This photo essay highlights the perspectives of children in Mjølnerparken, a public housing neighbourhood targeted by interventions for social mix by the Danish state. Due to the ‘ghetto legislation’ of 2018, 60 percent of the residents will be relocated as their apartments are renovated and sold to a private investor. Drawing on the concepts of evictability (van Baar 2016), homing (Boccagni & Kusenbach 2020), and un-homing (Atkinson 2015), this essay illustrates how children use their neighbourhood and how their everyday life is affected by renovation and sale.

BACKGROUND: Self care is an important concept, which is increasingly being applied by policy makers on a large scale. It is associated with improved health literacy and technological advances. Community pharmacy practitioners are easily accessible for self care counselling, purchase of non-prescription products and for referrals to other healthcare providers.

OBJECTIVE: To describe self care policies and strategies in Swedish healthcare authorities, pharmaceutical organizations and community pharmacy.

METHODS: A search was conducted to retrieve self care policy documents and strategies in Swedish healthcare authorities, pharmaceutical organizations and community pharmacy on respective websites, as well as personal contacts with key persons in pharmaceutical organizations and community pharmacy practice.

RESULTS: A new law on self care was adopted by the Swedish Parliament becoming effective in 2023. The law defines self care as a healthcare measure that has been assessed by a treating licenced healthcare practitioner to be possible to be performed by the patient him/herself. The law includes a wide range of measures. According to a Government Commission that followed Sweden's the National Pharmaceutical Strategy's Action Plan in 2018, the Medical Products Agency (MPA) was assigned to establish requirements of qualifications in self care counselling. In its report in late 2022, the MPA stated that self care counselling by community pharmacy practitioners plays an important role in society. The new requirements are expected to become effective in mid-2023. None of the four community pharmacy chains operating 97% of Sweden's community pharmacies have developed any specific self care policies, although self care counselling and sales of non-prescription products, as well as provision of some primary healthcare services, constitute important components of their operations. Furthermore, all Swedish pharmacies offer several digital self care solutions, supporting people to manage their own health. Neither the Swedish Pharmacy Association, representing most pharmacies, nor the Swedish Pharmacists Association, the trade union, have developed any self care policies. However, the Swedish Association of the Pharmaceutical Industry is promulgating Swedish self care reform using a systematic review of self care and which medicines should be over-the-counter.

CONCLUSIONS: Self care is not currently established as a core pillar of a Swedish national health strategy. There are further opportunities to enable pharmacists to fulfil their potential in supporting individual wellbeing and promoting self care interventions. A new system needs to be created which fully integrates the promotion of everyday wellbeing, self care for self-treatable conditions and the management of long-term conditions.

Aims/hypothesis: Roux-en-Y gastric bypass surgery (RYGB) frequently results in remission of type 2 diabetes as well as exaggerated secretion of glucagon-like peptide-1 (GLP-1). Here, we assessed RYGB-induced transcriptomic alterations in the small intestine and investigated how they were related to the regulation of GLP-1 production and secretion in vitro and in vivo.

Methods: Human jejunal samples taken perisurgically and 1 year post RYGB (n=13) were analysed by RNA-seq. Guided by bioinformatics analysis we targeted four genes involved in cholesterol biosynthesis, which we confirmed to be expressed in human L cells, for potential involvement in GLP-1 regulation using siRNAs in GLUTag and STC-1 cells. Gene expression analyses, GLP-1 secretion measurements, intracellular calcium imaging and RNA-seq were performed in vitro. OGTTs were performed in C57BL/6j and iScd1-/- mice and immunohistochemistry and gene expression analyses were performed ex vivo.

Results: Gene Ontology (GO) analysis identified cholesterol biosynthesis as being most affected by RYGB. Silencing or chemical inhibition of stearoyl-CoA desaturase 1 (SCD1), a key enzyme in the synthesis of monounsaturated fatty acids, was found to reduce Gcg expression and secretion of GLP-1 by GLUTag and STC-1 cells. Scd1 knockdown also reduced intracellular Ca2+ signalling and membrane depolarisation. Furthermore, Scd1 mRNA expression was found to be regulated by NEFAs but not glucose. RNA-seq of SCD1 inhibitor-treated GLUTag cells identified altered expression of genes implicated in ATP generation and glycolysis. Finally, gene expression and immunohistochemical analysis of the jejunum of the intestine-specific Scd1 knockout mouse model, iScd1-/-, revealed a twofold higher L cell density and a twofold increase in Gcg mRNA expression.

Conclusions/interpretation: RYGB caused robust alterations in the jejunal transcriptome, with genes involved in cholesterol biosynthesis being most affected. Our data highlight SCD as an RYGB-regulated L cell constituent that regulates the production and secretion of GLP-1.

Background: The evaluation of muscle pain and sensitivity by manual palpation is an important part of the clinical examination in patients with myalgia. However, the effects of clinical experience and visual feedback on palpation of the masticatory muscles with or without a palpometer are not known.

Objective: To estimate the effects of clinical experience and visual feedback on the accuracy of palpation in standardized settings.

Methods: Thirty-two dentists (age 35 ± 11 years) classified as either specialists (n = 16) or generalists (n = 16) participated in this experiment. All dentists were instructed to target force levels of 500- or 1000-gf, as determined on an electronic scale using either standardized palpometers or manual palpation (MP). All dentists participated in four different tests: MP, MP with visual feedback (MPVF), palpometer (PAL) and PAL with visual feedback (PALVF). Actual force values for each type of palpation from 0 to 2, 2 to 5 and 0 to 5 s were analysed by calculating target force level.

