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1.
BMC Geriatr ; 22(1): 852, 2022 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-36371161

RESUMO

BACKGROUND: Elder abuse is a serious issue with a global prevalence of 15.7% in the community setting. Persons with dementia are at higher risk of elder abuse than the older population in general. With a high and increasing prevalence of dementia this issue cannot be neglected. Hence, the aims of this study were 1) to describe the proportion of abusive episodes among home-dwelling persons with dementia and their informal caregivers, and 2) to explore differences between informal caregivers who have reported committing and not committing abusive acts. METHODS: A cross-sectional survey was conducted among informal caregivers of home-dwelling persons with dementia in Norway from May to December 2021 with a total of 549 participants. RESULTS: Two-thirds of informal caregivers had committed at least one abusive episode toward the person with dementia in the past year (63.5% psychological abuse, 9.4% physical abuse, 3.9% financial abuse, 2.4% sexual abuse, 6.5% neglect). One-third of informal caregivers had experienced aggression from the person with dementia (33.9% psychological abuse, 7.8% physical abuse, 1.1% financial abuse, 1.4% sexual abuse). Tests for independence showed that the risk of abusive episodes from informal caregivers toward persons with dementia was higher when the informal caregiver was a spouse/partner of the person with dementia and if they experienced aggression from the person with dementia. CONCLUSIONS: The results demonstrate that a majority of informal caregivers commit some form of abusive episodes, and episodes that fall within the scope of psychological abuse are most frequent. This study expands knowledge about elder abuse among home-dwelling persons with dementia. Increased understanding of the dynamics of abuse is essential to be able to reduce risk and prevent abuse.


Assuntos
Demência , Abuso de Idosos , Humanos , Idoso , Cuidadores/psicologia , Estudos Transversais , Demência/diagnóstico , Demência/epidemiologia , Demência/psicologia , Abuso de Idosos/psicologia , Noruega/epidemiologia
2.
J Environ Manage ; 324: 116374, 2022 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-36352726

RESUMO

A collective understanding of economic impacts and in particular of monetary costs of biological invasions is lacking for the Nordic region. This paper synthesizes findings from the literature on costs of invasions in the Nordic countries together with expert elicitation. The analysis of cost data has been made possible through the InvaCost database, a globally open repository of monetary costs that allows for the use of temporal, spatial, and taxonomic descriptors facilitating a better understanding of how costs are distributed. The total reported costs of invasive species across the Nordic countries were estimated at $8.35 billion (in 2017 US$ values) with damage costs significantly outweighing management costs. Norway incurred the highest costs ($3.23 billion), followed by Denmark ($2.20 billion), Sweden ($1.45 billion), Finland ($1.11 billion) and Iceland ($25.45 million). Costs from invasions in the Nordics appear to be largely underestimated. We conclude by highlighting such knowledge gaps, including gaps in policies and regulation stemming from expert judgment as well as avenues for an improved understanding of invasion costs and needs for future research.


Assuntos
Países Escandinavos e Nórdicos , Noruega , Islândia , Finlândia , Suécia
3.
Int J Equity Health ; 21(1): 154, 2022 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-36329455

RESUMO

BACKGROUND: The COVID-19 pandemic has had profound consequences for the world's population, particularly for vulnerable groups like migrants who face barriers to healthcare access. Trust in authorities is crucial to any crisis management strategy implemented by a government. However, trust in authorities is linked to trust in other areas of life and it evolves during a crisis. This study explores migrants' trust in the Norwegian government's response to the COVID-19 pandemic. METHODS: We conducted semi-structured interviews from April to May 2020 with migrants from Somalia (10), Syria (15), Sri Lanka (10), Chile (10) and Poland (10) who were living in Norway. Interviews were conducted via telephone and in participants' mother tongue. Data were analysed thematically using the systematic text condensation method. RESULTS: Trust was established at four levels: (i) in the personal sphere, (ii) in Norwegian society in general, (iii) in the Norwegian authorities' management of the pandemic, and (iv) in the transnational sphere. Trust was deeply rooted in relationships with individuals, groups and entities, across countries. High trust in authorities emerged in the accounts of participants who felt they were taken care of in the diverse relationships they established in Norway, particularly during the crisis. CONCLUSION: Pandemics create more vulnerability but also opportunities for trust-building. Trust-building can be fostered through relationships in the host country that provide the foundation for migrants to feel included. Healthcare providers are in a position from which they can nurture trust as they can build relationships with migrants over time.


