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Staff experiences with strategic implementation of clinical health promotion : A nested qualitative study in the WHO-HPH Recognition Process RCT

Objectives: Health promotion is on the global agenda. The risks targeted include smoking, hazardous alcohol consumption, nutrition and insufficient physical activity. Implementation of clinical health promotion, however, remains a major challenge. While several processes, models and frameworks for strategic implementation exist, very few have been tested in randomized designs. Testing a strategic

Low nocturnal blood pressure is associated with reduced cerebral blood flow in the cohort "Men born in 1914"

BACKGROUND: Men born in 1914 is a population-based cohort study of the epidemiology of cardiovascular and cerebral disease. Little is known about how diurnal variation in blood pressure (BP) levels influence cerebral perfusion in very elderly populations. OBJECTIVES: To study the association between systolic (SBP) and diastolic BP (DBP) levels, during the day and at night, expressed through 24 h a

Burden of responsibility experienced by family caregivers of elderly dementia sufferers : Analyses of strain, feelings and coping strategies

Eight family caregivers of elderly dementia sufferers participated in in-depth interviews regarding their experiences of giving care. They were selected according to strain, isolation, disappointment and emotional involvement, measured on a 'caregiver burden' scale. Structural analyses of the interviews identified six categories reflecting the feelings and experiences of the caregivers. The first

Family caregiving in dementia : Prediction of caregiver burden 12 months after relocation to group-living care

The strain of caregiving associated with the care of demented persons living at home often continues after relocation, and group-living-care units (GL), designed for a small number of subjects, have been developed. The aim was to prospectively describe caregiver burden in relationship to symptoms of patients with dementia after relocation to GL. Sixty-four caregivers and 64 demented patients were

Sensitivity of interglacial Greenland temperature and δ 18O : Ice core data, orbital and increased CO 2 climate simulations

The sensitivity of interglacial Greenland temperature to orbital and CO 2 forcing is investigated using the NorthGRIP ice core data and coupled ocean-atmosphere IPSL-CM4 model simulations. These simulations were conducted in response to different interglacial orbital configurations, and to increased CO 2 concentrations. These different forcings cause very distinct simulated seasonal and latitudina

Behavioral disturbances and pharmacological treatment of patients with dementia in family caregiving : A 2-year follow-up

Behavioral disturbances are common in dementia. Polypharmacy due to progression of disease and fluctuation of symptoms among patients might increase risk of overtreatment and/or undertreatment. Drug prescription habits were studied in relationship to symptoms of dementia after relocation of patients to group-living care units (GC). Seventy-six demented patients (mean age 81 years) were assessed be

Modelling the regional climate and isotopic composition of Svalbard precipitation using REMOiso : A comparison with available GNIP and ice core data

Simulations of a regional (approx. 50 km resolution) circulation model REMOiso with embedded stable water isotope module covering the period 1958-2001 are compared with the two instrumental climate and four isotope series (δ18O) from western Svalbard. We examine the data from ice cores drilled on Svalbard ice caps in 1997 (Lomonosovfonna, 1250 m asl) and 2005 (Holtedahlfonna, 1150 m asl) and the G

Rapid environmental responses to climate-induced hydrographic changes in the Baltic Sea entrance

The Öresund (the Sound), which is a part of the Danish straits, is linking the marine North Sea and the brackish Baltic Sea. It is a transition zone where ecosystems are subjected to large gradients in terms of salinity, temperature, carbonate chemistry, and dissolved oxygen concentration. In addition to the highly variable environmental conditions, the area is responding to anthropogenic disturba

Sensitivity of a Greenland ice sheet model to atmospheric forcing fields

Predicting the climate for the future and how it will impact ice sheet evolution requires coupling ice sheet models with climate models. However, before we attempt to develop a realistic coupled setup, we propose, in this study, to first analyse the impact of a model simulated climate on an ice sheet. We undertake this exercise for a set of regional and global climate models. Modelled near surface

Renal function in a large cohort of metformin treated patients with type 2 diabetes mellitus

Objectives To survey renal function in a defined population on metformin treatment. Methods All patients in the city of Malmö who collected at least three prescriptions of metformin during two years were identified from a central registry at the National Board of Health and Welfare in Sweden. Estimated glomerular filtration rate (eGFR), from the Chronic Kidney Disease Epidemiology Collaboration (C