Results: The relative differences during 2-5 and 0-5 s with 1000 gf were significantly lower for generalists than for specialists (p < .05). In generalists and specialists, the coefficients of variation and the relative differences during 2-5 s were significantly lower for PAL and PALVF than for MP (p < .05).

Conclusions: These findings suggest that the use of a palpometer, but not clinical experience with palpation of masticatory muscles, increases the accuracy of palpation, and ≥2 s of palpation with a palpometer is optimal for masticatory muscles.

Protein dynamics have been investigated on a wide range of time scales. Nano- and picosecond dynamics have been assigned to local fluctuations, while slower dynamics have been attributed to larger conformational changes. However, it is largely unknown how fast (local) fluctuations can lead to slow global (allosteric) changes. Here, fast molecule-spanning dynamics on the 100 to 200 ns time scale in the heat shock protein 90 (Hsp90) are shown. Global real-space movements are assigned to dynamic modes on this time scale, which is possible by a combination of single-molecule fluorescence, quasi-elastic neutron scattering and all-atom molecular dynamics (MD) simulations. The time scale of these dynamic modes depends on the conformational state of the Hsp90 dimer. In addition, the dynamic modes are affected to various degrees by Sba1, a co-chaperone of Hsp90, depending on the location within Hsp90, which is in very good agreement with MD simulations. Altogether, this data is best described by fast molecule-spanning dynamics, which precede larger conformational changes in Hsp90 and might be the molecular basis for allostery. This integrative approach provides comprehensive insights into molecule-spanning dynamics on the nanosecond time scale for a multi-domain protein.

N-Acetylneuraminic acid and its α2,3/α2,6-glycosidic linkages with galactose (Neu5Ac-Gal) are major carbohydrate antigen epitopes expressed in various pathological processes, such as cancer, influenza, and SARS-CoV-2. We here report a strategy for the synthesis and binding investigation of molecularly imprinted polymers (MIPs) toward α2,3 and α2,6 conformations of Neu5Ac-Gal antigens. Hydrophilic imprinted monoliths were synthesized from melamine monomer in the presence of four different templates, namely, N-acetylneuraminic acid (Neu5Ac), N-acetylneuraminic acid methyl ester (Neu5Ac-M), 3′-sialyllactose (3SL), and 6′-sialyllactose (6SL), in a tertiary solvent mixture at temperatures varying from −20 to +80 °C. The MIPs prepared at cryotemperatures showed a preferential affinity for the α2,6 linkage sequence of 6SL, with an imprinting factor of 2.21, whereas the α2,3 linkage sequence of 3SL resulted in nonspecific binding to the polymer scaffold. The preferable affinity for the α2,6 conformation of Neu5Ac-Gal was evident also when challenged by a mixture of other mono- and disaccharides in an aqueous test mixture. The use of saturation transfer difference nuclear magnetic resonance (STD-NMR) on suspensions of crushed monoliths allowed for directional interactions between the α2,3/α2,6 linkage sequences on their corresponding MIPs to be revealed. The Neu5Ac epitope, containing acetyl and polyalcohol moieties, was the major contributor to the sequence recognition for Neu5Ac(α2,6)Gal(β1,4)Glc, whereas contributions from the Gal and Glc segments were substantially lower.

AIM: The aim of the study was to evaluate the 5 years clinical outcomes associated with implant-level connection (IL) versus abutment-level connection (AL) for implants with an internal conical connection (ICC) supporting a screw-retained fixed partial denture.

MATERIALS AND METHODS: Fifty patients with 119 implants were randomly allocated to either the AL or IL group. Radiographic (Marginal bone loss) and clinical outcomes (Bleeding on Probing, probing pocket depth, plaque accumulation, incidence of peri-implantitis and peri-implant mucositis as well as prosthetic complications) were collected and compared at 1, 2, 3, and 5 years. A linear mixed model was used to evaluate the differences between groups.

RESULTS: Five years after treatment, the MBL change was not significantly different between the groups at any point. The MBL was 0.23 ± 0.64 mm (AL) and 0.23 ± 0.29 mm (IL). The bleeding on Probing was 44% (AL) and 45% (IL) (p = .89). The mean probing depth was 2.91 ± 1.01 mm (AL) and 3.51 ± 0.67 mm (IL). This difference between the groups was statistically significant but clinical insignificant. Presence of plaque was slightly higher (p = .06) in the IL group (34.4%) compared with the AL group (26.3%). The overall technical, biological, and prosthetic complication rates were similar between groups. None of the implants developed peri-implantitis during the entire follow-up period.

CONCLUSION: The results of this clinical trial indicated that all clinical and radiographical parameters were clinically comparable between the study groups.

PURPOSE: To investigate the influence of cantilever prosthetic arm on the marginal bone loss (MBL) over time around dental implants supporting short fixed partial dentures (FPDs), in a record-based retrospective study.

METHODS: All cases of 3-unit implant-supported FPDs, supported by 2-3 implants, from the database of cases treated at one specialist clinic were considered for inclusion. Only implants with a minimum of 36 months of radiological follow-up were considered. Univariate linear regression models were used to compare MBL over time between 12 clinical covariates, after which a linear mixed-effects model was built.

RESULTS: One-hundred-thirty-nine patients (64 men, 75 women) with 164 3-unit implant-supported FPDs (333 implants supporting non-cantilevered FPDs, 94 supporting cantilevered FPDs) were included in the study. The patients were followed up clinically and radiographically for a mean of 154.1 ± 78.0 (min-max, 37.3-364.6) and 132.9 ± 77.3 months (min-max, 36.8-329.9), respectively. The total number of marginal bone level double measurements (mesial and distal sides of each implant) was 2909. FPDs with cantilever presented an estimated greater MBL over time compared to FPDs without cantilever. Bruxism, sex (women), implant (modified) surface, and (poor) bone quality were also associated with higher MBL over time.