Assuntos
COVID-19 , Pandemias , Migrantes , Confiança , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Noruega/epidemiologia , Pandemias/prevenção & controle , Migrantes/psicologia , Confiança/psicologia
4.
BMC Med ; 20(1): 427, 2022 11 08.
Artigo em Inglês | MEDLINE | ID: mdl-36348327

RESUMO

BACKGROUND: Asymptomatic COVID-19 cases have complicated the surveillance and tracking of the pandemic. Previous studies have estimated that 15-25% of all infectees remain asymptomatic. METHODS: Based on contact tracing data from Oslo, Norway, we estimated transmission and susceptibility dynamics among symptomatic and asymptomatic cases and their contacts as identified by manual contact tracing between September 1, 2020, and September 1, 2021. RESULTS: Among 27,473 indexes and 164,153 registered contacts, the secondary attack rate (SAR-14) was estimated to be 28% lower through asymptomatic exposure (13%) compared to symptomatic exposure (18%). Furthermore, those infected by asymptomatic cases were almost three times more likely to be asymptomatic compared to those infected by symptomatic cases. CONCLUSIONS: Symptomatic cases spread the virus to a greater extent than asymptomatic, and infectees are more likely to be asymptomatic if their assumed infector was asymptomatic.


Assuntos
COVID-19 , SARS-CoV-2 , Humanos , Busca de Comunicante , COVID-19/epidemiologia , Pandemias , Noruega/epidemiologia
5.
BMC Health Serv Res ; 22(1): 1332, 2022 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-36352442

RESUMO

BACKGROUND: The Norwegian colorectal cancer (CRC) screening programme started in May 2022. Inequities in uptake of CRC screening is a concern, and we expect that immigrants are at risk of non-uptake. Immigrants from Poland are the most populous immigrant group in Norway. The purpose of this study was to identify and explore factors that may facilitate Polish immigrants' access to the Norwegian CRC screening programme. MATERIAL AND METHODS: This study was based on qualitative interviews with ten Polish immigrants in Norway. The participants represented a convenience sample that varied in terms of gender, education, employment, time in Norway, place of residence, Norwegian language skills and ties to the Norwegian-Polish community. We performed thematic content analysis to understand CRC screening from the perspective of Polish immigrants, using transnationalism and Levesque's conceptualization of accessibility as theoretical frameworks. RESULTS: We grouped our findings into three themes; "understanding of CRC development and the need to access health care", "binationalism" and "improving accessibility through information". Within these themes, various factors influenced the participants' accessibility to CRC screening, namely knowledge about the screening and about causes, development and prevention of the disease, language, choice of screening country, trust in health personnel's competence, information needs, methods and sources, as well as participants' perception of the faecal immunochemical test screening user manual. These factors were further influenced by communication between the Polish community in Norway and Poland, as well as travel between the countries. CONCLUSION: We identified several factors that can be targeted with an aim to increase Polish immigrants' access to the Norwegian CRC screening programme. Effective measures could include increasing cultural competence among health care providers and providing information in Polish through Polish-speaking health care professionals, general practitioners and internet portals used by the Polish-speaking community. Focusing on accessibility in a transnational setting, our findings may be of interest for policy makers and service providers planning preventive health measures for immigrants.


Assuntos
Neoplasias Colorretais , Emigrantes e Imigrantes , Humanos , Detecção Precoce de Câncer , Polônia , Idioma , Pesquisa Qualitativa , Neoplasias Colorretais/diagnóstico , Neoplasias Colorretais/prevenção & controle , Noruega , Acesso aos Serviços de Saúde
6.
Environ Monit Assess ; 195(1): 109, 2022 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-36376774

RESUMO

The aim of this research was to quantify the content of hazardous elements in the needles of Norway spruce (Picea abies L.) in the natural habitats that were accumulated from thermal power plants, mines, and metal processing industry. Fifteen natural populations of the Norway spruce were sampled from the mountain ranges in Southeastern Europe (Dinaric Alps and Balkan Mountains). Two-year-old spruce needles were evaluated the content of the following hazardous elements: heavy metals cadmium, mercury, nickel, lead and zinc, and metalloid arsenic. The effect of the distance between air pollution emitters and the Norway spruce natural habitats on the hazardous elements content in needles was also evaluated. The results of the analysis of variance confirmed interpopulation differences in the content of all analyzed hazardous elements. The effect of the air pollution source (thermal power plants, mines, and industry) on the content of hazardous elements in the spruce needles was also assessed. Significant correlation was found between the distance of air pollution emitters and the amount of zinc. This study could serve as the startup point of future monitoring programs and provide new prospect of using Norway spruce needles as the bioindicator of air pollution with hazardous elements on Balkan Peninsula since the fact that the Norway spruce natural populations inhabit wide geographic range of the continental Europe, from the Balkan Peninsula, over European Alps to Scandinavia and a large-scale of altitude from 980 to 1860 m above sea level.


