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Search Results: 1 - 10 of 100 matches for " Febe Friberg "
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Experts' Encounters in Antenatal Diabetes Care: A Descriptive Study of Verbal Communication in Midwife-Led Consultations
Christina Furskog Risa,Febe Friberg,Eva Lidén
Nursing Research and Practice , 2012, DOI: 10.1155/2012/121360
Abstract: Aim. We regard consultations as cocreated communicatively by the parties involved. In this paper on verbal communication in midwife-led consultations, we consequently focus on the actual conversation taking place between the midwife and the pregnant woman with diabetes, especially on those sequences where the pregnant woman initiated a topic of concern in the conversation. Methods. This paper was undertaken in four hospital outpatient clinics in Norway. Ten antenatal consultations between midwives and pregnant women were audiotaped, transcribed to text, and analyzed using theme-oriented discourse analysis. Two communicative patterns were revealed: an expert's frame and a shared experts' frame. Within each frame, different communicative variations are presented. The topics women initiated in the conversations were (i) delivery, time and mode; (ii) previous birth experience; (iii) labor pain; and (iv) breast feeding, diabetes management, and fetal weight. Conclusion. Different ways of communicating seem to create different opportunities for the parties to share each other's perspectives. Adequate responses and a listening attitude as well as an ambiguous way of talking seem to open up for the pregnant women's perspectives. Further studies are needed to investigate the obstacles to, and premises for, providing midwifery care in a specialist outpatient setting. 1. Introduction In line with the global increase in prediabetes and diabetes, a significant rise in the proportion of diabetes during pregnancy has been reported. Women with diabetes are regarded as a high-risk group with respect to maternal, fetal, and neonatal outcomes [1]. According to the Medical Birth Registry in Norway [2] reporting for the year 2008, diabetes was reported in 2.1% of all pregnancies. Diabetes type I (T1DM) and type II (T2DM) were diagnosed in 0.4% and 0.3%, respectively, of the pregnancies in 2009. Gestational diabetes mellitus (GDM) was recorded in 1.4% of pregnancies, a number that has doubled during the last decade. In Norway, antenatal care for diabetes pregnancies is delivered in hospital outpatient clinics by multidisciplinary diabetes teams, in line with national guidelines for diabetes in pregnancy [3]. In this team, the midwife is responsible for continuity of follow-ups of the developing pregnancy. In addition, the midwife provides information and advice related to the consequences of living with diabetes and the expressed needs of the woman. Several studies point to the fact that midwifery consultations are perceived as valuable for the women [4, 5], but there is
Perceived Symptoms in People Living with Impaired Glucose Tolerance
Susanne Andersson,Inger Ekman,Ulf Lindblad,Febe Friberg
Nursing Research and Practice , 2011, DOI: 10.1155/2011/937038
Abstract: The aim of the study was to identify symptoms in people with impaired glucose tolerance (IGT) and describe their experiences of living with the symptoms which they related to their condition. Twenty-one participants, from a cross-sectional population-based study, diagnosed as having IGT, were invited for an interview. The interviews were analyzed in two phases by means of a manifest and latent content analysis. The narratives included seven categories of symptoms (and more than 25 different symptoms) presented by the respondents. This study shows that symptoms such as the patient's own interpretation of different perceptions in the body must be considered, as well as signs and/or objective observations. Symptoms ought to be seen as complementary components in the health encounter and health conversation. The results of this study indicate that health professionals should increase their awareness of the balance between the implicit and the explicit bodily sensations that individuals communicate. Further studies are needed. 