmberg, Håkan
    et al.
    Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Linköpings universitet, Hälsouniversitetet.
    Carlsson, Per
    Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Linköpings universitet, Hälsouniversitetet.
    Löfman, Owe
    Linköpings universitet, Institutionen för hälsa och samhälle. Linköpings universitet, Hälsouniversitetet.
    Varenhorst, Eberhard
    Department of Surgery and Urology, County Hospital, Norrköping, Sweden.
    Economic evaluation of screening for prostate cancer: a randomized populaionbased programme during a 10 year period in Sweden1998Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 45, nr 2, s. 133-147Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Prostate cancer is a growing health problem representing considerable costs. Screening and early curative treatment may reduce morbidity and possibly prevent future escalating costs. However, population screening programmes are generally not well accepted at present due to uncerainty about whether screening for prostate cancer can result in reduced mortality. Evidence from large, randomized, controlled trials is still lacking. The objective of this study was to calculate clinical and economic consequences of general prostate cancer screening based on a limited screening trial in a Swedish community and a decision-tree model. A random selection of 1492 men (50–69 years) were invited to repeated screening in 1987. They have been examined every third year (four rounds). The other 7679 men in the population act as controls. The results show that the total incremental health care costs for prostate cacer will increase by 179 million SEK per year with screening compared to no-screening. The number of detected cases of localized cancer will increase by about 1000, which represents an additional cost of about 158 000 SEK per case. In conclusion, general screening for prostate cancer can be performed with a reasonable cost per detected localized cancer. Information on the long-term effect on life quality and cancer mortality is unknown.

  • 339.
    Hugosson, Svante
    et al.
    Öron Örebro.
    Tjell, Carsten
    Öron Skövde.
    Karlberg, Mikael
    Öron Lund.
    Ledin, Torbjörn
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, RC - Rekonstruktionscentrum, ÖNH - Öron- Näsa- Halskliniken.
    Kammerlind, Ann-Sofi
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Sjukgymnastik. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Cervikogen yrsel - eller fobisk postural vertigo (spänningsyrsel)--- Vanlig yrselorsak men omöjlig att diagnostisera?2003Ingår i: Svensk ÖNH tidskrift, ISSN 1400-0121, Vol. 10, s. 16-18Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

      

  • 340.
    Hägglund, Martin
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap.
    Waldén, Markus
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap.
    Bahr, R
    Sports and psysical education Norwegian university, Oslo.
    Ekstrand, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap.
    Methods for epidemiological study of injuries to prfessional football players: developing the UEFA model2005Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 39, s. 340-346Artikel i tidskrift (Refereegranskat)
  • 341.
    Håkansson, A
    et al.
    Lund.
    André, Malin
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Allmänmedicin.
    Björklund, C
    Göteborg.
    Borgquist, Lars
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Allmänmedicin. Östergötlands Läns Landsting, Närsjukvården i västra Östergötland, Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland.
    Holmberg, S
    FoU Växjö.
    General practice research is growing quickly enough?2006Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, nr 103, s. 24-25Artikel i tidskrift (Övrigt vetenskapligt)
  • 342.
    Högberg, Lotta
    et al.
    Linköpings universitet, Institutionen för molekylär och klinisk medicin, Pediatrik. Linköpings universitet, Hälsouniversitetet.
    Grodzinsky, Ewa
    Linköpings universitet, Institutionen för hälsa och samhälle, Allmänmedicin. Linköpings universitet, Hälsouniversitetet.
    Stenhammar, Lars
    Linköpings universitet, Institutionen för molekylär och klinisk medicin, Pediatrik. Linköpings universitet, Hälsouniversitetet.
    Better dietary compliance in patients with coeliac disease diagnosed in early childhood2003Ingår i: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708, Vol. 38, nr 7, s. 751-754Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: In coeliac disease (CD) there is a permanent gluten intolerance requiring life-long adherence to a strict gluten-free diet (GFD). An inadequate diet increases the risk for long-term complications. Coeliac patients often have great difficulty in maintaining a strictly GFD. We aimed to study whether young adults with CD diagnosed before the age of 4 years have a better dietary compliance than patients diagnosed later in life.

    Method: Twenty-nine adults with CD diagnosed in childhood were studied. They had had CD for 17-24 (mean 20) years. Their compliance to GFD was assessed using a questionnaire and serological markers (IgA and IgG anti-endomysium antibodies and IgA anti-tissue transglutaminase antibodies).

    Results: At least 80% of the coeliac patients who had been diagnosed before the age of 4 years complied with the GFD compared to 36% of the CD patients older than 4 years at diagnosis ( P &#114 < &#114 0.05).

    Conclusion: This is the first study to show that patients with CD diagnosed before 4 years of age keep to a GFD significantly better than patients diagnosed after 4 years. It is thus important to diagnose childhood CD as early as possible in order to minimize the risk for reduced well-being and other potentially serious complications in coeliac individuals on an inadequate diet.