Assuntos
Abies , Picea , Pinus , Efeitos Antropogênicos , Monitoramento Ambiental , Ecossistema , Noruega , Zinco
7.
BMC Psychiatry ; 22(1): 671, 2022 10 31.
Artigo em Inglês | MEDLINE | ID: mdl-36316661

RESUMO

BACKGROUND: Validated measures of patient-reported experiences are essential for assessing and improving the quality of mental health services and interventions. In Norwegian mental healthcare settings, the Client Satisfaction Questionnaire (CSQ-8) is increasingly being used for this purpose, but the validity and reliability of the Norwegian translation have not been investigated. METHODS: We examined the factor structure and internal consistency of a digitally administrated Norwegian translation of the CSQ-8 in a sample of 338 patients recruited from outpatient treatment. The relationship between satisfaction scores and the change in symptom severity during treatment, measured by the Patient Health Questionnaire-4, was also investigated. RESULTS: The Norwegian CSQ-8 showed a clear unidimensional structure with one factor explaining 74% of the variance. Internal consistency was very high, with a Cronbach's alpha of 0.95. Satisfaction showed a small-to-moderate negative relationship with change in symptom severity. Satisfaction scores were negatively skewed, and the presence of ceiling effects is discussed. CONCLUSION: Our results support the use of the Norwegian CSQ-8 as a valid and reliable measure of satisfaction with mental healthcare services. Further studies are needed to determine the test-retest reliability of the questionnaire, its sensitivity to change, and to assess its propensity to ceiling effects.


Assuntos
Saúde Mental , Medidas de Resultados Relatados pelo Paciente , Satisfação do Paciente , Psicometria , Inquéritos e Questionários , Humanos , Pacientes Ambulatoriais , Satisfação Pessoal , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários/normas , Noruega
8.
Sci Eng Ethics ; 28(6): 59, 2022 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-36396797

RESUMO

Researchers sometimes engage in various forms of dishonesty and unethical behavior, which has led to regulatory efforts to ensure that they work according to acceptable standards. Such regulation is a difficult task, as research is a diverse and dynamic endeavor. Researchers can disagree about what counts as good and acceptable standards, and these standards are constantly developing. This paper presents and discusses recent changes in research integrity and ethics regulation in Norway, Denmark, and Sweden. Recognizing that research norms are developed through practice and are therefore unsuited for comprehensive national regulation, the Scandinavian countries focus on empowering the research community to regulate itself instead, except for the most severe cases of misconduct. This empowerment takes the form of giving research institutions tools and investigatory powers while also holding them responsible for ensuring that both the institution and individual researchers are up to date on relevant norms. In this way, the Scandinavian governments seek to avoid some of the challenges found in more legalistic approaches, which risk lagging behind the continuous development of research norms and can be insensitive to the fact that different disciplines have different norms. While the new approach in Scandinavian has several potential benefits, it also involves potential trade-offs and limitations. The new laws can create confusion about what researchers are allowed to do. Another issue is that it only addresses the fundamental drivers of misconduct to a limited extent.


Assuntos
Má Conduta Científica , Humanos , Pesquisadores , Poder Psicológico , Países Escandinavos e Nórdicos , Noruega
9.
BMC Res Notes ; 15(1): 349, 2022 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-36401320

RESUMO

OBJECTIVE: There is a research gap regarding the way managers and employee representatives respond to Labour Authority interventions targeting work-related psychosocial and ergonomic risk factors. The present study aimed to determine if (I) labour inspections and (II) guidance-through-workshops led by inspectors were perceived by the target audience as equally useful and educational; and to determine if utility and enhanced knowledge were associated with the implementation of measures to prevent work-related risk factors. Finally, it aimed to determine if the managers in the intervention groups to a greater extent than the controls reported implementing such measures. RESULTS: Managers and employee representatives in both intervention groups reported a high level of perceived utility as well as a high level of enhanced knowledge. Both utility (p < 0.05) and enhanced knowledge (p < 0.05) were significantly associated with the implementation of, or plans to soon implement, measures to improve working conditions. When compared to controls, implemented measures, or plans to implement measures, were reported significantly more frequently by managers in the inspection group (p < 0.05). Trial Registration ClinicalTrials.gov ID: NCT03855163 Registered on February 26, 2019.


