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.

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.

Syftet med den här artikeln är att kartlägga och analysera hur personer inom hästsporten i Sverige och Norge definierar hästsportens miljöutmaningar, samt att, enligt COM-B-modellen, identifiera förmågor, möjligheter och motivation för att utveckla en mer miljömässigt hållbar hästsektor. Undersökningen är baserad på en enkät som besvarats av 697 personer. Sammanfattningsvis kan vi konstatera att hästsektorn utvecklat ett starkare miljöengagemang än man hade för 15 år sedan (jämf Svala 2008). Samtidigt upplever många att de saknar möjlighet att påverka. En analys av svaren med hjälp av COM-B-modellen (jämf Mitchie et al, 2011; Mitchie et al., 2014) visar att förmåga (Capability) till förändring och kunskap finns (även om det finns personer som önskar mer kunskap). Men om vi studerar komponenten möjlighet (Opportunity), ser det ut att finnas högre hinder för förändring. Fysiska möjligheter såsom plats, resurser och tid framstår som svåra att påverka för den enskilda aktören. Även ekonomiska faktorer pekas ut som hinder för förändring. Möjligheterna handlar även om kulturella normer. Här kan finnas en lösning. Stall och stallbacken utmärker sig inte som en nedskräpad plats om man exempelvis jämför med städer eller vägrenar, men nedskräpning skulle kunna innebära ett slags allmän oordning. I stallet förväntas alla hålla ordning på sina saker och på gemensamma utrymmen. Även om den här ordningssamheten inte i första hand berör det vi i vanliga fall menar med ekologiska utmaningar kanske den kan vara något att bygga på när det gäller miljöarbetet. 

Under senare år har ridskolor öppnat sin verksamhet för yngre barn. Aktiviteterna består av ridning, men även sysslor i stallet (Thorell, 2017; Hedenborg et al, 2021). Ridsporten är inte ensam om att erbjuda aktiviteter för denna åldersgrupp. Även andra idrotter har öppnat dörrarna för de yngre barnen (Lindroth, 1991; Hedenborg, et al, 2020). Aktiviteter för denna åldersgrupp erbjuds även av kommersiella aktörer (Karlsson, 2022). Trots att allt fler aktiviteter erbjuds är forskning om vad som pågår i dessa verksamheter och hur de upplevs av både föräldrar och barn mager (Hedenborg & Fransson, 2011; Calero, Beesley & Fraser-Thomas, 2018; Fraiser-Thomas & Safari, 2018; Harlow et.al., 2018). I den här artikeln är syftet att fördjupa förståelsen för ridskoleverksamhet för förskolebarn i Sverige och Norge genom att analysera ridlärarnas och medföljande vuxnas uppfattning om aktiviteterna. För att fördjupa förståelsen för de utmaningar som ridlärare och medföljande vuxna möter i ridskolornas aktiviteter för de yngre barnen ska vi använda tolkningsramen ‘dilemmatic spaces’ (Fransson & Grannäs, 2013). I tidigare studier har ‘dilemmatic spaces’ använts för att öka förståelsen för komplexiteten i lärares arbete. Men tolknigsramen har även använts i andra fält. Barndomsforskaren Magnus Kilgers använder ’dilemmatic spaces’ i en studie som visar hur pappor jonglerar mellan vad som förväntas av faderskapet och tränarskapet inom idrotten (Kilger 2020). Utifrån ett källmaterial som består av 21 semistrukturerade intervjuer med representanter från ridskolor och föräldrar och tio observationer på sex olika ridskolor har vi identifierat följande ’dilemmatic spaces: ’Medföljande vuxna är både ett krav och en utmaning’ samt ’Kunniga mammor är en tillgång, men får inte pusha’.

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.

This article attends to tensions and negotiations surrounding the introduction and development of a news-ranking algorithm in a Swedish daily. Approaching algorithms as culture, being composed of collective human practices, the study emphasizes socio-institutional dynamics in the everyday life of the algorithm. The focus on tensions and negotiations is justified from an institutional perspective and operationalized through an analytical framework of logics. Empirically the study is based on interviews with 14 different in-house workers at the daily, journalists as well as programmers and market actors. The study shows that logics connected to both journalism and programming co-developed the news-ranking algorithm. Tensions and their negotiations around these logics contributed to its very development. One example is labeling of the algorithm as editor-led, allowing journalists to oversee some of its parameters. Social practices in the newsroom, such as Algorithm-Coffee, was also important for its development. In other words, different actors, tensions between them and how these were negotiated, co-constituted by the algorithm itself.

