Background: Recent research indicates that understanding how children and youth perceive mental health, how it is manifests, and where the line between mental health issues and everyday challenges should be drawn, is complex and varied. Consequently, it is important to investigate how children and youth perceive and communicate about mental health. With this in mind, our goal is to synthesize the literature on how children and youth (ages 10-25) perceive and conceptualize mental health.

Methods: We conducted a preliminary search to identify the keywords, employing a search strategy across electronic databases including Medline, Scopus, CINAHL, PsychInfo, Sociological abstracts and Google Scholar. The search encompassed the period from September 20, 2021, to September 30, 2021. This effort yielded 11 eligible studies. Our scoping review was conducted in accordance with the PRISMA-ScR Checklist.

Results: As various aspects of uncertainty in understanding of mental health have emerged, the results indicate the importance of establishing a shared language concerning mental health. This is essential for clarifying the distinctions between everyday challenges and issues that require treatment.

Conclusion: We require a language that can direct children, parents, school personnel and professionals toward appropriate support and aid in formulating health interventions. Additionally, it holds significance to promote an understanding of the positive aspects of mental health. This emphasis should extend to the competence development of school personnel, enabling them to integrate insights about mental well-being into routine interactions with young individuals. This approach could empower children and youth to acquire the understanding that mental health is not a static condition but rather something that can be enhanced or, at the very least, maintained.

Objectives: General palliative care (PC) is provided more at home, leading to increased involvement of relatives. Although support for relatives is a fundamental component of PC, there are deficiencies in the support provided to relatives when general PC is provided at home. This study aimed to describe the support provided by health professionals before and after a patient's death to relatives involved in general PC at home.

Methods: A cross-sectional register study was implemented, with data from the Swedish Register of Palliative care. The sample consisted of 160 completed surveys from relatives who had been involved in general PC at home, with 160 related surveys answered by health professionals. Only the questions about support to relatives were used from the surveys.

Results: The findings showed that although many relatives appear to receive support in general PC at home, not all relatives receive optimal support before or after a patient's death. The findings also indicated differences in whether relatives received some support before and after a patient's death depending on the type of relative. There were also differences in responses between health professionals and relatives regarding if relatives received counseling from a doctor about whether the patient was dying.

Significance of results: There is potential for improvements regarding support for relatives, especially after a patient's death, which has been confirmed in previous studies. The differences in whether relatives received support before and after a patient's death depending on the type of relative highlight the need for future research on how to support different types of relatives before and after a patient's death when general PC is provided at home.

Sphingolipids play crucial roles in cellular membranes, myelin stability, and signalling responses to physiological cues and stress. Among them, sphingosine 1-phosphate (S1P) has been recognized as a relevant biomarker for neurodegenerative diseases, and its analogue FTY-720 has been approved by the FDA for the treatment of relapsing-remitting multiple sclerosis. Focusing on these targets, we here report three novel polymeric capture phases for the selective extraction of the natural biomarker and its analogue drug. To enhance analytical performance, we employed different synthetic approaches using a cationic monomer and a hydrophobic copolymer of styrene-DVB. Results have demonstrated high affinity of the sorbents towards S1P and fingolimod phosphate (FTY-720-P, FP). This evidence proved that lipids containing phosphate diester moiety in their structures did not constitute obstacles for the interaction of phosphate monoester lipids when loaded into an SPE cartridge. Our suggested approach offers a valuable tool for developing efficient analytical procedures.

While the primary properties of thermoelectric devices, directly related to the conversion efficiency, are considered in design efforts, the secondary (thermomechanical) properties are often ignored or overlooked even though they can lead to failure. Here, thermomechanical properties of thermoelectric ZrNiSn in the amorphous and crystalline state (space group F-43m), comprising thermal conductivity, thermal expansion, elastic (Young’s) modulus, and thermal shock, are studied using density functional theory and two phonon models. Thermal conductivity is also a key primary property for thermoelectric applications. Amorphous ZrNiSn exhibits a fourfold lower thermal conductivity than the crystalline counterpart due to high phonon–phonon scattering, which is conducive to thermoelectric performance. However, this is conflicting since a high thermal conductivity value is required to attain high resistance to thermal shock. Due to stronger bonds in the crystalline counterpart, facilitated by the stronger Zr 3d – Ni 3d and Sn 5p – Ni 3d hybridization and higher coordination than in the amorphous state, the linear coefficient of thermal expansion is lower, and the elastic modulus is higher. Hence, the crystalline state yields higher resistance to thermal shock. It is suggested that samples entailing both amorphous and crystalline regions can concurrently satisfy the primary and secondary requirements for enhanced efficiency and durability.