  • 343.
    Högberg, Lotta
    et al.
    Linköpings universitet, Institutionen för molekylär och klinisk medicin, Pediatrik. Linköpings universitet, Hälsouniversitetet.
    Laurin, Pia
    Linköpings universitet, Institutionen för molekylär och klinisk medicin, Pediatrik. Linköpings universitet, Hälsouniversitetet.
    Fälth-Magnusson, Karin
    Linköpings universitet, Institutionen för molekylär och klinisk medicin, Pediatrik. Linköpings universitet, Hälsouniversitetet.
    Grant, C.
    Laboratory Medicine Östergötland, Pathology, Norrköping Hospital, Sweden.
    Grodzinsky, Ewa
    Linköpings universitet, Institutionen för hälsa och samhälle, Allmänmedicin. Linköpings universitet, Hälsouniversitetet.
    Jansson, Gunnar
    Department of Paediatrics, Motala Hospital, Sweden .
    Ascher, H.
    Department of Paediatrics, The Sahlgrenska Academy, Göteborg University, Göteborg, Sweden .
    Browaldh, L.
    Department of Paediatrics, Sachsska Hospital, Stockholm, Sweden .
    Hammersjö, Jan-Åke
    Department of Paediatrics, Västervik Hospital, Sweden .
    Lindberg, E.
    Department of Paediatrics, Örebro University Hospital, Sweden .
    Myrdal, U.
    Department of Paediatrics, Västerås Hospital, Sweden.
    Stenhammar, Lars
    Linköpings universitet, Institutionen för molekylär och klinisk medicin, Pediatrik. Linköpings universitet, Hälsouniversitetet.
    Oats to children with newly diagnosed coeliac disease: a randomised double blind study2004Ingår i: Gut, ISSN 0017-5749, E-ISSN 1468-3288, Vol. 53, nr 5, s. 649-654Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Treatment of coeliac disease (CD) requires lifelong adherence to a strict gluten free diet (GFD) which hitherto has consisted of a diet free of wheat, rye, barley, and oats. Recent studies, mainly in adults, have shown that oats are non-toxic to CD patients. In children, only open studies comprising a small number of patients have been performed.

    Aim: To determine if children with CD tolerate oats in their GFD.

    Patients and methods: In this double blind multicentre study involving eight paediatric clinics, 116 children with newly diagnosed CD were randomised to one of two groups: one group was given a standard GFD (GFD-std) and one group was given a GFD with additional wheat free oat products (GFD-oats). The study period was one year. Small bowel biopsy was performed at the beginning and end of the study. Serum IgA antigliadin, antiendomysium, and antitissue transglutaminase antibodies were monitored at 0, 3, 6, and 12 months.

    Results: Ninety three patients completed the study. Median (range) daily oat intake in the GFD-oats group (n = 42) was 15 (5–40) g at the six month control and 15 (0–43) g at the end of the study. All patients were in clinical remission after the study period. The GFD-oats and GFD-std groups did not differ significantly at the end of the study regarding coeliac serology markers or small bowel mucosal architecture, including numbers of intraepithelial lymphocytes. Significantly more children in the youngest age group withdrew.

    Conclusions: This is the first randomised double blind study showing that the addition of moderate amounts of oats to a GFD does not prevent clinical or small bowel mucosal healing, or humoral immunological downregulation in coeliac children. This is in accordance with the findings of studies in adult coeliacs and indicates that oats, added to the otherwise GFD, can be accepted and tolerated by the majority of children with CD.

  • 344.
    Hörnquist, J. O.
    et al.
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Hansson, B.
    Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Leijon, Margareta
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Mikaelsson, Bo
    Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Repeated short-term sick-leave and quality of life: An evaluation of a clinical socio-medical intervention1990Ingår i: Scandinavian Journal of Social Medicine, ISSN 1403-4948, Vol. 18, nr 2, s. 91-95Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The primary aim of this study was to evaluate a clinical socio-medical supportive program for repeated short-term sickleavers who exhibited no evident reason for their prolonged absence. Attention was drawn to changes in the quality of life of the participants. Ninety-nine persons took part in the full program. The sex distribution was even and the mean age was 32 years. The average number of days of sick-leave during the year preceding the entrance into the program was 28. The most common self-stated diagnosis was upper respiratory infection or gastro-intestinal problems. The evaluation showed a significant change for the better in the quality of life and well-being of the patients, although more than every other patient did not explicitly attribute any personal benefit to the intervention itself. The results coincide irrespective of measuring method and, are by and large, consistent over most areas of life and components of well-being assessed. Thus the design and the results of the evalution look very promising concerning reliability, validity and especially sensitivity. A corresponding model may be applicable more generally when evaluating health- and medical care.