BACKGROUND: Multivariable prediction models are used in oral health care to identify individuals with an increased likelihood of caries increment. The outcomes of the models should help to manage individualized interventions and to determine the periodicity of service. The objective was to review and critically appraise studies of multivariable prediction models of caries increment.

METHODS: Longitudinal studies that developed or validated prediction models of caries and expressed caries increment as a function of at least three predictors were included. PubMed, Cochrane Library, and Web of Science supplemented with reference lists of included studies were searched. Two reviewers independently extracted data using CHARMS (Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies) and assessed risk of bias and concern regarding applicability using PROBAST (Prediction model Risk Of Bias ASessment Tool). Predictors were analysed and model performance was recalculated as estimated positive (LR +) and negative likelihood ratios (LR -) based on sensitivity and specificity presented in the studies included.

RESULTS: Among the 765 reports identified, 21 studies providing 66 prediction models fulfilled the inclusion criteria. Over 150 candidate predictors were considered, and 31 predictors remained in studies of final developmental models: caries experience, mutans streptococci in saliva, fluoride supplements, and visible dental plaque being the most common predictors. Predictive performances varied, providing LR + and LR - ranges of 0.78-10.3 and 0.0-1.1, respectively. Only four models of coronal caries and one root caries model scored LR + values of at least 5. All studies were assessed as having high risk of bias, generally due to insufficient number of outcomes in relation to candidate predictors and considerable uncertainty regarding predictor thresholds and measurements. Concern regarding applicability was low overall.

CONCLUSIONS: The review calls attention to several methodological deficiencies and the significant heterogeneity observed across the studies ruled out meta-analyses. Flawed or distorted study estimates lead to uncertainty about the prediction, which limits the models' usefulness in clinical decision-making. The modest performance of most models implies that alternative predictors should be considered, such as bacteria with acid tolerant properties.

TRIAL REGISTRATION: PROSPERO CRD#152,467 April 28, 2020.

BACKGROUND: While the dimensional alteration of alveolar bone following tooth extraction have been extensively descripted in the literature, no information is available regarding potential hard and soft tissues changes following implant explantation.

AIM: To evaluate the radiographic bone healing and the horizontal and vertical soft tissue dimensional alterations at implant extraction alveoli, 6 months following implant explantation.

MATERIAL AND METHODS: Data from 31 patients scheduled for extraction of one implant with persisting peri-implantitis despite treatment were analysed. Bone crest level changes and the extent of bone healing at the apical aspect of the implant socket were assessed on the radiographs prior and 6 months following explantation. Regression analyses assessed the impact of various predictors (e.g., bone crest level, presence/absence of buccal bone) on bone level changes. Fisher's exact probability test was applied to assess the difference in probability to have mucosa recession of ≥2 mm in the presence or absence of alveolar buccal bone.

RESULTS: A vertical bone loss of 0.8 mm (standard deviation [SD] = 1.3) of the peri-implant bone crest and a gain of 0.8 mm (SD = 1.1) from the bottom of the peri-implant defect were recorded. Complete healing was noted in the intact implant extraction socket (i.e., the part of the implant not affected by peri-implantitis). A reduction of 0.4 mm (SD = 0.7) of the alveolar mucosa height was recorded in concomitant with a decrease of 0.7 mm (SD = 0.8) of the mucosa width. These alterations were more pronounced in the absence of the alveolar buccal bone.

CONCLUSION: The results of the present explorative study indicated a decrease in the height and width of the alveolar soft and hard tissues following explantation of peri-implantitis affected implants, and these changes were more pronounced in the absence of the buccal bone wall. Nevertheless, the apical portion of the implant alveolus (the intact implant socket) tend to heal with no further bone loss.

BACKGROUND: Due to the nature of fatigue, a brief reliable measure of fatigue severity is needed. Thus, the aim of our study was to evaluate a short version of the Lee Fatigue Scale (LFS) in the Norwegian general population.