CONCLUSIONS: The use of a cantilever extension is suggested to negatively affect the bone marginal level over time around implants supporting 3-unit FPDs. Due to the small difference of the estimated MBL over long periods of follow-up between the groups, it is a matter of debate if the observed negative effect may be of clinical significance.

An association between high Galectin-4 (Gal-4) and prevalence of diabetes in subjects with heart failure (HF) has previously been reported. The purpose of this study was to confirm these findings, as well as to further investigate this association, in a Swedish HF population. In addition, a second aim was to explore Gal-4's association with obesity and biomarkers of metabolism and heart failure. Gal-4 was measured using a proximity extension array technique in 324 hospitalized HF patients within the Swedish HeArt and bRain failure investigation trial cohort. Obesity was defined as BMI ≥ 30. Multivariable logistic regression models were used to explore associations between Gal-4 and diabetes/obesity, and linear regression models were used to explore the associations between Gal-4 and biomarkers. A total of 309 participants (29.1% female; mean age 74.8 years) provided complete data for the analysis of associations between Gal-4 and diabetes. Additionally, for the analysis of heart failure phenotype, complete data was available for 230 subjects. Gal-4 was positively associated with prevalent diabetes (OR 2.60; CI 95% 1.56-4.32). In multivariable models, Gal-4 levels were significantly associated with obesity, but only for subjects with diabetes (OR 2.48; 1.09-5.62). Additionally, Gal-4 demonstrated a significant association with the incretin Glucose-dependent insulinotropic polypeptide (GIP), as well as with biomarkers of HF. In the stratified analyses, the association between Gal-4 and diabetes was prominent in patients with reduced ejection fraction (n = 160, OR 3.26; 95%CI 1.88-5.66), while it was not observed in those without (n = 70, 1.96 (0.75-5.10)). In this cross-sectional, observational study, higher Gal-4 levels in HF patients were associated with higher GIP levels. Further, increased levels of Gal-4 were associated with increased likelihood of diabetes, and obesity. This association was particularly pronounced in individuals with HF characterized by reduced ejection fraction. Additionally, Gal-4 levels were significantly elevated in heart failure patients with diabetes and obesity.

Platinum–tin surfaces are active for CO oxidation, but their activity and the effects of tin oxide phases that form under reaction conditions are poorly understood. We have studied surface alloys of tin prepared on platinum single crystals during catalytic CO oxidation using near-ambient-pressure X-ray photoemission spectroscopy. On the flat terraces of Sn/Pt(111), a wetting layer of Sn(II) surface oxide forms, while on the stepped Sn/Pt(223) surface, 3D clusters of Sn(IV) oxide are formed. Oxidation of tin by O2 competes with the reduction of the oxides by CO under reaction conditions. Oxides that do not completely cover the surface can be reduced to metallic tin, while a fully covering layer of Sn(II) oxide cannot, showing the importance of oxide edge sites for the reduction process. The samples where 2D oxide layers are formed show a higher CO oxidation activity than for pure platinum at low temperatures, while the Sn(IV) oxide clusters on the stepped surfaces do not affect the measured CO oxidation rate. We therefore identify 2D Sn(II) oxide as an active phase for CO oxidation. While oxide island edges appear to make only minor contributions to conversion under these conditions, reactions at these sites play a major role in determining the phases present and their transformations.

Objectives: The aims of Working Group 1 were to address the role (i) of the buccolingual bone dimensions after implant placement in healed alveolar ridge sites on the occurrence of biologic and aesthetic complications, and (ii) of soft tissue augmentation (STA) on the stability of clinical, radiographic, and patient-related outcomes of implant treatments.Materials and Methods: Two systematic reviews were prepared in advance of the Consensus Conference and were discussed among the participants of Group 1. Consensus statements, clinical recommendations, recommendations for future research, and reflections on patient perspectives were based on structured group discussions until consensus was reached among the entire group of experts. The statements were then presented and accepted following further discussion and modifications as required by the plenary.Results: Dimensional changes of the alveolar ridge occurred after implant placement in healed sites, and a reduction in buccal bone wall thickness (BBW) of 0.3 to 1.8 mm was observed. In healed sites with a BBW of <1.5 mm after implant placement, increased vertical bone loss, and less favorable clinical and radiographic outcomes were demonstrated. Implants with buccal dehiscence defects undergoing simultaneous guided bone regeneration, showed less vertical bone loss, and more favorable clinical and radiographic outcomes, compared to non-augmented dehiscence defects during initial healing. At healthy single implant sites, probing depths, bleeding and plaque scores, and interproximal bone levels evaluated at 1 year, remained stable for up to 5 years, with or without STA. When single implant sites were augmented with connective tissue grafts, either for soft tissue phenotype modification or buccal soft tissue dehiscence, stable levels of the soft tissue margin, and stable or even increased soft tissue thickness and/or width of keratinized mucosa could be observed from 1 to 5 years. In contrast, non-augmented sites were more prone to show apical migration of the soft tissue margin in the long-term. Favorable aesthetic and patient-reported outcomes after STA were documented to be stable from 1 to 5 years.Results: Dimensional changes of the alveolar ridge occurred after implant placement in healed sites, and a reduction in buccal bone wall thickness (BBW) of 0.3 to 1.8 mm was observed. In healed sites with a BBW of <1.5 mm after implant placement, increased vertical bone loss, and less favorable clinical and radiographic outcomes were demonstrated. Implants with buccal dehiscence defects undergoing simultaneous guided bone regeneration, showed less vertical bone loss, and more favorable clinical and radiographic outcomes, compared to non-augmented dehiscence defects during initial healing. At healthy single implant sites, probing depths, bleeding and plaque scores, and interproximal bone levels evaluated at 1 year, remained stable for up to 5 years, with or without STA. When single implant sites were augmented with connective tissue grafts, either for soft tissue phenotype modification or buccal soft tissue dehiscence, stable levels of the soft tissue margin, and stable or even increased soft tissue thickness and/or width of keratinized mucosa could be observed from 1 to 5 years. In contrast, non-augmented sites were more prone to show apical migration of the soft tissue margin in the long-term. Favorable aesthetic and patient-reported outcomes after STA were documented to be stable from 1 to 5 years. Conclusions: It is concluded that dimensional changes of the alveolar ridge occur after implant placement in healed sites and that sites with a thin BBW after implant placement are prone to exhibit less favorable clinical and radiographic outcomes. In addition, it is concluded that STA can provide stable clinical, radiographic, aesthetic, and patient-reported outcomes in the medium and long-term.

