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Search Results: 1 - 10 of 1427 matches for " Johanna Norderyd "
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Using the International Classification of Functioning, Disability and Health (ICF) to Describe Children Referred to Special Care or Paediatric Dental Services
Denise Faulks, Johanna Norderyd, Gustavo Molina, Caoimhin Macgiolla Phadraig, Gabriela Scagnet, Caroline Eschevins, Martine Hennequin
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0061993
Abstract: Children in dentistry are traditionally described in terms of medical diagnosis and prevalence of oral disease. This approach gives little information regarding a child’s capacity to maintain oral health or regarding the social determinants of oral health. The biopsychosocial approach, embodied in the International Classification of Functioning, Disability and Health - Child and Youth version (ICF-CY) (WHO), provides a wider picture of a child’s real-life experience, but practical tools for the application of this model are lacking. This article describes the preliminary empirical study necessary for development of such a tool - an ICF-CY Core Set for Oral Health. An ICF-CY questionnaire was used to identify the medical, functional, social and environmental context of 218 children and adolescents referred to special care or paediatric dental services in France, Sweden, Argentina and Ireland (mean age 8 years ±3.6yrs). International Classification of Disease (ICD-10) diagnoses included disorders of the nervous system (26.1%), Down syndrome (22.0%), mental retardation (17.0%), autistic disorders (16.1%), and dental anxiety alone (11.0%). The most frequently impaired items in the ICF Body functions domain were ‘Intellectual functions’, ‘High-level cognitive functions’, and ‘Attention functions’. In the Activities and Participation domain, participation restriction was frequently reported for 25 items including ‘Handling stress’, ‘Caring for body parts’, ‘Looking after one’s health’ and ‘Speaking’. In the Environment domain, facilitating items included ‘Support of friends’, ‘Attitude of friends’ and ‘Support of immediate family’. One item was reported as an environmental barrier – ‘Societal attitudes’. The ICF-CY can be used to highlight common profiles of functioning, activities, participation and environment shared by children in relation to oral health, despite widely differing medical, social and geographical contexts. The results of this empirical study might be used to develop an ICF-CY Core Set for Oral Health - a holistic but practical tool for clinical and epidemiological use.
Perspectives for Wearable Electronics in Healthcare and Childcare  [PDF]
Johanna Virkki, Pasi Raumonen
E-Health Telecommunication Systems and Networks (ETSN) , 2013, DOI: 10.4236/etsn.2013.23008
Abstract: This paper starts with a literature survey that introduces possibilities of wearable electronics (WE) in different healthcare and childcare applications. Next, 24 personal interviews and an Internet forum survey were conducted in Finland about the use of WE in applications mentioned above. According to the results, most of the people feel positive about clothes used for wireless identification purposes in healthcare and childcare, but when more information about the person is added that can be wirelessly read, the feelings become more negative. Several important points to consider before implementation of WE for healthcare and childcare environments were brought up.
Process Adaption and Modifications of a Nutrient Removing Wastewater Treatment Plant in Sri Lanka Operated at Low Loading Conditions  [PDF]
Johanna Berg, Stig Morling
Materials Sciences and Applications (MSA) , 2013, DOI: 10.4236/msa.2013.45038
Abstract:

The Sri Lankan national water authority, that is The National Water Supply and Drainage Board (NWS&DB) has taken a new wastewater treatment plant into operation at Ja Ela, North of Colombo. The plant has been in operation since September 2011. In April 2012, it was concluded how a test of the aeration efficiency and a performance test should be carried out. The tests have been based on the actual loading of the plant and the analysis results from the daily process control. The evaluation of the aeration efficiency is not reported in this paper. The paper presents the overall performance of the water treatment part of the plant during start-up conditions, from fall 2011 through the first five months of 2012. The results from the operation are found in Table 1. An important circumstance at the plant is the current very low loading in comparison with the design load. This fact has resulted in an introduction of an intermittent mode of the aeration (nitrification) reactor. Based on operation figures, during more than a month (May 2012), it has been possible to give a realistic assessment of the overall performance. The most striking results are summarized as follows: 1) The intermittent operation has enabled an energy efficient operation of the plant. By the introduction of the intermittent aeration, the energy consumption has been reduced by around 75%, compared with the continuous operation mode; 2) The plant performance during the intermittent operation has been improved with respect to virtually all important pollu

Personal Perspectives: Individual Privacy in the IOT  [PDF]
Johanna Virkki, Liquan Chen
Advances in Internet of Things (AIT) , 2013, DOI: 10.4236/ait.2013.32003
Abstract:

The Internet of Things (IOT) is the extension of the Internet to the next level, i.e., bringing the Internet to the real physical world of things. In this research, 22 people working with different aspects of IOT development were interviewed in Finland and in China, in order to investigate their thoughts and personal opinions on the IOT and the individual privacy in the IOT. This paper presents the background of the IOT, interviews and collected answers, as well as highlights of collected free comments.

Privacy of Wearable Electronics in the Healthcare and Childcare Sectors: A Survey of Personal Perspectives from Finland and the United Kingdom  [PDF]
Johanna Virkki, Rebecca Aggarwal
Journal of Information Security (JIS) , 2014, DOI: 10.4236/jis.2014.52005
Abstract:

The innovative development of Wearable Electronics (WE) is creating exciting opportunities for application across many industries. Two sectors with high potential are healthcare and childcare. However, it is in these two sectors where the challenges of privacy are presumed to be of the highest. In order to ascertain the personal views of people about potential privacy problems in WE application in these two sectors, interviews with questionnaires were conducted in two different countries: Finland and the United Kingdom (UK). The results indicated that the majority of people in both countries are positive about the use of WE in healthcare and childcare environments. However, when more information is added to be read wirelessly, the attitudes become more negative. In general, the application of WE is more favorable in the UK and the reason as to the difference will make for interesting further research. Several interesting viewpoints and concerns were presented in the interviews. It can be concluded that the implementation of WE in these two sectors will require the collaboration of work on several areas and the development of versatile user studies.