We present new maps of the Milky Way disk showing the distribution of metallicity ([Fe/H]), alpha-element abundances ([Mg/Fe]), and stellar age, using a sample of 66,496 red giant stars from the final data release (DR17) of the Apache Point Observatory Galactic Evolution Experiment survey. We measure radial and vertical gradients, quantify the distribution functions for age and metallicity, and explore chemical clock relations across the Milky Way for the low-a disk, high-alpha disk, and total population independently. The low-alpha disk exhibits a negative radial metallicity gradient of -0.06 +/- 0.001 dex kpc(-1), which flattens with distance from the midplane. The high-alpha disk shows a flat radial gradient in metallicity and age across nearly all locations of the disk. The age and metallicity distribution functions shift from negatively skewed in the inner Galaxy to positively skewed at large radius. Significant bimodality in the [Mg/Fe]-[Fe/H] plane and in the [Mg/Fe]-age relation persist across the entire disk. The age estimates have typical uncertainties of similar to 0.15 in log(age) and may be subject to additional systematic errors, which impose limitations on conclusions drawn from this sample. Nevertheless, these results act as critical constraints on galactic evolution models, constraining which physical processes played a dominant role in the formation of the Milky Way disk. We discuss how radial migration predicts many of the observed trends near the solar neighborhood and in the outer disk, but an additional more dramatic evolution history, such as the multi-infall model or a merger event, is needed to explain the chemical and age bimodality elsewhere in the Galaxy.

The current study explores how neighborhood fear of crime ("worry about specific crimes") changes over time in neighborhoods with different levels of disadvantage. With a comparative design, 81 and 123- neighborhoods in two cities in Sweden are followed over a six-year period. Fear of crime trajectories are assessed through growth curve modeling. We consider how differences in neighborhood processes, such as social and physical disorder, might influence fear of crime levels. The results show that fear of crime increased over time in both cities and the increase was related to higher levels of physical disorder in several areas. Furthermore, the change differed depending on the neighborhood type - in highly disadvantaged neighborhoods, the fear was stable at a high level. In contrast, the largest increases in fear could be seen in the areas with the lowest disadvantage in both cities. Theoretical and practical implications are discussed.

Through a mixed-methods approach consisting of a directed content analysis of five established LGBT+ organizations' use of Twitter and Facebook during a month in 2022, and semi-structured qualitative interviews with social media content producers, the study attempts to understand the role of self-controlled social media spaces in challenging the Uganda society's logics of oppression. The results indicate that self-controlled spaces are not used for disrupting the basis for repression - the local logic of oppression - or its cocoon of collective post-colonial amnesia. Nor were spaces used for re-constructive engaging with transnational and development partners' unwitting impact on global south actors' agency and legitimacy. Instead, with a few exceptions, spaces displayed a conspicuous uniform human rights advocacy rhetoric, and Western identity labels summarized in the LGBT+ acronym. The interviews with social media content producers suggest that the LGBT+ community's dependency on international support may sway actors into what we call performative visibility, in self-controlled spaces. The study concludes that future analysis of Global South based activist's use of social media spaces' affordances including its potential for supporting de-colonialization efforts, must approach use as relational to actors' dependency on key resources such as funding and protection through affiliation.

In the study presented in this article, the aim is to further the understanding regarding the differences between pupils (aged 15-16) from schools with low or high socio-economic status (SES), regarding the amount and diversity of content knowledge in history that they have acquired by the end of compulsory schooling. Following a definition of historical content knowledge, we situate the concept in relation to other aspects of the history school subject. This is done to visualize historical content knowledge's central role in more complex aspects of the subject. The empirical material used in the study is pupils' responses on both selected and constructed response items on the Swedish national test in history. In the study, a combination of qualitative and quantitative approaches is used. The results show not only that pupils in low-SES schools provide fewer examples of historical content knowledge. We can also establish that the historical content knowledge of pupils from high-SES schools represents several perspectives while there are few perspectives present in the responses from pupils in low-SES schools. The results are used to discuss how the differences between pupils in low- and high-SES schools may affect their possibilities for educational success and active participation in society.

Aim: To assess whether oral health problems affect disease-specific quality of life (QoL) of inflammatory bowel disease (IBD) patients, and vice versa, whether IBD affects oral-health-related QoL. Materials and Methods: Individuals reporting IBD and matched controls were surveyed on general anamnestic information, oral-health-related questions and the Oral Health Impact Profile (OHIP)-5. IBD patients were additionally surveyed on years since diagnosis, disease activity and severity as well as health-related QoL (Short Inflammatory Bowel Disease Questionnaire, sIBDQ). OHIP-5 and sIBDQ were defined as primary outcome parameters, and several predictors and confounders were used in adjusted univariable and multivariable regression analyses. Results: Answers from 1108 IBD patients and 3429 controls were analysed. Compared with controls, IBD patients reported significantly more frequently an oral impact on daily life and worse oral-health-related QoL, with Crohn's disease (CD) patients being more severely affected than ulcerative colitis (UC) patients. The diagnosis of UC and CD, having <20 teeth, severe periodontitis and stressful daily-life experience were associated with a higher prevalence of poor oral-health-related QoL. Among IBD patients, an impaired IBD-specific, health-related QoL was significantly associated with the diagnosis of CD and depression, IBD activity and severity, having <20 teeth, presence of oral lesions and stressful daily-life experience, while a longer time since diagnosis was significantly associated with an improved IBDspecific, health-related QoL. Conclusions: The results of the present study indicate, for the first time, that oral health problems are associated with an impairment of IBD-specific health-related QoL, and vice versa, IBD is associated with an impaired oral health-related QoL. This emphasizes the potential advantages of including dental professionals in the multi-disciplinary treatment teams of IBD patients.