The El Nino Southern Oscillation (ENSO), as one of the largest coupled climate modes, influences the livelihoods of millions of people and ecosystems survival. Thus, how ENSO is expected to behave under the influence of anthropogenic climate change is a substantial question to investigate. In this paper, we analyze future predictions of specific traits of ENSO, in combination with a subset of well-established precursors-the Trade Wind Charging and North Pacific Meridional Mode (TWC/NPMM). We study it across three sets of experiments from a protocol-driven ensemble from CMIP6-the High Resolution Model Intercomparison Project (HighResMIP). Namely, (1) experiments at constant 1950's radiative forcings, and (2) experiments of present (1950-2014) and (3) future (2015-2050) climate with prescribed increasing radiative forcings. We first investigate the current and predicted spatial characteristics of ENSO events, by calculating area, amplitude and longitude of the Center of Heat Index (CHI). We see that TWC/NPMM-charged events are consistently stronger, in both the presence and absence of external forcings; however, as anthropogenic forcings increase, the area of all ENSO events increases. Since the TWC/NPMM-ENSO relationship has been shown to affect the oscillatory behavior of ENSO, we analyze ENSO frequency by calculating CHI-analogous indicators on the Continuous Wavelet Transform (CWT) of its signal. With this new methodology, we show that across the ensemble, ENSO oscillates at different frequencies, and its oscillatory behavior shows different degrees of stochasticity, over time and across models. However, we see no consistent indication of future trends in the oscillatory behavior of ENSO and the TWC/NPMM-ENSO relationship.

Objectives: To assess whether in animals or patients with ≥ 1 tooth extracted, hyaluronic acid (HyA) application results in superior healing and/or improved complication management compared to any other treatment or no treatment.

Materials and methods: Three databases were searched until April 2022. The most relevant eligibility criteria were (1) local application of HyA as adjunct to tooth extraction or as treatment of alveolar osteitis, and (2) reporting of clinical, radiographic, histological, or patient-reported data. New bone formation and/or quality were considered main outcome parameters in preclinical studies, while pain, swelling, and trismus were defined as main outcome parameters in clinical studies.

Results: Five preclinical and 22 clinical studies (1062 patients at final evaluation) were included. In preclinical trials, HyA was applied into the extraction socket. Although a positive effect of HyA was seen in all individual studies on bone formation, this effect was not confirmed by meta-analysis. In clinical studies, HyA was applied into the extraction socket or used as spray or mouthwash. HyA application after non-surgical extraction of normally erupted teeth may have a positive effect on soft tissue healing. Based on meta-analyses, HyA application after surgical removal of lower third molars (LM3) resulted in significant reduction in pain perception 7 days postoperatively compared to either no additional wound manipulation or the application of a placebo/carrier. Early post-operative pain, trismus, and extent of swelling were unaffected.

Conclusions: HyA application may have a positive effect in pain reduction after LM3 removal, but not after extraction of normally erupted teeth.

Clinical relevance: HyA application may have a positive effect in pain reduction after surgical LM3 removal, but it does not seem to have any impact on other complications or after extraction of normally erupted teeth. Furthermore, it seems not to reduce post-extraction alveolar ridge modeling, even though preclinical studies show enhanced bone formation.

Periodontitis is a bacterial-induced disease and for this reason controlling the microbiota is a necessity. Therapy includes self-performed daily oral hygiene in combination with supra- and sub-gingival instrumentation. An adjunctive antimicrobial agent may improve the outcome.Aims To assess whether a chloramine (Perisolv (R)) has an adjunctive effect to non-surgical periodontal therapy and whether non-surgical periodontal therapy affects quality of life.Material and MethodsThirty-eight patients were randomized to a test or a control group. Clinical indices were performed at baseline and at three and twelve months. In the test group, Perisolv (R) was applied initially and after the sub-gingival instrumentation in pathological pockets. Oral health-related quality of life was measured with the Oral Health Impact Profile (OHIP) instrument at baseline and twelve months.Results In both groups, an initial probing pocket depth (PPD) of > 4 mm and bleeding on probing (BOP) were statistically reduced (p < 0.002 and p < 0.002 respectively) at twelve months and after adjustment for Bonferroni. There were no significant differences between the test and the control group in terms of the number of PPD, BOP or plaque index, or in the mean OHIP score.Conclusions Chloramine did not have an adjunctive effect, but the overall therapy was significantly efficacious both clinically and in terms of quality of life.

