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  1. 1. Heart failure : biomarker effect and influence on quality of life

    Författare :Patric Karlström; Urban Alehagen; Mikael Dellborg; Linköpings universitet; []
    Nyckelord :MEDICIN OCH HÄLSOVETENSKAP; MEDICAL AND HEALTH SCIENCES; Heart failure; Biomarker; B-type natriuretic peptide; Heart failure treatment; B-type Natriuretic Peptide guided heart failure treatment; Responders; Health-related quality of life; Heart failure duration; Outcomes;

    Sammanfattning : Background and aims: Heart failure (HF) is a life threatening condition and optimal handling is necessary to reduce risk of therapy failure. The aims of this thesis were: (Paper I) to examine whether BNP (B-type natriuretic peptide)-guided HF treatment improves morbidity and mortality when compared with HF therapy implemented by a treating physician at sites experienced in managing patients with HF according to guidelines; (Paper II) to investigate how to define a responder regarding optimal cut-off level of BNP to predict death, need for hospitalisation, and worsening HF and to determine the optimal time to apply the chosen cut-off value; (Paper III) to evaluate how Health-Related Quality of Life (HR-QoL) is influenced by natriuretic peptide guiding and to study how HR-QoL is affected in responders compared to non-responders; (Paper IV) to evaluate the impact of patient age on clinical outcomes, and to evaluate the impact of duration of the HF disease on outcomes and the impact of age and HF duration on BNP concentration. LÄS MER

  2. 2. Uppfostringsanstalten : Om tvång i föräldrars ställe

    Författare :Claes Levin; Socialhögskolan; []
    Nyckelord :SAMHÄLLSVETENSKAP; SOCIAL SCIENCES; Social problems and welfare; theory of social work; Correctional Treatment; Reformatory; Residential Treatment; Treatment Organizations; Juvenile Delinquency; Child Care; Social Institutions; Human service organizations; People-Changing Organizations; Treatment; Social changes; Incarceration; national insurance; teorier om socialt arbete; Sociala förändringar; Sociala problem; social välfärd; socialförsäkring;

    Sammanfattning : The aim of the present study is to find the factors and conditions that generate the success of the reformatory as a social institution and, at the same time, its well-known failure as a treatment organization. I try to understand why organizations like the reformatory exist and what meaning they have in our society. LÄS MER

  3. 3. Adherence to drug treatment and interpretation of treatment effects

    Författare :Erik Berglund; Per Lytsy; Ragnar Westerling; Tove Hedenrud; Uppsala universitet; []
    Nyckelord :MEDICIN OCH HÄLSOVETENSKAP; MEDICAL AND HEALTH SCIENCES; Medication adherence; Health-seeking behaviour; Chronic treatment; Cardiovascular treatments; Anticoagulants therapeutic use; Treatment outcome; Effect measure; Quality of care; Medical decision-making; Necessity-concern framework; Choice behaviour; Risk communication; Risk perception; Health communication; Social Medicine; Socialmedicin;

    Sammanfattning : Suboptimal adherence to medical treatments is prevalent across several clinical conditions and can lead to treatment failure. Adherence is a far from fully explored phenomenon and there is little knowledge about how patients interpret treatment effects. LÄS MER

  4. 4. Immigrants with heart failure- A descriptive comparative study of symptoms, self care, social support, care and treatment

    Författare :Azar Hedemalm; Göteborgs universitet; []
    Nyckelord :Immigrant; heart failure; symptom; treatment; self care; physical and emotional state; social support; patient records;

    Sammanfattning : Background: The current demographic profile in Sweden demonstrates blended ethnicities and cultures evolving through mass migration and resettlement. While it is acknowledged that cultural background affects, illness experience, participation in the care or self-management of illness, little is presently known about the treatment patterns, symptoms, health care seeking and health outcomes among immigrants with heart failure (HF) in Sweden or other Scandinavian countries ? despite the fact that worsening of chronic heart failure is the most common cause of hospitalisation in patients over 65 years of age. LÄS MER

  5. 5. Causes and treatment of chronic respiratory failure : experience of a national register

    Författare :Torbjörn Gustafson; Kerstin Ström; Karl Franklin; Kjell Torén; Kurt Boman; Leif Bjermer; Umeå universitet; []
    Nyckelord :Internal medicine; Invärtesmedicin; chronic obstructive pulmonary disease; pulmonary fibrosis; kyphoscoliosis; respiratory failure; sex; smoking; occupation; survival; long-term oxygen therapy; mechanical ventilation; lungmedicin; Lung Medicine;

    Sammanfattning : Long-term oxygen therapy (LTOT) or home mechanical ventilation (HMV) can improve survival time in chronic respiratory failure. A national quality register could be an aid to identifying risk markers and optimizing therapy for respiratory failure. LÄS MER