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Five years of pharmaceutical industry funding of patient organisations in Sweden: cross-sectional study of companies, patient organisations and drugs

BackgroundMany patient organisations collaborate with drug companies, resulting in concerns about commercial agendas influencing patient advocacy. We contribute to an international body of knowledge on patient organisation-industry relations by considering payments reported in the industry’s centralised ‘collaboration database’ in Sweden. We also investigate possible commercial motives behind the

Asthma referrals : A key component of asthma management that needs to be addressed

Heterogeneity of asthma and difficulty in achieving optimal control are the major challenges in the management of asthma. To help attain the best possible clinical outcomes in patients with asthma, several guidelines provide recommendations for patients who will require a referral to a specialist. Such referrals can help in clearing the uncertainty from the initial diagnosis, provide tailored trea

Åldrande hos personer med intellektuell funktionsnedsättning - ur ledares perspektiv

Det har skett en markant ökning av medellivslängden för personer med intellektuell funktions-nedsättning under de senaste decennierna och allt fler uppnår pensionsåldern och hög ålder. Ökningen är ett direkt resultat av medicinska och sociala framsteg. Samtidigt är det en grupp som har svårigheter att uttrycka sina behov och där forskning visat att deras åldrande ter sig annorlunda än för befolkni

Variational issues in the homogenization of discrete systems

The main objective of this work is the application of variational concepts to microscopic multiple particle systems (MPS) which are assigned to corresponding points of a macroscopic continuum. Due to this underlying micro-structure it is not sufficient to simulate the macroscopic behavior with pre-assumed (overall) material parameters, or rather constitutive-law-based standard methods. Therefore,

Handling a challenging context. : Experiences of facilitating evidence-based elderly care.

Aim: To explore improvement facilitators' experiences of handling their commission to implement evidence-based practice in elderly care for frail older persons. Background: Improvement facilitators were put in place across Sweden in a time-limited project by the government, with one part of the project being to evaluate the model before establishing this facilitation of evidence-based practice in

PM 2/21 : Methods for assessing the effects of plant protection products on biodiversity

Lunds universitet fick i uppdrag av Kemikalieinspektionen att kartlägga och beskriva ansatser till metoder som bedömer indirekta effekter av växtskyddsmedel på individer och populationer och studier som utvärderar om nuvarande riskbedömningsmetoder är tillräckliga för att bedöma direkta effekter av växtskyddsmedel på biologisk mångfald. Uppdraget utfördes i två delar. För det första inventerade viLund University was commissioned by the Swedish Chemicals Agency to map and describe emerging methodologies that assess the indirect impact of plant protection products on nontarget organism individuals and populations, and studies that evaluates if current risk assessment methodologies are sufficient to assess direct effects of plant protection products on biodiversity. The commission was perform

How Can Clinical Outcomes among Adolescents Living with HIV in Ethiopia be Improved? Healthcare Professionals’ Perspectives

While successes in the prevention of mother-to-child transmission program are believed to lead to substantial reductions in new perinatal infections, new sexually acquired infections among the older adolescent group seem to fuel the HIV epidemic. That is why adolescents are the only age group in which an increase in new HIV infections was reported in the latest global HIV progress update. Increase

Tip of the iceberg? Country- and company-level analysis of drug company payments for research and development in Europe

Background Creating new therapies often involves drug companies paying healthcare professionals and institutions for research and development (R&D) activities, including clinical trials. However, industry sponsorship can create conflicts of interests. We analysed approaches to drug company R&D payment disclosure in European countries and the distribution of R&D payments at the country

Blind sports’ blind spot: The global epidemiology of visual impairment against participation trends in elite blind para sport

Background: It remains unknown whether access to elite blind sports opportunities is globally balanced or matches the prevalence of blindness/visual impairment (VI). The primary objective of this study was to determine the rate of elite blind sports participation in each world region registered in the International Blind Sports Federation’s (IBSA) and to assess its association with the global and

Cost analysis of informal care : estimates from a national cross-sectional survey in Sweden