Public spaces, parks, walking, cycling, and transit paths in Malmö are designed to create an accessible and integrated city. In this study, three groups of first-year students were asked to draw their mental maps of Malmö to investigate how they perceive Malmö as a legible, conceivable, and connected city. The results reveal that these young residents have a clear picture of most public places and the predominant landmarks’ positions. Still, the links between many public places were unclear, not legible enough, or even negligible according to their drawings.

In December 1970, Birgitta Dahl – a 33-year-old Swedish Social Democrat and recently-elected Member of the Swedish Parliament – was trekking through the dense forests of Guinea-Bissau, wearing the uniform of the liberation movement led by Amílcar Cabral, the African Party for the Independence of Guinea and Cape Verde (PAIGC). By her side was the photographer Knut Andreassen, a political scientist called Lars Rudebeck, a Social Democratic Youth Party activist called Gunnar Hofring, and soldiers of the PAIGC. The recently liberated terrain was hotly contested by the Portuguese army, and the Swedish visitors felt the presence of war. In the book they published on their return to Sweden, Dahl and Andreassen vividly depict the Portuguese reconnaissance planes that were regularly spotted above the canopy during daytime, the Alouette helicopters that fluttered across rice paddy fields, and the Fiat bombers that roared past on their trek. The idea of Dahl, a Swedish social democrat, trekking with and donning the uniform of an armed revolutionary movement in Africa might seem almost fantastical today. Such stories and images can have a tendency to prompt imaginations of an era of solidarity and anticolonial struggle that no longer exists. But what does Dahl’s trip reveal about the politics of solidarity that connected her to the anticolonial national liberation struggle in Guinea-Bissau? How might dissecting the conditions and motivations of the various agents involved allow us to see beyond romanticised or nostalgic visions of such past encounters?

Fallacies and wishful thinking: on Russia studies, Putin, and the lead-up to the warWhen President Putin over the years repeatedly raged and ranted about how Russia had been deceived by the West over NATO’s eastward expansion, how Ukraine’s rightful president allegedly had been illegally overthrown in a coup instigated by the West, and how these actions had the hidden purpose of bringing destruction and devastation to Russia, few were inclined to believe that he was not just repeat-ing a mantra, but actually believed in what he said and prescribed a program of action. This essay provides a background to the steady growth of the authoritar-ian essence of the Putin regime and its growing ambitions beyond Russia’s borders and discusses what academic area studies specialists in the West and other Russia pundits generally should have been able to foresee about Russia’s aggressiveness and its upcoming assault on Ukraine. Perhaps the current situation could have been avoided, had there been a greater inclination to bring together the clues that were there and take preventive action to meet the danger

Although people may make sense of concepts like ‘talent’ and get influenced through discourses reinforced in the media, not much research has investigated the construction of ‘talent’ in the media or in relation to football, yet. By applying Laclau and Mouffe’s discourse-theoretical analysis and aspects of quantitative content analysis to forty-four news articles, this study compares how German and Swedish media construct and reinforce discourses of ‘talent’ in football. The findings suggest that cross-cultural media share common reference points in shaping discourses on ‘football talent’. However, these nodal points are allocated and formed in distinct ways within each country, thus constituting floating signifiers. The study unveils that ‘talent’ constitutes an empty concept within and across specific cultural settings. Nonetheless, the conceptual notions surrounding talent seems more uniform in Swedish media compared to Germany. Moreover, gender disparities in the context of ‘football talent’ discourses predominantly link talent with male football players.

As was the case with other federal states, Russia’s response to the COVID-19 pandemic was decentralized and devolved responsibility toregional governors. Contrary to the common highly centralized governance in Russia, this approach is thought to have helped insulate the government from criticism. Using local research and analysis based on a national representative survey carried out at the height of the pandemic during the summer of 2021, the article charts the public response to the pandemic across Russia. It examines the regionalization of the response, with an in-depth focus on two of the Russian cities with the highest infection rates but differing responses to the pandemic: St. Petersburg and Petrozavodsk. There are two main findings: at one level, the diffusion of responsibility meant little distinction was made between the different levels of government by the population; at another level, approval of the pandemic measures was tied strongly to trust levels in central and regional government.

In this feature article, Klara Boije af Gennäs presents her Ph.D. project at Malmö University Her main concern is the prevalence and severity of injuries in youth equestrian sports, and not only acute injuries from riding accidents but also overuse injuries resulting from hard labor in the stable. Applying a multi- and interdisciplinary research approach as well as a mix of qualitative and quantitative methodologies, her aim is to extend and strengthen the understanding of stable- and riding injuries among youth equestrians. (Published in English 230913.)

This article analyses actor relationships in Transit Oriented Development (TOD) planning in order to better understand the preconditions necessary for planning processes to result in TOD in lower density contexts, in suburbs, or small cities. Empirically, the analysis builds on a comparative case study of TOD planning projects. The focus in the analytical work is on understanding how market conditions in lower density contexts influence the conditions for TOD planning projects, and how this feeds through to planning processes. The overall conclusion is that we should not expect that planning processes in small cities with low to medium densities of populations and activities differ much from those in more ‘classic’ highly urban TOD locations. Market conditions had an impact on planning processes, but once in the planning stage conditions for implementation depended more on the ability to handle competing interests and less on market conditions. In terms of policy recommendations, it is important for actors to develop a joint vision of the built environment of the site in question that channels organizations’ individual actions in a joint direction. The ability to achieve such a joint vision for the design of the site in question may be more important in small towns than in more ‘typical’ TOD contexts in denser urban areas. This is because all enablers need to work together in a positive way in such location – which may be marginal from a market point of view – for the development to be able to go ahead.