1. Introduction Living with impaired glucose tolerance (IGT) means living with an increased risk of developing diabetes mellitus type 2 (T2DM) and is preceded by a long period without symptoms, which is why IGT often remains undetected for a long period of time [1, 2]. At the same time, the prevalence of T2DM is predicted to increase in future decades [3–5], thus emphasizing the importance of identifying additional aspects of understanding what it means to live with IGT. The diagnosis of IGT is based on blood glucose level and determined by OGTT, an oral glucose tolerance test. Impaired glucose tolerance is defined as the two-hour value at OGTT 7.8–11.0?mmol/L and fasting plasma glucose <7?mmol/L according to WHO guidelines [6]. A significant number of patients with IGT already have typical diabetes complications at the time of diagnosing T2DM [7], but knowledge about their illness experiences such as emotional distress are rarely described [8]. Suitable prevention strategies are needed, including both symptoms and signs [9]. It is therefore of significance to describe if any symptoms are perceived by persons diagnosed with IGT. Symptoms refer to the patient’s own interpretation of different sensations in the body: illness, while signs on the other hand are related to objective observations: disease [10]. Signs are abnormalities in the structure and function of body organs and systems and can often be identified by signs of bodily disorder such as oedema, high blood glucose, or large amounts of urine [10]. Symptoms are a large focal
A comparative study of defibrillation and cardiopulmonary resuscitation performance during simulated cardiac arrest in nursing student teams
Sissel I Eikeland Huseb?, Conrad A Bj?rshol, Hans Rystedt, Febe Friberg, Eldar S?reide
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 2012, DOI: 10.1186/1757-7241-20-23
Abstract: We studied video-recorded simulations of D-CPR performance in 28 nursing student teams. Besides describing the overall performance of D-CPR, we compared D-CPR performance in two groups. Group A (n = 14) performed D-CPR in a simulated cardiac arrest scenario, while Group B (n = 14) performed D-CPR after first observing performance of Group A and participating in the debriefing. We developed a D-CPR checklist to assess team performance.Overall there were large variations in how accurately the nursing student teams performed the specific parts of the D-CPR algorithm. While few teams performed opening the airways and examination of breathing correctly, all teams used a 30:2 compression: ventilation ratio.We found no difference between Group A and Group B in D-CPR performance, either in regard to total points on the check list or to time variables.We found that none of the nursing student teams achieved top scores on the D-CPR-checklist. Observing the training of other teams did not increase subsequent performance. We think all this indicates that more time must be assigned for repetitive practice and reflection. Moreover, the most important aspects of D-CPR, such as early defibrillation and hands-off time in relation to shock, must be highlighted in team-training of nursing students.Nurses and nursing students must be able to respond correctly in the event of a cardiac arrest both inside and outside hospitals [1-4]. Most nursing education institutions have resuscitation training within their curricula to meet these expectations and to ensure that students are competent at commencing life support in cases of cardiac arrest. In spite of this, previous studies in the nursing research literature have described poor retention of knowledge and skills in performing resuscitation [3,5-7]. Several educational methods of improving cardiopulmonary resuscitation (CPR) have been tried out but both content and methods lack standardization [3]. Nevertheless, simulation can be used to
Potential Correlation between Spontaneous Emulsification and the Plait Point in the System Water/Benzene/Ethanol: A Phase Diagram Approach  [PDF]
Stig E. Friberg
Soft (Soft) , 2013, DOI: 10.4236/soft.2013.21001
Abstract: The separation of phases after the stability composition at a plait point is exceeded has significant effect on the reactions during spontaneous emulsification, but experimental efforts to obtain accurate information are extremely difficult, because even the smallest scattering of the numbers has a large effect on the result. In the present contribution a model system was applied that closely mirrored experimental values and the mass ratio of the two phases could be calculated with high accuracy. Extrapolation of the ratio between phase masses towards the critical composition showed the two phase masses each close to 0.5, while a composition with a miniscule difference from this composition extrapolated to 1.0. The results showed spontaneous emulsification between solutions at the plait point and water to consist of two processes; an initial extremely fast reaction and a slower process between the aqueous phase formed in the primary emulsification and water.