ANCA-Associated Vasculitides—An Update  [PDF]
Johanna Kegel, Torsten Kirsch
Health (Health) , 2014, DOI: 10.4236/health.2014.614209
Abstract: Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides are characterized by destruction of small vessels, granulomatous inflammation of the respiratory tract and necrotizing glomerulonephritis. This review describes the clinical diagnosis and therapy as well as the patho-physiology of ANCA-associated vasculitides with a specific focus on the interplay of ANCAs with activated neutrophils and the deleterious pathophysiological consequences of neutrophil-endothelium interaction.
Comparison of the Specialist Medical Training in Internal Medicine between Germany, Austria and Switzerland: An Overview  [PDF]
Johanna Braun, Ursula Gresser
Creative Education (CE) , 2017, DOI: 10.4236/ce.2017.811118
Abstract: Specialists for internal medicine are very important group of the medical profession. Although they make up the largest group of specialized physicians, there is a shortage of physicians, and in particular of internists in Germany, Austria and under some aspects in Switzerland. Germany, Austria and Switzerland show also an intensive transfer of physicians. It is therefore of interest to investigate if the tern “internist” in the three countries under consideration is based on the same or equivalent education, in particular regarding the quality standards. Exchange date between the three countries, the organisation of the medical profession, the access requirements to the specialist medical training, the structure of the specialist’s training as well as the requirements for keeping the specialist’s name have been compared. The main differences are the access requirements and the linkage of the qualification to the independent exercise of the medical profession. Also regarding the performance catalogues, the Swiss education follows a different approach as in Germany and Austria.
Perspectives for Sharing Personal Information on Online Social Networks  [PDF]
Chi Kin Chan, Johanna Virkki
Social Networking (SN) , 2014, DOI: 10.4236/sn.2014.31005
Abstract:

The goal of this research was to study how people feel about sharing personal information on social networks. The research was done by interviews; 50 people were interviewed, mostly from mainland China, Hong Kong, and Finland. This paper presents the included 12 questions and discusses the collected answers. It was discovered, e.g., that 38 out of the 50 answerers use social media every day and share versatile personal information on the Internet. Half of the answerers also share information about other people on the Internet. It was also discovered that compared to male answerers, the female answerers were more active in sharing information about other people. There was a significant variety in opinions: what should be the age limit for sharing personal information online, while 22 out of the 50 answerers felt that there is no need for an age limit at all. According to the answers, only a few people use social media for making new friends. Instead, an important reason for using social media is that their existing friends are using. An interesting finding was that the answerers see the Internet as a part of the real world; the privacy that you have on the Internet is the privacy that you have in the real world.

Pilot Study of Problem Gambling in Specialized Substance Use Disorder Treatment—High Lifetime Prevalence of Problem Gambling in Opioid Maintenance Treatment Patients  [PDF]
Anders H?kansson, Johanna Ek
Open Journal of Psychiatry (OJPsych) , 2018, DOI: 10.4236/ojpsych.2018.83020
Abstract: Problem gambling is over-represented in patients treated for substance use disorders, but substance-specific prevalence of problem gambling is rarely reported. In specialized addiction treatment facilities for opioid maintenance treatment and for alcohol and prescription drug dependence, respectively, 129 patients were screened for problem gambling using the NODS-CLiP. The lifetime prevalence of problem gambling was markedly higher in opioid maintenance treatment (61 percent) than in alcohol and prescription drug dependence treatment (11 percent, p < 0.001). When controlling for gender and age, problem gambling remained significantly associated with opioid maintenance treatment. The present study demonstrated a very high prevalence of lifetime problem gambling in opioid maintenance treatment patients. This calls for active screening for problem gambling in substance use disorder patients, and mainly in treatment for opioid dependence.
Walking a mile in their patients' shoes: empathy and othering in medical students' education
Johanna Shapiro
Philosophy, Ethics, and Humanities in Medicine , 2008, DOI: 10.1186/1747-5341-3-10
Abstract: When someone is sick, disabled, in pain, hurt, or dying, medicine expects an altruistic impulse from the physician. In other words, the physician must draw closer to the patient, putting the interests of other above those of self, even at some sacrifice to oneself. Scholars have tried to determine what constellation of factors propels certain individuals toward altruistic action [1]. Although the confluence of values, personality, and situation is complex, some researchers have posited an altruism-empathy nexus [2], in which empathy is the underlying motivator and enabling force in altruism. According to this theory, the key ingredient to helping is empathy [3]. Without empathy, social exchange theory, which states benefit must always outweigh cost in any action, takes over [4].In this sense then, empathy for the patient underlies one of the key professionalism goals of medical education; and as such may be considered a kind of bellwether by which to measure the extent to which the fundamental nature of medical practice is changing. Although Landau [5] contemptuously referred to empathy as "the least" of medicine's professional virtues, in fact, if figuring out how to bridge the inevitable distance between doctor and patient is at the heart of good doctoring [6], then empathy may be "the most" important. The American Association of Medical Colleges has identified the development and enhancement of empathy in medical students as a key goal [7] and the Accreditation Council for Graduate Medical Education lists empathy as a component of professionalism [8]. The value of empathy is cited in specialty training guidelines [9-12], and is mentioned as important by trainees as well [13].Although the reduction of empathy to its behavioral components [14,15] has received intense criticism [16-19], because it is more easily observably translated into daily clinical practice than the virtue of altruism, it has garnered much more direct emphasis in medical education. Training pro
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