This study aimed to provide an understanding of nursing students’ self-reported eHealth literacy in Sweden and Poland. This cross-sectional multicentre study collected data via a questionnaire in three universities in Sweden and Poland. Descriptive statistics, the Spearman’s Rank Correlation Coefficient, Mann–Whitney U, and Kruskal–Wallis tests were used to analyse different data types. Age (in the Polish sample), semester, perceived computer or laptop skills, and frequency of health-related Internet searches were associated with eHealth literacy. No gender differences were evidenced in regard to the eHealth literacy. Regarding attitudes about eHealth, students generally agreed on the importance of eHealth and technical aspects of their education. The importance of integrating eHealth literacy skills in the curricula and the need to encourage the improvement of these skills for both students and personnel are highlighted, as is the importance of identifying students with lacking computer skills.

In recent years, the need for affordable sustainable housing has increased. At the same time, there has been a gradual rising interest in compact living. With the mounting impacts of climate change, a new way of thinking is needed to develop more resilient and climate responsive ways of living that are compact, affordable, and climate-conscious. In response to this need, the idea of a ‘Z-Free Home’ was born. The ‘Z-Free Home’ is a tiny mobile house equipped with essential passive and eco-cycle systems that achieves nine zero targets. The main design and construction concept is based on circular design and a return to nature life cycle principles. In this paper, the architectural design concept, building energy modelling, and simulation for the Z-Free Home design proposal is discussed. This paper describes the concept design and design development phases together with building modelling and simulation. A focus was made on the use of virtual reality in design development assessment as a new method for evaluating passive and eco-cycle systems. The results show that it’s possible to achieve nine different zero goals while the analysis illustrates the challenges in achieving them. The paper also described the next steps planned for the proof of concept, i.e., the 1:1 house model. The project is ongoing, and it aims at a full-scale physical prototype as a proof of concept for the zero targets. The ‘Z-Free Home’ is designed for the cold Swedish climate but could be more widely applicable in other mild climates as well as hot climates.

There is a need to improve the validity, reliability, and replicability of social and health science research and its applications through raising the quality of measurement. An important step is to establish and implement a clear and useful guideline for reporting and assessing psychometric properties of measures. We propose five basic criteria as a minimal checklist to help end users assess the quality of psychometric studies: unidimensionality; ordered response categories, invariance; targeting; and, contingent upon the previous four being fulfilled, reliability. An expanded and detailed reporting guideline is also presented, intended for use in reports and scientific publications of psychometric analyses. We argue that reliability should be reported using a Test Information Function curve, which describes the properties of the items, rather than a point estimate describing sample properties. Additionally, we present a freely available R package to streamline psychometric analysis with Rasch Measurement Theory and its documentation in line with the reporting guideline.

The article discusses how ideas of reading enjoyment affect the practical and pedagogical practice through a project to promote reading at four Swedish preschools. Based on interviews and observations collected over a three-year period we highlight three areas where ideas about reading enjoyment are visualized in the teaching of literatur: literature, play, and learnig thorugh reading enjoyment. The stdy shows that access to literature alone does not necessarily lead to children's voluntary reading unless preschool teachers also take an active initiative. Likewise, play can be a pleasurable way to start reading if the adults provide some guidane. The study also notices a discrepancy between preschool teachers' ideas of reading enjoyment and learning, which may result in the option out of voluntary reading unless it is explicitly supported in the policy docuemnts. Measures in the form of pedagocial education, and goals concerning literary didactics therein are proposed. 

To improve the experiences of children and parents and prepare those who arrange the activities for parental needs the aim of this article is to describe and analyse parental roles in a horse-riding activities for younger children in Sweden and Norway. Horse-riding for younger children is an individual sport but conducted in interplay with others such as parents and horses. To understand these interactions, Goffman’s dramaturgical approach and insights from research on sport and gender have been used. The main result is that during the activity, the child and the parent interact and perform as a team. In addition, the team performance is influenced by gender constructions. The gender construction is, however, different from what former has been shown in research on sport and gender.

This is the editorial paper for the virtual special issue “Using Q methodology in higher education: Opportunities and challenges”, consisting of nine original research studies from different international contexts. In addition to presenting novel findings, contributors were invited to discuss the following two questions at the center of the special issue call: In what sense has Q methodology served as a fitting approach to investigate subjectivity in higher education? What methodological opportunities and challenges arise with Q methodology in higher education settings? This editorial provides an overview and discussion of the various justifications mentioned for Q methodology. Furthermore, it collates the opportunities and challenges contributors discuss in relation to their studies using this almost 90-year-old methodological approach. The editorial paper concludes with recommendations for future Q methodological studies in higher education and beyond.

The purpose of this article is to map and analyze how people within equestrian sports in Sweden and Norway define the environmental challenges of the sport, as well as, with a starting point in the COM-B model, identify capabilities, opportunities, and motivation to develop a more environmentally sustainable horse sector. The study is based on a questionnaire answered by 697 people. In summary, the horse sector has developed a stronger environmental commitment than it had 15 years ago (cf. Svala 2008). At the same time, many of the informants feel that they lack the opportunity to influence. An analysis of the answers using the COM-B model (cf. Mitchie et al., 2011; Mitchie et al., 2014) shows that the capability (C) for change exists (even if there are people who wish for more knowledge). In relation to the opportunity (O) component, however, there appear to be higher barriers to change. Physical opportunities, such as location, resources and time appear to be difficult for the individual agent to influence and economic factors are also pointed out as obstacles. The opportunity component also includes cultural norms, which may be used to overcome some challenges. The stable does not stand out as a littered place if you compare, for example, with cities or roads, but littering could mean a kind of general disorder. In the stables, everyone is expected to keep their belongings and common areas in order. Even if this orderliness does not primarily concern what we usually mean by ecological challenges, perhaps it can be something to build on when it comes to environmental sustainability work in equestrian sports.