The Aging Male

This year the Swedish Society of Medicineand Lund Society of Medicine have arranged aBerzelius Symposium in Malmo¨/Lund on September24–26, 2008. This is the 1st InternationalSymposium in Sweden on The AgingMale.The purpose is to bring together scientistsand clinicians in this relatively new disciplineto highlight, in a multidisciplinary setting, thecauses and consequences of male aging and itssoci

Incidence and progression of carotid artery stenosis in elderly men : Thirteen-year follow-up of the population cohort 'Men born in 1914'

'Men born in 1914' is a population-based cohort study of the epidemiology of cardiovascular disease. Twenty-five percent of the men had moderate or severe (> 30%) carotid artery stenosis (CAS) at 68 years of age. The objective of this study was to study the incidence and progression of disease from 68 to 81 years of age in relation to major risk factors for atherosclerotic disease. Five hundred me

Modeling the water isotopes in Greenland precipitation 1959–2001 with the meso-scale model REMO-iso

Ice core studies have proved thed18O in Greenland precipitation to be correlated to thephase of the North Atlantic Oscillation (NAO). This subject has also been investigated inmodeling studies. However, these studies have either had severe biases in thed18O levels,or have not been designed to be compared directly with observations. In this study wenudge a meso‐scale climate model fitted with stabl

Causes of Regional Change—Land Cover

Anthropogenic land-cover change (ALCC) is one of the few climate forcings for which the net direction of the climate response over the last two centuries is still not known. The uncertainty is due to the often counteracting temperature responses to the many biogeophysical effects and to the biogeochemical versus biogeophysical effects. Palaeoecological studies show that the major transformation of

Oxidative DNA damage in human lymphocytes : Correlations with plasma levels of α-tocopherol and carotenoids

In order to investigate whether oxidative damage is associated with differences in antioxidant intake, we measured the levels of 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodGuo) in lymphocytes and α-tocopherol and several carotenoids in plasma of women with different dietary habits. We found that women from Granada (Spain), a region with a typically Mediterranean diet, had significantly higher leve

Survival after operations for ischaemic bowel disease

Objective: To find out what factors influence the outcome of operations for ischaemic bowel disease. Design: Retrospective study. Setting: University hospital, Sweden. Main outcome measures: Morbidity and mortality. Subjects: 74 patients, mean age 75 years (range 40-98), operated on for acute bowel ischaemia between 1987 and 1996. Results: A total of 75 emergency operations were done, including 42

Validation of a dietary record routine in geriatric patients using doubly labelled water

Objective: To validate a 7-day estimated dietary record routine with standardized portion sizes and household measuring in a clinical setting with the doubly labelled water (DLW) method as the reference method. Design: Energy expenditure was measured with deuterium (2H) and oxygen-18 (18O), and water loss was estimated by 2H dilution as part of the DLW measurements. Energy and water intake was mea

Increased medical attention needed for frail elderly initially admitted to the emergency department for lack of community support

The demographic changes in society with growing numbers of elderly subjects will inevitably increase admission rates to acute emergency departments (AMU). Early discharge might augment emergency readmissions due to a relapse in medical conditions. Our aim was to study precipitating factors in frail elderly patients who got the diagnosis 'lack of community support' after initial medical examination

Consumption of oat milk for 5 weeks lowers serum cholesterol and LDL cholesterol in free-living men with moderate hypercholesterolemia

The aim of this study was to investigate whether consumption of a newly developed oat milk deprived of insoluble fiber would result in lower serum cholesterol and low-density lipoprotein (LDL) cholesterol levels in men with moderate hypercholesterolemia. The study had a randomized, controlled double-blind design, and oat milk was compared with an identically flavored control drink. Sixty-six men w

A Centre on the margin

Through the creation of two of the world’s most advanced research facilities with synchrotron and spallation research technology, MAX IV and ESS, a leading and central position is secured within the European materials research community (Lunds universitet 2015). However, this establishment is physically realized on the outskirts of Lund, Sweden, and acting as an engine for further urban developmen