METHODS: This cross-sectional survey consists of a representative sample from the Norwegian population drawn by The National Population Register in Norway. The study is part of a larger study (NORPOP) aimed at collecting normative data from several questionnaires focused on health in adults living in Norway. Registered citizens between 18 and 94 years of age were randomly selected stratified by age, sex and geographic region. Of the 4971 respondents eligible for the study, 1792 (36%) responded to the survey. In addition to age and sex, we collected responses on a 5-item version of the LFS measuring current fatige severity. The psychometric properties focusing on internal structure and precision of the LFS items were analyzed by a Rasch rating scale model.

RESULTS: Complete LFS scores for analyses were available for 1767 adults. Women had higher LFS-scores than men, and adults < 55 years old had higher scores than older respondents. Our analysis of the LFS showed that the average category on each item advanced monotonically. Two of the five items demonstrated misfit, while the three other items demonstrated goodness-of-fit to the model and uni-dimensionality. Items #1 and #4 (tired and fatigue respectively) showed differential item functioning (DIF) by sex, but no items showed DIFs in relation to age. The separation index of the LFS 3-item scale showed that the sample could be separated into three different groups according to the respondents' fatigue levels. The LFS-3 raw scores correlated strongly with the Rasch measure from the three items. The core dimensions in these individual items were very similarly expressed in the Norwegian language version and this may be a threat to the cultural-related or language validity of a short version of the LFS using these particular items.

CONCLUSIONS: The study provides validation of a short LFS 3-item version for estimating fatigue in the general population.

The purpose of this technical report is to present two novel experimental implant designs to boost data generation in preclinical in vivo research. Specifically, the report describes the rationale and the components of (1) a two-piece experimental implant suitable for a small animal platform (e.g., the rabbit femur/tibial epiphysis model), consisting of a threaded apical- and a coronal cylindrical piece, which is intended for collecting two types of biomechanical data, and (2) a three-piece experimental implant suitable for a large animal platform (e.g., the mini-pig mandible model), consisting of an apical "wound chamber", which allows the collection of histological/histomorphometrical data, and a middle threaded and coronal cylindrical piece, which also allow the collection of two types of biomechanical data. The increased volume of information generated from a single experiment in a small animal platform, using the proposed two-piece implant design, may assist in a more qualified decision-making process, on whether it is relevant to proceed to further assessment using a large animal platform. Furthermore, the increased volume of information generated in a single animal experiment either in a small or large animal platform, using the proposed two- and three-piece implants, respectively, likely decreases the number of animals otherwise needed for collecting the same information with standard one-piece implants and, thus, contributes to the reduction/refinement elements of the 3R principle.

Soybean phosphatidylcholine (SPC) and glycerol dioleate (GDO) form liquid crystal nanostructures in aqueous environments, and their mixtures can effectively encapsulate active pharmaceutical ingredients (API). When used in a subcutaneous environment, the liquid crystalline matrix gradually hydrates and degrades in the tissue whilst slowly releasing the API. Hydration dependent SPC/GDO phase behavior is complex, non-trivial, and still not fully understood. A deeper understanding of this system is important for controlling its function in drug delivery applications. The phase behavior of the mixture of SPC/GDO/water was studied as a function of hydration and lipid ratio. Small-angle X-ray scattering (SAXS) was used to identify space groups in liquid crystalline phases and to get detailed structural information on the isotropic reverse micellar phase. The reported pseudo ternary phase diagram includes eight different phases and numerous multiphase regions in a thermodynamically consistent way. For mixtures with SPC as the predominant component, the system presents a reverse hexagonal, lamellar and R3m phase. For mixtures with lower SPC concentrations, reverse cubic (Fd3m and Pm3n) as well as intermediate and isotropic micellar phases were identified. By modeling the SAXS data using a core–shell approach, the properties of the isotropic micellar phase were studied in detail as a function of concentration. Moreover, SAXS analysis of other phases revealed new structural features in relation to lipid–water interactions. The new improved ternary phase diagram offers valuable insight into the complex phase behavior of the SPC/GDO system. The detailed structural information is important for understanding what APIs can be incorporated in the liquid crystal structure.