Neurological prognostication after cardiac arrest
Hans Friberg
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 2008, DOI: 10.1186/1757-7241-16-10
Abstract: This novel, active treatment of cardiac arrest patients in the ICU, as opposed to the former supportive approach, has given the patients' relatives increased hope, presenting new challenges to intensivists. The questions of when and how to inform relatives of the prognosis of an individual patient and of what prognostic tools should be used are still under debate. An evidence-based review on the prediction of outcome in comatose surviviors after cardiopulmonary resuscitation was recently published, but it remains unclear whether these results can be applied to patients treated with hypothermia [4]. The survey by Busch et al. [2] unsurprisingly shows that there is a great deal of insecurity and even a lack of knowledge in the medical community regarding prognostication after cardiac arrest. The introduction of TH has changed the prerequisites for prognostication. The cooled patient is sedated and intermittently paralysed during treatment, and at the same time, the patient's metabolism is lowered by approximately 30%, affecting drug turnover. Moreover, a lowered temperature over an extended period of time may affect brain functions in an unpredictable way. Many intensivists can testify to very late recoveries in individual comatose, hypothermia-treated patients. However, until we know more, great caution should be employed when interpreting prognostic measures in these patients, and, even more importantly, the timing of prognostication should be postponed. However, this necessary change has not yet been reflected in clinical practise; a majority of hospitals in the survey by Busch et al. perform prognostication within 48 hours after hospital admission. It is encouraging, though, that a multidisciplinary approach was applied in prognostication in a large majority of hospitals in the survey, involving intensivists, internists and neurologists.This analysis leads to the following statements. First, neurological prognostication after cardiac arrest should routinely be per
Total Cross Sections with Virtual Photons
Christer Friberg
Physics , 2000,
Abstract: A model for total cross sections with virtual photons is presented, in particular gamma-p and gamma-gamma cross sections are considered. Our approach is based on an existing model for photoproduction, which subdivides the total cross section into three distinct event classes: direct, VMD and anomalous. In the region of large photon virtualities, the Deep Inelastic Scattering processes (up to O(alpha_s) corrections) are obtained. Hence, the model provides a smooth transition between the two regions. By the breakdown into different event classes, a complete picture of all event properties is the ultimate goal.
Jet Production by Virtual Photons
Christer Friberg
Physics , 1999, DOI: 10.1016/S0920-5632(00)00142-0
Abstract: The production of jets is studied in collisions of virtual photons, gamma*-p and gamma*-gamma*, specifically for applications at HERA and LEP2. Photon flux factors are convoluted with matrix elements involving either direct or resolved photons and, for the latter, with parton distributions of the photon. Special emphasis is put on the range of uncertainty in the modeling of the resolved component. The resulting model is compared with existing data.
Total Cross Sections and Event Properties from Real to Virtual Photons
Christer Friberg
Physics , 2000, DOI: 10.1063/1.1402838
Abstract: A model for total cross sections with virtual photons is presented. In particular gamma*-p and gamma*-gamma* cross sections are considered. Our approach extends on a model for photoproduction, where the total cross section is subdivided into three distinct event classes: direct, VMD and anomalous. With increasing photon virtuality, the latter two decrease in importance. Instead Deep Inelastic Scattering dominates, with the direct class being the O(alpha_s) correction thereof. Hence, the model provides a smooth transition between the two regions. By the breakdown into different event classes, one may aim for a complete picture of all event properties.
gamma-gamma Physics at Linear Colliders
Christer Friberg
Physics , 1999,
Abstract: A high-energy lepton-lepton collider will give us a unique possibility to study e-gamma and gamma-gamma interactions at high energies. The high-energy photons can be generated by Compton back-scattering of laser light on the high-energy lepton beams. With slightly reduced luminosities for e-gamma and gamma-gamma collisions compared to the lepton-lepton collider one, unique and complementary studies can be performed. A linear lepton-lepton collider also offers other photon sources that will be considered. We will focus on the complex properties of the photon itself and discuss some possibilities to gain new insight in its interactions at high energies and how to reveal the structure of it.
Hydrological Model to Simulate Daily Flow in a Basin with the Help of a GIS  [PDF]
Vitali Diaz Mercado, Khalidou M. Ba, Emmanuelle Quentin, Febe Helia Ortiz Madrid, Lilly Gama
Open Journal of Modern Hydrology (OJMH) , 2015, DOI: 10.4236/ojmh.2015.53006
Abstract: Hydrological modeling is an essential tool to evaluate water resources in hydrological basins. The time invested in it depends on the structure of the hydrological model chosen, the amount and quality of information required and the efforts invested in calibration. CEQUEAU is a distributed hydrological model developed at the INRS-ETE, Quebec, Canada. The basin is divided into cells and the rainfall-runoff process is simulated cell by cell until the outlet. Recent advances in geomatics make it possible to develop modules integrated in geographic information systems (GIS) to facilitate the processing of information required by hydrological models. The objective of the present investigation is to implement the CEQUEAU model in Idrisi GIS for the hydrological modeling of basins, thereby reducing information processing time and improving limitations in the original version, such as the number of discretization cells and methods to calculate evapotranspiration. This document presents the results from the implementation of the CEQUEAU model, including evapotranspiration, water levels (in reservoirs, soil and aquifers) and hydrographs. These results show that these new changes provide more hydrology options to the user and with better results.
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