In recent years, riding schools have opened their activities for younger children. The activities consist of riding, but also chores in the stable (Thorell, 2017; Hedenborg et al, 2021). Equestrian sport is not alone in offering activities for this age group. Other sports have also opened the doors for the younger children (Lindroth, 1991; Hedenborg, et al, 2020). Activities for this age group are also offered by commercial actors (Karlsson, 2022). Although more and more activities are offered, research on what goes on in these activities and how they are experienced by both parents and children is scarce (Hedenborg & Fransson, 2011; Calero, Beesley & Fraser-Thomas, 2018; & Safari, 2018; Harlow et al., 2018). In this article, the aim is to deepen the understanding of riding school activities for preschool children in Sweden and Norway by analyzing riding instructors’ and accompanying adults’ the perceptions of the activities. To deepen the understanding of the challenges that riding instructors and accompanying adults face in riding school activities for the younger children, we use the interpretive framework ‘dilemmatic spaces’ (Fransson & Grannäs, 2013). In previous research, ‘dilemmatic spaces’ have been used to increase understanding of the complexity of teachers’ work. But the interpretive framework has also been used in other fields. Childhood researcher Magnus Kilgers uses ‘dilemmatic spaces’ in a study that shows how fathers juggle between what is expected of fatherhood and coaching in sports (Kilger 2020). Based on a source material consisting of 21 semi-structured interviews with representatives from riding schools and parents, and ten observations from six different riding schools, we have identified the following ‘dilemmatic spaces’: ‘Accompanying adults are both a requirement and a challenge’ and ‘Knowledgeable mothers are an asset but mustn’t be pushy’.

Middle leaders were required to navigate the complexities of educational disruption and respond to internal and external demands throughout the pandemic. This shifting educational context necessitated a sensemaking process to better understand and act on the issues which gave rise to ambiguities in their school environment. This study investigated the sensemaking processes employed by 27 middle leaders from 20 government schools in Qatar, at a time when COVID- related restrictions had been lifted and face-to-face learning had resumed. To collect and analyze data, Q-methodology was applied. A 34-statement Q-sample was developed based on a proposed conceptual framework of sensemaking during times of disruption which included three dimen- sions: intrapersonal, relational, and institutional. Q-factor analysis revealed two significantly differ- ent viewpoints regarding how participants enacted certain practices in response to educational disruption. These were (1) sensemaking as a relational endeavor and (2) sensemaking as an agentic endeavor. The two viewpoints differed in sources of sensemaking and its mechanisms. Sensemaking offered a useful theoretical construct as it revealed middle leaders’ perceptions and enactments, and their struggles in maintaining a balance between structure and agency. The study has implica- tions for middle leadership policy and practices in times of educational disruption and beyond, with its distinctive methodological and contextual contributions. 

Background: The nurse practitioner role has become important globally in handlingthe growing healthcare needs of older adults with chronic diseases. Nevertheless,research shows that introducing the role is a complex process, and more studies areneeded to prepare for its introduction into different healthcare contexts, such as municipalhealthcare.Aim: The aim is to investigate what Swedish stakeholders identify as the preparatorywork needed before introducing the nurse practitioner role into municipalhealthcare.Methods: Data were collected through four focus group interviews conducted virtuallyon the TEAMS digital platform, with three to six participants in each groupand 18 participants total. The transcribed interviews were analysed using a six-stepthematic approach: familiarisation with the data, coding the data, generating initialthemes, reviewing themes, defining and naming the themes and producing thereport.Findings: The findings are divided into two main themes, each with two sub-themes.In the first, clarifying why the nurse practitioner role is needed, participants stressedthe importance of having a clear intention for introducing the role. The second, ensurea national framework to bolster the introduction at the local level, demonstratesthe need for collaboration among national actors to clarify the role's mandate andauthority before its introduction.Conclusions: Adding the nurse practitioner role to municipal healthcare can helpincrease the supply of nursing competence and the quality of patient care, but preparationfor introducing the role requires extensive work. The development of thenurse practitioner role requires decision-makers and leaders to take primary responsibilityfor its introduction. This study can support countries in the early phase ofdeveloping the nurse practitioner role by identifying both best practices and pitfalls.

This paper proposes a novel agglomerated privacy-preservation model integrated with data mining and evolutionary Genetic Algorithm (GA). Privacy-pReservIng with Minimum Epsilon (PRIMϵ) delivers minimum privacy budget (ϵ) value to protect personal or sensitive data during data mining and publication. In this work, the proposed Pattern identification in the Locale of Users with Mining (PLUM) algorithm, identifies frequent patterns from dataset containing users’ sensitive data. ϵ-allocation by Differential Privacy (DP) is achieved in PRIMϵ with GA PRIMϵ , yielding a quantitative measure of privacy loss (ϵ) ranging from 0.0001 to 0.045. The proposed model maintains the trade-off between privacy and data utility with an average relative error of 0.109 on numerical data and an Earth Mover’s Distance (EMD) metric in the range between [0.2,1.3] on textual data. PRIMϵ model is verified with Probabilistic Computational Tree Logic (PCTL) and proved to accept DP data only when ϵ ≤ 0.5. The work demonstrated resilience of model against background knowledge, membership inference, reconstruction, and privacy budget attack. PRIMϵ is compared with existing techniques on DP and is found to be linearly scalable with worst time complexity of O(n log n) .