Dendritic cells (DCs) are mediators between innate and adaptive immunity and vital in initiating and modulating antigen-specific immune responses. The most important site for induction of tolerance is the gut mucosa, where TGF-β, retinoic acid, and aryl hydrocarbon receptors collaborate in DCs to induce a tolerogenic phenotype. To mimic this, a novel combination of compounds – the synthetic aryl hydrocarbon receptor (AhR) agonist IGN-512 together with TGF-β and retinoic acid – was developed to create a platform technology for induction of tolerogenic DCs intended for treatment of several conditions caused by unwanted immune activation. These in vitro-generated cells, designated ItolDCs, are phenotypically characterized by their low expression of co-stimulatory and activating molecules along with high expression of tolerance-associated markers such as ILT3, CD103, and LAP, and a weak pro-inflammatory cytokine profile. When co-cultured with T cells and/or B cells, ItolDC-cultures contain higher frequencies of CD25+Foxp3+ regulatory T cells (Tregs), CD49b+LAG3+ ‘type 1 regulatory (Tr1) T cells, and IL-10-producing B cells and are less T cell stimulatory compared to cultures with matured DCs. Factor VIII (FVIII) and tetanus toxoid (TT) were used as model antigens to study ItolDC antigen-loading. ItolDCs can take up FVIII, process, and present FVIII peptides on HLA-DR. By loading both ItolDCs and mDCs with TT, antigen-specific T cell proliferation was observed. Cryo-preserved ItolDCs showed a stable tolerogenic phenotype that was maintained after stimulation with LPS, CD40L, or a pro-inflammatory cocktail. Moreover, exposure to other immune cells did not negatively impact ItolDCs’ expression of tolerogenic markers. In summary, a novel protocol was developed supporting the generation of a stable population of human DCs in vitro that exhibited a tolerogenic phenotype with an ability to increase proportions of induced regulatory T and B cells in mixed cultures. This protocol has the potential to constitute the base of a tolDC platform for inducing antigen-specific tolerance in disorders caused by undesired antigen-specific immune cell activation.

Early detection of cancer is essential for successful treatment and improvement in patient prognosis. Deregulation of post-translational modifications (PTMs) of proteins, especially phosphorylation, is present in many types of cancer. Therefore, the development of materials for the rapid sensing of low abundant phosphorylated peptides in biological samples can be of great therapeutic value. In this work, we have synthesised fluorescent molecularly imprinted polymers (fMIPs) for the detection of the phosphorylated tyrosine epitope of ZAP70, a cancer biomarker. The polymers were grafted as nanometer-thin shells from functionalised submicron-sized silica particles using a reversible addition-fragmentation chain-transfer (RAFT) polymerisation. Employing the combination of fluorescent urea and intrinsically cationic bis-imidazolium receptor cross-linkers, we have developed fluorescent sensory particles, showing an imprinting factor (IF) of 5.0. The imprinted polymer can successfully distinguish between phosphorylated and non-phosphorylated tripeptides, reaching lower micromolar sensitivity in organic solvents and specifically capture unprotected peptide complements in a neutral buffer. Additionally, we have shown the importance of assessing the influence of counterions present in the MIP system on the imprinting process and final material performance. The potential drawbacks of using epitopes with protective groups, which can co-imprint with targeted functionality, are also discussed.

BACKGROUND/AIM: There are few long-term clinical follow-up studies on human teeth replanted immediately or after storage in a suitable storage medium prior to replantation. This study aimed to assess the risk of ankylosis in avulsed human teeth replanted immediately or after storage in physiological media for a short time.

MATERIAL: Data from 116 patients with 145 replanted avulsed permanent teeth were selected from a comprehensive dental trauma database in Copenhagen University Hospital. The following teeth were selected: Group 1 comprised 36 teeth replanted immediately (dry time <6 min; wet time <6 min). Group 2 comprised 61 teeth replanted after physiologic storage media (saliva and saline) (dry time <6 min; wet time >5 min; wet time ranged from 7 to 170 min, and mean wet time was 59 min). Group 3 (control) included 48 teeth replanted after dry storage (dry time > 60 min).