Assuntos
Ergonomia , Serviços de Assistência Domiciliar , Humanos , Fatores de Risco , Noruega
10.
Hist Psychiatry ; 33(4): 412-428, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36408551

RESUMO

This study examines criminal cases related to blasphemy under the absolute monarchy of Denmark-Norway, and presents the evaluation of mental states within a forensic context between 1713 and 1733. First, the article explains how the legal framework and normative guidelines for pastoral care envisaged the interplay between judges, priests and doctors in evaluating mental states. Then, an examination of selected cases is provided, showing the dynamics and the role assignment in the evaluation of mental states in practice. Covering a period characterized by a gradual differentiation of theology, law and medicine, this case study enhances understanding of what preceded the development of psychiatry as a medical speciality during the nineteenth century.


Assuntos
Criminosos , Psiquiatria , Humanos , Psiquiatria Legal/história , Noruega , Dinamarca
12.
BMJ Open ; 12(10): e064118, 2022 10 17.
Artigo em Inglês | MEDLINE | ID: mdl-36253044

RESUMO

OBJECTIVE: To assess the impact of COVID-19 on pregnancy-related healthcare utilisation and differences across social groups. DESIGN: Nationwide longitudinal prospective registry-based study. SETTING: Norway. PARTICIPANTS: Female residents aged 15-50 years (n=1 244 560). MAIN OUTCOME MEASURES: Pregnancy-related inpatient, outpatient and primary care healthcare utilisation before the COVID-19 pandemic (prepandemic: 1 January to 11 March 2020), during the initial lockdown (first wave: 12 March to 3 April 2020), during the summer months of low restrictions (summer period: 4 April to 31 August 2020) and during the second wave to the end of the year (second wave: 1 September to 31 December 2020). Rates were compared with the same time periods in 2019. RESULTS: There were 130 924 inpatient specialist care admissions, 266 015 outpatient specialist care consultations and 2 309 047 primary care consultations with pregnancy-related diagnostic codes during 2019 and 2020. After adjusting for time trends and cofactors, inpatient admissions were reduced by 9% (adjusted incidence rate ratio (aIRR)=0.91, 95% CI 0.87 to 0.95), outpatient consultations by 17% (aIRR=0.83, 95% CI 0.71 to 0.86) and primary care consultations by 10% (aIRR=0.90, 95% CI 0.89 to 0.91) during the first wave. Inpatient care remained 3%-4% below prepandemic levels throughout 2020. Reductions according to education, income and immigrant background were also observed. Notably, women born in Asia, Africa or Latin America had a greater reduction in inpatient (aIRR=0.87, 95% CI 0.77 to 0.97) and outpatient (aIRR 0.90, 95% CI 0.86 to 0.95) care during the first wave, compared with Norwegian-born women. We also observed that women with low education had a greater reduction in inpatient care during summer period (aIRR=0.88, 95% CI 0.83 to 0.92), compared with women with high educational attainment. CONCLUSION: Following the introduction of COVID-19 mitigation measures in Norway in March 2020, there were substantial reductions in pregnancy-related healthcare utilisation, especially during the initial lockdown and among women with an immigrant background.


Assuntos
COVID-19 , Aceitação pelo Paciente de Cuidados de Saúde , Cuidado Pré-Natal , Feminino , Humanos , Gravidez , Controle de Doenças Transmissíveis , COVID-19/epidemiologia , COVID-19/prevenção & controle , Pandemias/prevenção & controle , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Sistema de Registros , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Noruega/epidemiologia , Fatores Socioeconômicos , Estudos Longitudinais , Estudos Prospectivos
13.
Int J Circumpolar Health ; 81(1): 2133349, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36222024

RESUMO

The Sámi people, a northern indigenous people, have a statutory right to receive social and health services, which should take cultural characteristics into consideration. Cultural sensitivity is integral to the ethical principles of social and health care; however, based on previous research, the Sámi's cultural rights have not been recognised. To reinforce their language rights and develop culturally sensitive health care, research is needed to determine what Sámi cultural characteristics mean to Sámi people's well-being. The aim of this study was to describe and understand the meaning of cultural characteristics to the well-being of different generations of Sámi. In this research two Sámi experts described what the Sámi language, costume and food meant to them from a well-being perspective. Data-driven content analysis was applied to their responses. During everyday life, to the Sámi their cultural characteristics represent safety, awareness of one's roots, inner strength, the ability to be oneself, continuity, and communality. These meanings are interconnected with changing environment for the different generations and reflect Sámi people's lived experiences. Consideration of their cultural characteristics in the provision of social and health care will support the Sámi peoples´ integrity and cultural uniqueness, empowering both individual Sámi and their society.