Background Identifying occupational health hazards among Registered Nurses (RNs) and other health personneland implementing effective preventive measures are crucial to the long-term sustainability of health services. Theobjectives of this study were (1) to assess the 12-month prevalence rates of exposure to workplace aggression,including physical violence, threats of violence, sexual harassment, and bullying; (2) to identify whether theperpetrators were colleagues, managers, subordinates, or patients and their relatives; (3) to determine whetherprevious exposure to these hazards was associated with RNs’ current turnover intention; and (4) to frame workplaceaggression from an occupational health and safety perspective.Methods The third version of the Copenhagen Psychosocial Questionnaire (COPSOQ III) was used to assess RNs’exposure to workplace aggression and turnover intention. A national sample of 8,800 RNs in Norway, representative ofthe entire population of registered nurses in terms of gender and geography, was analysed. Binary and ordinal logisticregression analyses were conducted, and odds for exposure and intention to leave are presented, with and withoutcontrols for RNs’ gender, age, and the type of health service they work in.Results The 12-month prevalence rates for exposure were 17.0% for physical violence, 32.5% for threats of violence,12.6% for sexual harassment, and 10.5% for bullying. In total, 42.6% of the RNs had experienced at least one of thesetypes of exposure during the past 12 months, and exposure to more than one of these hazards was common.Most perpetrators who committed physical acts and sexual harassment were patients, while bullying was usuallycommitted by colleagues. There was a strong statistical association between exposure to all types of workplaceaggression and RNs’ intention to leave. The strongest association was for bullying, which greatly increased the odds oflooking for work elsewhere.Conclusions Efforts to prevent exposure to workplace aggression should be emphasised to retain health personneland to secure the supply of skilled healthcare workers. The results indicate a need for improvements. To ensure thesustainability of health services, labour and health authorities should join forces to develop effective workplace.

Artikeln behandlar idrottspratets betydelse för meningsskapande. 

The voices of Palestinian women of Syria are often silenced in knowledge produced in humanitarian research and practice. ‘Speaking back’ sessions provide crucial insights into these women’s experiences and their relevance for discussions on rights mobilisation.

Forced migrants are often asked to share parts of their lives with journalists, researchers and humanitarian professionals. Knowledge production is part and parcel of humanitarian practice: humanitarian actors endlessly collect, share and analyse testimonies from marginalised peoples in order to access funding and distribute aid. However, research participants’ wider stories and experiences are often silenced. They are seldom asked to take part in these processes and have little influence over how their words, voices and images are framed. Few researchers have actively engaged in how to empower participants from marginalised communities to act as consultants and experts that inform dialogues on knowledge production about their own communities.

Det råder delade meningar om digitaliseringen och AI:s allt större utrymme iskolan. Inte sällan leder det till en tämligen polariserad debatt där mänskligavärden ställs mot ekonomiska. I föreliggande artikel problematiseras detta utrymme med utgångspunkt i specialpedagogik, kopplat till tre övergripande teman:digitalisering, AI och maskininlärning och lärarrollen. De frågor som artikeln merspecifikt kretsar kring är: Vilka problem finns det med externa aktörer och enökad digitalisering inom det specialpedagogiska fältet? Vad händer med denspecialpedagogiska professionen i en skola som alltmer präglas av AI? Det är enexplorativ studie som tar sin utgångspunkt i ett Foucault-inspirerat angreppssättför att analysera de konsekvenser som AIed har inom utbildningsområdet.Materialet består av intervjuer, tidningsartiklar, inslag från SvT och företagenshemsidor och rapporter. Resultaten pekar mot att EdTech-industrin får konsekvenser för lärarrollen, inte minst i samband med den specialpedagogiskaprofessionen. I många avseenden är det oklart vem – skolan, forskningen ellerföretagen – som styr vad som händer på såväl policynivå som i det individuellaklassrummet och för den enskilda individen. Det väcker i sin tur en rad frågorkring AI och etik.

BACKGROUND: Adherence to antibiotic recommendations and safety aspects of restrictive use are important components when combating antibiotic resistance. The primary aim of this study was to assess the impact of national guidelines on antibiotic prescriptions for bone augmentation procedures among dentists working at three specialized clinics. The secondary aim was to assess the occurrence of postoperative infections.

METHODS: Medical charts of 400 patients treated with bone augmentation were reviewed: 200 in the years 2010-2011 and 200 in 2014-2015. The Swedish national recommendations for antibiotic prophylaxis were published in 2012.

RESULTS: There was a wide variation in antibiotic regiments prescribed throughout the study. The number of patients treated with antibiotic prophylaxis in a single dose of 2 g amoxicillin, and treated as advocated in the national recommendations, was low and decreasing between the two time periods from 25% (n = 50/200) in 2010-2011 to 18.5% (n = 37/200) in 2014-2015. The number of patients not given any antibiotics either as a prophylactic single dose or during the postoperative phase increased (P < 0.001). The administration of a 3-7-days antibiotic prescription increased significantly from 25.5% in 2010-2011 to 35% in 2014-2015. The postoperative infection rates (4.5% and 6.5%) were without difference between the studied periods. Smoking and omitted antibiotic prophylaxis significantly increased the risk of postoperative infection. Logistic regression analyses showed that patient male gender and suffering from a disease were predictive factors for the clinician to adhere to the guidelines.

CONCLUSIONS: After introduction of national recommendations for antibiotic prophylaxis before bone augmentation procedures, the patient group receiving a single preoperative dose decreased while the group not given antibiotic prophylaxis increased. There was no difference in occurrence of postoperative infections between the two time periods. The results indicate a need for educational efforts and strategies for implementation of antibiotic prudence and awareness among surgeons performing bone augmentation procedures.