  • 345.
    Irestig, Magnus
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Eriksson, Henrik
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    The impact of participation in information system design2004Ingår i: PDC 2004,2004, Palo Alto: PDC , 2004Konferensbidrag (Refereegranskat)
  • 346.
    Irestig, Magnus
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Niklas, Hallberg
    FOI.
    Eriksson, Henrik
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces.
    Timpka, Toomas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Socialmedicin och folkhälsovetenskap. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum, Folkhälsovetenskapligt centrum.
    Peer-to-peer computing in health-promoting voluntary organizations: A system design analysis2005Ingår i: Journal of medical systems, ISSN 0148-5598, E-ISSN 1573-689X, Vol. 29, nr 5, s. 425-440Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A large part of the health promotion in today's society is performed as peer-to-peer empowerment in voluntary organisations such as sports clubs, charities, and trade unions. In order to prevent work-related illness and long-term sickness absence, the aim of this study is to explore computer network services for empowerment of employees by peer-to-peer communication. The 'technique trade-off' method was used for the analysis of the system design. A Critical Incident Technique questionnaire was distributed to a representative sample of trade union shop stewards (n = 386), and focus-group seminars were arranged where a preliminary set of requirements was discussed. Seven basic requirements were identified and matched to a set of 12 design issues for computer network services, allocating a subset of design issues to each requirement. The conclusion is that the systems design displays an inexpensive and potentially feasible method for peer-to-peer computing in voluntary health-promoting organisations. © 2005 Springer Science+Business Media, Inc.

  • 347.
    Jacobsson, Fredric
    Linköpings universitet, Institutionen för hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Den barmhärtige ekonomiten - Effektivitets och rättviseaspekter på altruism och hälsa2005Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    To what extent people only act on basis of their own interests is a question that has been subject to extensive discussion during many years. The economic standard model takes as its starting point that people are only interested in their own welfare. The aim of this dissertation is to analyse the term altruism from a multidisciplinary perspective. It is also to study whether people's health-oriented and pure altruism is related to needs and to study whether altruistic preferences are paternalistically health-oriented. The fmal aim is to study and discuss the motives, existence and characteristics of the altruistic preferences and their importance in health economic analyses.

    This dissertation takes a literary survey, mainly related to economics, philosophy, medicine and psychology as its starting point. The concepts of efficiency, health, fairness and altruism play a main part in the description of the theoretical background. Studies of altruism within the health care sector are scarce. Against this background, three empirical studies are carried out and presented. Two methods (dictator games and willingness to pay) have been modified and used.

    The empirical studies carried out and the surveys of the literature show altruism to exist both in connection with other people's health and more in general. The existence of altruism and the strength of the altruistic preferences are very dependent on the situation. In more serious health states, most people seem to be altruistic and then, they also want to renounce a relatively large part of their own resources. The results indicate that altruism is related to needs and is paternalistically health-oriented. These results also indicate that the economic standard model ought to be completed with altruistic preferences in order to create an efficient allocation of resources within health care. Altruistic preferences might also contribute to a resource allocation considered as more fair by the citizens of the society.

  • 348.
    Jacobsson, Fredric
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Monetära ersättningsprinciper i hälso- och sjukvården2007Rapport (Övrigt vetenskapligt)
    Abstract [sv]

      

  • 349.
    Jacobsson, Fredric
    et al.
    Linköpings universitet, Institutionen för hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Carstensen, John
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för hälsa och samhälle, Tema hälsa och samhälle.
    Borgquist, Lars
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Allmänmedicin. Östergötlands Läns Landsting, Närsjukvården i västra Östergötland, Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland.
    Caring externalities in health economic evaluation: How are they related to severity of illness?2005Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 73, nr 2, s. 172-182Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In health economic evaluations, altruistic preferences in the form of caring externalities, i.e. that people care about others' health, is usually not taken into account. In this study we examined how people value their own and others' health. This pilot study was carried out by letting people answer willingness to pay (WTP) questionnaires where internal WTP (own health) and altruistic WTP (others' health) were isolated and examined. A common method used in health economic evaluations is cost-utility analysis, which is based on the maximisation of QALYs. QALY maximisation may be appropriate if altruistic preferences are non-existent or if they are linear in relation to internal preferences (QALYs gained). We found evidence for the existence of altruistic preferences and that these preferences were relatively higher for severe health states (and lower for mild states of health) compared to internal preferences, i.e. when severity of illness increased, the relative increase in caring was higher concerning others than oneself. The difference was statistically significant (P < 0.001). Our results indicate that more attention and resources should be directed to severe health states, as compared to mild health states, than advocated by internal preferences in order to obtain more efficient resource allocation in the health care sector. © 2004 Elsevier Ireland Ltd. All rights reserved.

  • 350.
    Jacobsson, Fredric
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi.
    Johannesson, Magnus
    Handelshögskolan.
    Borgquist, Lars
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Allmänmedicin. Östergötlands Läns Landsting, Närsjukvården i västra Östergötland, Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland.
    Is Altruism Paternalistic?2007Ingår i: Economic Journal, ISSN 0013-0133, E-ISSN 1468-0297, Vol. 117, s. 761-781Artikel i tidskrift (Refereegranskat)
    Abstract [en]

     We test if altruism is paternalistic with respect to health. Subjects can donate money or nicotine patches to a smoking diabetes patient whose willingness to pay for nicotine patches is positive but below the market price. In a between-subjects treatment, average donations are 40% greater in the nicotine patches group. When subjects can donate both nicotine patches and money more than 90% of the donations are given in kind rather than cash. These results are also confirmed in three additional stability experiments that vary the framing, use food stamps instead of money, and use exercise instead of nicotine patches.

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