METHOD: Clinical and radiographic registrations were carried out according to a standardized protocol; follow-up ranged from 7 months to 23 years. Ankylosis was diagnosed by percussion test and radiographs and related to the conditions prior to replantation and stage of root development.

RESULTS: The overall risk of ankylosis was 17.2% [95% CI: 4.61; 29.79] for immediately replanted teeth, 55.3% [95% CI: 42.54; 68.00] for teeth stored in physiologic media before replantation, and 85.7% [95% CI: 75.70; 95.73] for teeth stored dry more than 1 h. Mature teeth showed a significantly higher risk of ankylosis than immature teeth.

CONCLUSION: This clinical long-term study has verified earlier experimental studies showing that immediate reimplantation has the lowest risk of ankylosis. Physiologic storage media are good alternatives that also reduce the risk of ankylosis compared to dry storage, where ankylosis is more likely although not always seen. Mature teeth are significantly more likely to develop ankylosis.

Purpose: To determine the biologic and biomechanical effects of two implant drilling protocols on the cortical bone around implants subjected to immediate loading. Materials and Methods: A total of 48 implants were inserted into the mandibles of six sheep following one of two drilling protocols: undersized preparation (US; n = 24) and nonundersized preparation (NUS; n = 24). Immediately after implant insertion, an abutment was placed on each implant and 36 implants were subjected to 10 sessions of dynamic vertical loads (1,500 cycles, 1 Hz) of 25 N or 50 N. Insertion torque value (ITV) was recorded at implant installation. Resonance frequency analysis (RFA) was measured at implant insertion and at each loading session. Fluorochrome was administered at day 17, and the animals were euthanized after 5 weeks. The removal torque values (RTVs) were measured, and samples underwent histomorphometric, mu CT (microcomputed tomography), and fluorescence image acquisition analyses. The bone volume density (BV/TV), bone-to-implant contact (BIC), bone area fraction occupancy (BAFO), and fluorochrome stained bone surface (MS) were calculated. A linear mixed model analysis was performed, and Pearson paired correlation was calculated. Results: Five implants from the NUS group failed, with a mean ITV of 8.8 Ncm and an RFA value of 57. The mean ITVs for US group and NUS group were 80.5 (+/- 14) Ncm and 45.9 (+/- 25) Ncm, respectively (P < .001). No differences were noted in the RFA values from the time of implant insertion until the end of the study. No differences in RTV, BV/TV, BAFO, or MS were observed between the groups. Intense new bone formation took place in the NUS group implants that were subjected to load. Conclusions: Undersized preparation of cortical bone ensured a greater BIC compared to a nonundersized preparation. Moreover, this study demonstrated that immediate loading did not interfere with the osseointegration process, but loading induced intense new bone formation in the NUS group. It is not recommended to immediately load the implants when the clinically perceived primary stability is lower than an ITV of 10 Ncm and an RFA value of 60.

In this paper, we treat VR as a new writing space in the long tradition of inscription. Constructing Virtual Reality (VR) narratives can then be understood as a process of inscribing text in space, and consuming them as a process of "reading" the space. Our research objective is to explore the meaning-making process afforded by spatial narratives-to test whether VR facilitates traditional ways of weaving complex, multiple narrative strands and provides new opportunities for leveraging space. We argue that, as opposed to the linear space of a printed book, a VR narrative space is similar to the physical space of a museum and can be analyzed on three distinct levels: (1) the architecture of the space itself, (2) the collection, and (3) the individual artifacts. To provide a deeper context for designing VR narratives, we designed and implemented a testbed called RealityMedia to explore digital remediations of traditional narrative devices and the spatial, immersive, and interactive affordances of VR. We conducted task-based user study using a VR headset and follow-up qualitative interviews with 20 participants. Our results highlight how the three semantic levels (space, collection, and artifacts) can work together to constitute meaningful narrative experiences in VR.