Assuntos
Características Culturais , Idioma , Competência Cultural , Humanos , Noruega
14.
BMJ Open ; 12(10): e060206, 2022 10 05.
Artigo em Inglês | MEDLINE | ID: mdl-36198473

RESUMO

INTRODUCTION: There is a need for standardised interventions in community-based rehabilitation to improve everyday performance for older adults with cognitive challenges due to acquired brain injury (ABI). The Perceive, Recall, Plan and Perform System (PRPP) of intervention has a growing research base. The intervention is suitable for any client with decreased performance in everyday tasks due to ineffective cognitive strategy application to enhance mastery in performance of needed or desired activities. There is no current evidence on the effectiveness of the PRPP intervention for this population. PURPOSE: To describe a protocol for a clinical trial that investigates the effectiveness of the PRPP intervention in the context of community-based rehabilitation for persons (65+ years) with difficulties in task performance due to cognitive challenges after ABI. METHODS AND ANALYSIS: A non-concurrent multiple baseline design across participants with systematic replications (n=6) will be used. Nine sessions of PRPP intervention will be applied by trained occupational therapists in two community-based rehabilitation units. The participants will complete five repeated measurements of everyday tasks as target behaviours. PRPP Assessment stages 1 and 2 serve as outcome measures at baseline, in the intervention period, in the postintervention period and in the follow-up phase. Mastery percentage of the tasks and the participants' application of cognitive strategies at baseline acts as a control and will be compared with the following phases within the participant. Delayed intervention phases act as a control between participants. Goal Attainment Scaling and the Barthel Index will serve as generalisation measures. Data will be analysed using systematic visual inspection of graphical data, descriptions of clinical significance and descriptive statistical analysis. ETHICS AND DISSEMINATION: This trial, including the data management plan, is approved by The Norwegian Regional Ethics Committee (215391). Results will be published in congresses and scientific journals. TRIAL REGISTRATION NUMBER: NCT05148247.


Assuntos
Lesões Encefálicas , Projetos de Pesquisa , Idoso , Lesões Encefálicas/reabilitação , Humanos , Rememoração Mental , Noruega , Avaliação de Resultados em Cuidados de Saúde
15.
Forensic Sci Med Pathol ; 18(4): 456-469, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36251237

RESUMO

PURPOSE: We performed a multidisciplinary investigation of young adults involved in motor vehicle collisions (MVCs) to elucidate injury mechanisms and the role of passive safety equipment such as seat belts and airbags. METHODS: MVCs resulting in death or serious injuries to the driver or passengers aged 16-24 years in southeastern Norway during 2013-2016 were investigated upon informed consent. We assessed the crash scene, the motor vehicle (MV) interior and exterior, and analyzed data from medical records, forensic autopsies and reports from police and civil road authorities. RESULTS: This study included 229 young adult occupants involved in 212 MVCs. The Maximum Abbreviated Injury Scale (MAIS) score was ≥2 in 111 occupants, of which 22 were fatalities. In 59% (65/111) of the cases with MAIS score ≥2 injuries, safety errors and occupant protection inadequacies were considered to have contributed to the injury outcome. Common errors were seatbelt non-use and misuse, carrying insecure luggage, and the seat back being too reclined. MAIS score ≥2 head/neck injuries were observed in side impacts despite correct seatbelt use, related to older MVs lacking side airbag curtains. The independent risk factors for MAIS score ≥2 injuries included not using a seatbelt, driving under the influence of alcohol or drugs, nighttime driving, side impacts, heavy collision partner, and MV deformation. CONCLUSION: User safety errors (not using a seatbelt, seatbelt misuse, excessive seat-back reclining, and insecure cargo) and a lack of occupant protection in older MVs resulted in young adults sustaining severe or fatal injuries in MVCs.