Background: Over the past decades, informal care has increased in most OECD-countries. Informal care is costly to caregivers and to society in the form of lost income and direct costs of providing care. Existing evidence suggests that providing informal care affects caregivers’ overall health. However, estimates of the social costs of informal care based on national data on individuals are current

Swedish primary care physicians’ intentions to use telemedicine : A survey using a new questionnaire – physician attitudes and intentions to use telemedicine (pait)

Background: Research on intentions to use telemedicine in primary care is sparse. This survey study explored primary care physicians’ intentions to use telemedicine by using a newly developed questionnaire: Physician Attitudes and Intentions to use Telemedicine. Methods: An anonymous web-survey with questions focusing on theory-based predictors of behavioral intentions such as Attitudes, Subjectiv

Self-assessment and subsequent external review as an effective model for improving drug use for elderly in primary care : A descriptive study of SÄKLÄK2

Rationale, Aims, and Objectives: Primary health care often has overall responsibility for elderly patients and their medication treatment. This is a challenging task due to the issue of multiple caregivers, different systems for documentation and multimorbidity among the elderly. The multiprofessional project SÄKLÄK2 was developed to raise drug safety in Swedish primary health care, and this study

Drivers of increasing iron concentrations in freshwaters

På senare år har flera studier visat på att järnhalten ökar i sjöar och vattendrag i norra Europa. Järn spelar en nyckelroll i akvatiska miljöer genom att påverka tillgängligheten av andra näringsämnen i vattnet så som kväve och fosfor, vilket kan reglera tillväxten av växtplankton. Dessutom färgar järn tillsammans med organiskt material vatten brunt. När vattnet blir brunare försämras ljusklimateIron (Fe) concentrations are increasing in freshwaters (lakes and streams) in Sweden, as well as in other regions in northern Europe. Together with increasing concentrations of organic matter, Fe is contributing to the ongoing browning of freshwaters, which may have serious ecological consequences and implications for ecosystem services. The aim of this thesis was to investigated where, to what ex

Reliability of recurrent pregnancy loss diagnosis coding in the Swedish national patient register : A validation study

Background: The Swedish National Patient Registry (NPR) is a nationwide registry that is used extensively for epidemiological research. Using the NPR, we recently found a recurrent pregnancy loss (RPL) incidence of 650/100,000 (0.65%) pregnant women in Sweden. It is of great importance that the quality of the coding is good and reliable in order to use NPR data for research. To specifically study

Outpatient comprehensive geriatric assessment : effects on frailty and mortality in old people with multimorbidity and high health care utilization

Background: Multimorbidity and frailty are often associated and Comprehensive Geriatric Assessment (CGA) is considered the gold standard of care for these patients. Aims: This study aimed to evaluate the effect of outpatient Comprehensive Geriatric Assessment (CGA) on frailty in community-dwelling older people with multimorbidity and high health care utilization. Methods: The Ambulatory Geriatric

Case Study-Driven Research to Provide a Foundation for Advancing Geosystem Services and Planning Practices for the Subsurface

Recent research projects have targeted the hitherto limited inclusion of the subsurface and its geo-resources in spatial planning in Sweden. The UNDER project focuses on the societal implications of using the concept of geosystem services to support planning practices. The concept of geosystem services has been described as the contributions to human well-being from the abiotic world or from the s

Continuity of Care : Territory and General Practitioner

Continuity of care represents a concept of paramount importance in territorial healthcare and notably in general practice. It is a concept focused on three main dimensions, namely informational, relational, and managerial continuity. It may impact on outcomes of older patients and older frail patients, even in patients pertaining to the surgery setting. An Italian model and a French model for cont

Persons’ experiences of having hypertension – an interview study

Backgroundamong the 1–1.5 billion persons with hypertension globally only, 20–30% have controlled blood pressure (BP). The most important problem identified is non-adherence to treatment, i.e., failure to change lifestyle and to take prescribed medication. Knowledge about the reasons for this is limited.ObjectivesThe aim of the study was to explore people's experiences of having hypertension.Desig