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Psykisk ohälsa är en vanlig bakgrund till att patienter söker hjälp i primärvården men det är inte alltid dessa problem upptäcks. Patienterna erbjuds inte heller alltid adekvat behandling. Det finns flera väl beprövade bedömningsinstrument och evidensbaserade behandlingar för psykisk ohälsa men tillgängligheten till dessa är begränsad i primärvården. I avhandlingen ingår tre delstudier som är utfThe present thesis comprises three studies carried out within REGASSA, a multicenter randomized controlled trial in primary care. In the REGASSA study a 12 week treatment of mild to moderate depression and stress-related mental Health problems using Internet-based cognitive behavioural therapy (ICBT) and physical exercise (PE) was compared with treatment as usual (TAU). The inclusion criteria were

The study is part of a series of investigations performed with the ultimate goal of obtaining an objective evaluation of the ethical aspects and the narcotic efficiency of CO2 inhalation used as pre-slaughter anaesthesia for swine. Six Yorkshire swine were exposed twice to 80% CO2 for I min during simultaneous recording of the EEGs from the frontal neocortex, the dorsal hippocampus, and the amygda

Background: Tumor microenvironment, which is largely affected by inflammatory cells, is a crucial participant in the neoplastic process through promotion of cell proliferation, survival and migration. We measured the effects of polymorphonuclear neutrophil (PMN) conditioned medium alone, and supplemented with serine proteinase inhibitor α-1 antitrypsin (AAT) or its C-terminal fragment (C-36 peptid

Increasing evidence supports the benefit of identifying BRCA1 and BRCA2 germline mutations in early breast cancer. Selection of patients for genetic testing is based on defined criteria taking individual and family history related factors into account. It is important to make a distinction between efficacy and effectiveness of BRCA testing criteria. Efficacy can be defined as the performance under

Aim: To assess the quality of evidence and determine the effect of patient-related and economic outcomes of self-management support interventions in chronically ill patients with a low socio-economic status. Background: Integrated evidence on self-management support interventions in chronically ill people with low socio-economic status is lacking. Design: Systematic literature review. Data sources

Jet impingement cooling is widely used in modern gas turbines. In the present study, both heat transfer and flow field measurements of jet impingement in cross-flow are carried out with and without a vortex generator pair (VGP). The jet and cross-flow Reynolds numbers are fixed at 15,000 and 48,000, respectively. The local heat transfer coefficients are obtained by a liquid crystal thermography (L

In situ knowledge of the gas phase around a catalyst is essential to make an accurate correlation between the catalytic activity and surface structure in operando studies. Although ambient pressure X-ray photoelectron spectroscopy (AP-XPS) can provide information on the gas phase as well as the surface structure of a working catalyst, the gas phase detected has not been spatially resolved to date,

Implantation of the Yoshida AH-130 ascites hepatoma to rats resulted in a decrease in muscle weight 7 days after the inoculation of the tumor. These changes were associated with increases in the mRNA content for both peroxisome proliferator-activated receptor (PPAR) gamma and PPAR delta in skeletal muscle. The increase in gene expression for these transcription factors was related to increases in

We report results from experiments where we characterize the surface properties of soot particlesinteracting with high-pressure methane. We find considerable differences in behavior of the soot materialbetween static and dynamic pressure conditions that can be explained by multiscale correlations inthe dynamics, from the micro to macro of the porous fractal-like carbon matrix. The measurements wer

This paper is inspired by recent literature that emphasise the performative, sensory, and embodied experiences of heritage practices, as well as by the recent “spatial” turn in China studies. Both rural and urban China has undergone dramatic spatial changes since 1949 that at first were brought about by ideological and political movements and later by market

The notion of creative city has been extensively discussed both in academic debate as well as public discourse, including on Asian context. However, a tendency to study only on strategic government policies in relation to this matter has led many multi-dimensional aspects being left behind. One of these important aspects is the creativity-based activities initiated and conducted by local groups, c

Purpose: To describe experiences of shoulder pain after stroke, how pain affects daily life and perceived effects of interventions. Method: A qualitative interview study including 13 community-dwelling persons (six women; median age 65 years) with persistent shoulder pain after stroke. Results: Three categories emerged from the content analysis. In “Multiple pain characteristics” an insidious pain

Background. To inform their health decisions, patients may seek narratives describing other patients' evaluations of their treatment experiences. Narratives can provide anti-treatment or pro-treatment evaluative meaning that low-numerate patients may especially struggle to derive from statistical information. Here, we examined whether anti-vaccine (v. pro-vaccine) narratives had relatively stronge

Objectives: We compared the effectiveness of the Gold Standard Programme (a comprehensive smoking cessation intervention commonly used in Denmark) with other face-to-face smoking cessation programmes in Denmark after implementation in real life, and we identified factors associated with successful quitting. Design: Prospective cohort study. Setting: A total of 423 smoking cessation clinics from di

We examined factors which may lower the mean amputation age and factors which may serve as predictors of success or failure of amputations in the lower extremities for vascular disease in 177 consecutive amputees. Smoking lowered the mean amputation age by 9 years and diabetes by 3 years. Preoperative absence of gangrene in the ischemic limb predicted a higher risk of failure compared to patients