Assuntos
Acidentes de Trânsito , Ferimentos e Lesões , Adulto Jovem , Humanos , Idoso , Cintos de Segurança , Escala Resumida de Ferimentos , Veículos Automotores , Noruega/epidemiologia
16.
Infect Dis (Lond) ; 54(12): 934-939, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36238994

RESUMO

BACKGROUND: As a response to the emergence of the new Omicron SARS-CoV-2 variant, on December 3, 2021, mandatory testing after entry to Norway was extended to include international travellers with a valid COVID-19 certificate. We aim to validate if mandatory testing upon arrival increased the proportion of travellers confirmed with a positive COVID-19 test after entry. METHODS: We used individual level data on registered travellers linked with data on COVID-19 testing and confirmed COVID-19 cases. The proportions of confirmed cases among international travellers before and after the requirement were introduced was analysed with an interrupted times series design. RESULTS: The proportion of travellers with an EU COVID-19 certificate tested at an official test station increased from 3% to 43% after mandatory testing was introduced. However, the proportion of all travellers confirmed with COVID-19 rose only marginally with 0.14 percentage point directly after the intervention (p-value .06). The results are limited by the absence of data on antigen tests taken by the traveller at home and missing data from travellers without a valid Norwegian ID. CONCLUSIONS: Our findings suggest that the benefit of mandatory testing of all international travellers to Norway was marginal in the period directly after the emergence of the omicron variant. This result must be understood in the context of free of charge testing at official test centres, a government recommendation on a low threshold to test when experiencing symptoms in addition to limited surveillance of the compliance of the test after arrival requirement.


Assuntos
COVID-19 , SARS-CoV-2 , Humanos , Teste para COVID-19 , COVID-19/diagnóstico , Noruega
17.
Int J Qual Stud Health Well-being ; 17(1): 2137961, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36268568

RESUMO

Purpose Deconstructing current definitions of "health literacy (HL)" and "eHealth literacy (eHL)", into the core notion of "understanding health information (HI)", this study provides insights into what promotes and inhibits the understanding of HI for breast cancer patients during cancer patient pathways (CCP) in Norway. Methods Seven well-educated women were interviewed. Through a stepwise deductive-inductive analysis of the transcribed interviews, the following topics were identified: 1) explanations accompanied by drawings, 2) individualized knowledge-based information, 3) information processing capacity, and 4) ambiguity in medical information. Results The women's understanding of HI increased when spoken communication was accompanied by visual illustrations, which served as roadmaps throughout the CPP. Even if HI should be targeted to the patients' individual needs, some HI can be generalized if it refers to established knowledge about the health phenomena. The women described their changing mental and physical status during the CPP and how these changes influenced their understanding of HI. Conclusion The results challenge the idea that HL and eHL are fixed, stable, personal characteristics. On the contrary, HL/eHL, in this case particularly the understanding of HI, depends on the individual (temporary) physical and cognitive capacity of the patient and adaptation in the institutional and private contexts.


Assuntos
Neoplasias da Mama , Letramento em Saúde , Telemedicina , Humanos , Feminino , Letramento em Saúde/métodos , Neoplasias da Mama/psicologia , Comunicação , Noruega
18.
Vet Rec ; 191(7): 279, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36205957

Assuntos
Cruzamento , Animais , Noruega
20.
Chronobiol Int ; 39(11): 1465-1474, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36259436

RESUMO

Individual preferred timing of sleep and activity patterns, known as circadian preference, ranges from definitely morning types to definitely evening types. Being an evening type has been linked to adverse sleep and mental health outcomes. This study aimed to explore the associations between circadian preference and self-reported sleep, depression, anxiety, quality of life, loneliness, and self-harm/suicidal thoughts. Data stem from a national survey of students in higher education in Norway (the SHoT-study). All 169,572 students in Norway were invited to participate, and 59,554 students (66.5% women) accepted (response rate = 35.1%). Circadian preference was associated with sleep and mental health outcomes in a dose-response manner. For both genders, being an evening type (either definitely evening or more evening than morning) was associated with an increase in age-adjusted relative risk (RR-adjusted; range = 1.44 to 2.52 vs. 1.15 to 1.90, respectively) across all outcomes compared with definitely morning types. Overall, the present study provides further evidence that evening circadian preference is associated with adverse sleep and mental health outcomes in young adults. As such, future efforts to improve sleep and mental health in young adults should consider their circadian preferences.


Assuntos
Ritmo Circadiano , Qualidade de Vida , Humanos , Feminino , Adulto Jovem , Masculino , Ritmo Circadiano/fisiologia , Universidades , Inquéritos e Questionários , Sono/fisiologia , Estudantes , Noruega , Avaliação de Resultados em Cuidados de Saúde
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