ObjectivesTemporomandibular disorders (TMDs) is a collective term for pain and functional disturbances related to the jaw muscles and the temporomandibular joint. In contrast to screening for orofacial pain, knowledge is limited on the association between patient-reported outcomes and screening for joint-related functional jaw disturbances. Therefore, our aim was to evaluate the association between a screening question for functional jaw disturbances, and disease-specific out-come measures for functional jaw limitations and oral behaviors.MethodsThis study included 299 individuals (201 women; 20-69 years, median 37.0) in a general population sample from Vasterbotten, Northern Sweden in 2014. A single screening question for functional jaw disturbances "Does your jaw lock or become stuck once a week or more?" was used to categorize individuals as cases or controls. Patient-reported outcomes on functional jaw disturbances were assessed with the 20-item jaw functional limitation scale (JFLS-20) and oral behaviors with the 21-item Oral Behaviors Checklist (OBC-21).ResultsThe strongest predictive probability to have a positive screening outcome was functional jaw limitations related to mobility (AUC(boot) = 0.78, 95 CI:0.71-0.86, P < .001), followed by limitations related to communication (AUC(boot) = 0.74, 95 CI:0.63-0.80, P < .001) and mastication (AUC(boot) = 0.73, 95 CI:0.66-0.81, P < .001). The frequency of oral behaviors was not significantly associated with a positive screening outcome (AUC(boot) = 0.65, 95 CI:0.55-0.72, P = .223).ConclusionsSelf-reported functional limitations, but not oral behaviors, are strongly associated with a single screening question for frequent functional jaw disturbances. This finding provides support for incorporating a question on jaw catching/locking once a week or more in screening instruments for TMDs.

Background and Objectives: Implant-supported single crowns have become a routine approach for the replacement of missing single teeth, being considered as one of the most common ways of rehabilitation when adjacent teeth are healthy. The present retrospective study aimed to investigate the risk factors possibly associated with failure and technical complications of implant-supported single crowns and their supporting implants. Materials and Methods: Patients treated at one faculty (2009-2019) were considered for inclusion. Complications investigated included ceramic fracture/chipping, crown loss of retention/mobility, crown failure/fracture, loosening/loss/fracture of prosthetic screw, and implant failure/fracture. Any condition/situation that led to the removal/replacement of crowns (implant failure not included) was considered prosthesis failure. Univariate/multivariate Cox regression models were used to evaluate the associations between clinical covariates and failure. Results: 278 patients (358 crowns) were included. Mean & PLUSMN; SD follow-up was 56.5 & PLUSMN; 29.7 months. Seven implants (after a mean of 76.5 & PLUSMN; 43.7 months) and twenty crowns (21.3 & PLUSMN; 23.5 months) failed. The cumulative survival rate (CSR) for crowns was 93.5% after 5, remaining at 92.2% between 6 and 11 years. The most common reasons for crown failure were porcelain large fracture (n = 6), crown repeatedly loose (n = 6), and porcelain chipping (n = 5). Men and probable bruxism were identified in the Cox regression model as being associated with crown failure. The most common observed technical complications were mobility of the crown and chipping of the ceramic material, with the latter being observed even in crowns manufactured of monolithic zirconia. Cases with at least one technical complication (not considering loss of screw hole sealing) were more common among probable bruxers than in non-bruxers (p = 0.002). Cases of ceramic chipping were more common among bruxers than in non-bruxers (p = 0.014, log-rank test). Conclusions: Probable bruxism and patient's sex (men) were factors associated with a higher risk of failure of implant-supported single crowns.

Increased knowledge of how sexuality is expressed in older persons may create opportunities for healthcare professionals to perform care according to a person-centered approach. To describe older people's experiences of sexuality concerning aging, a qualitative study was conducted. Eight persons aged 60 and above were interviewed, and the obtained data were analyzed using content analysis. The findings revealed that the participants were certain of being sexually active as they got older. Awareness of what old age can bring regarding illness and increased medication intake was clear, alongside the importance of discussing sexuality with friends or a partner. Age was not seen as an obstacle to continuously being sexually active, and new ways to maintain intimacy and sexuality were identified. According to our results sexuality in older people is about well-being and intimate relationships. Creating opportunities for a trusting, caring relationship can strengthen older people's sexual health. Healthcare professionals must, therefore, make possibilities for trustful relationships to support and discuss sexuality with older people. In this study, eight persons aged 60 and above were interviewed about their experiences of sexuality concerning aging. They described sexuality in terms of well-being and intimate relationships and spoke about the need for support and discussions about sexuality in meetings with healthcare personnel.