The world is gearing towards renewable energy sources, due to the numerous negative repercussions of fossil fuels. There is a need to increase the efficiency of power generation, transmission, distribution, and use. The proposed work intends to decrease household electricity use and provide an intelligent home automation solution with ensembled machine learning algorithms. It also delivers organized information about the usage of each item while automating the use of electrical appliances in a home. Experimental results show that with XGBoost and Random Forest classifiers, electricity usage can be fully automated at an accuracy of 79%, thereby improving energy utilization efficiency and improving quality of life of the user.

Frost deterioration of concrete is an important durability issue for structures exposed to high degree of saturation, low temperatures and de-icers. The material can then be severely damaged with internal cracking and/or scaling of the surface, which can lead to e.g. reduced protection of the reinforcement and loss of load bearing capacity. Experiments with liquid uptake in concrete using different temperature cycles was made to study cryosuction. The material used was concrete with different air content and different replacement levels of ground granulated blast-furnace slag (GGBS). The concrete samples were preconditioned by capillary suction. Three temperature conditions were used: constant temperatures of +20 degrees C and-20 degrees C, and temperature that cycled between-20 degrees C and +20 degrees C. As liquid medium, deionized water and a 3% NaCl salt solution were used. Air entrainment generally increased the liquid uptake. The amount of GGBS and the NaCl concentration in the liquid did not have any significant impact on the liquid uptake in these experiments.

The purpose of the present systematic review was to investigate the influence of bisphosphonates (BPs) on the dental implant failure rate and marginal bone loss (MBL). An electronic search was undertaken in three databases, plus a manual search of journals. Meta-analyses were performed, besides a meta-regression in order to verify how the log odds ratio (OR) was associated with follow-up time. The five- and ten-year estimated implant survivals were calculated. The review included 33 publications. Altogether, there were 1727 and 21,986 implants placed in patients taking and not taking BPs, respectively. A pairwise meta-analysis (26 studies) showed that implants in BP patients had a higher failure risk in comparison to non-BP patients (OR 1.653, p = 0.047). There was an estimated decrease of 0.004 in log OR for every additional month of follow-up, although it was not significant (p = 0.259). The global estimated implant survival in patients taking BPs after 5 and 10 years was 94.2% (95% CI, 94.0-94.4) and 90.1% (95% CI, 89.8-90.3), respectively. It was not possible to make any reliable analysis concerning MBL, as only two studies reported MBL results separated by groups. There is a 65.3% higher risk of implant failure in patients taking BPs in comparison to patients not taking this class of drugs.

Gated communities and gated housing enclaves have primarily been identified as elite spaces of privilege that support self-imposed disaffiliation and spatial and social withdrawal by the affluent. Over the past decade, however, European countries have also seen a rise of gating in large housing estates. Drawing on previous research and a comparative case study that includes interviews, observations, and mapping, this article analyses policies and practices of gating in large housing estates since 2010 in Malmo, Sweden and since 2000 in Paris, France. We argue, first, that gating is legitimised by policy arguments about 'defensible space', by a critique of the modernist design, and by a perceived need for diversification. Secondly, we expand the notion of urban gating and identify four types of enclosure: complete enclosure, semi-enclosure, enclosure through densification, and enclosure of parks and playgrounds. We conclude that the notion of the welfare state has changed, not only in financial terms but also as an urban form, leading to the micro-segregation of housing and land, which makes visible the social stratification within large housing estates. Gating of large housing estates thus leads to 'enclosed communities' rather than 'gated communities'.

Background: Loneliness is described as a public health problem and can be both a consequence of aging and a cause of ill health. Lonely older adults tend to have difficulties making new social connections, essential in reducing loneliness. Loneliness often varies over time, but established loneliness tends to persist. Maintaining good health is fundamental throughout the life course. Social connections change with aging, which can contribute to loneliness.

Aim: This study aimed to investigate loneliness in relation to social factors and self-reported health among older adults.

Method: A cross-sectional research design was used based on data from the Swedish National Study on Aging and Care, Blekinge (SNAC-B), from February 2019 to April 2021. Statistical analysis consisted of descriptive and inferential analysis.

Results: Of n = 394 participants, 31.7% (n = 125) stated loneliness. Close emotional connections were necessary for less loneliness. Loneliness was more common among those who did not live with their spouse or partner and met more rarely. Furthermore, seeing grandchildren and neighbors less often increased loneliness, and a more extensive social network decreased loneliness.

Conclusion: This study underlined the importance of social connections and having someone to share a close, emotional connection with to reduce loneliness.

Scholarly work addressing art and migration has clustered around certain themes: art as therapy, art as expression of identity and memory, art as political mobilization, and art as integration. Similarly, scholars have noted the significance of tattoo art in terms of embodied identity and reclaiming the self after trauma. The overlap between these literatures remains a largely unexplored area of inquiry. This article examines tattooing as an everyday artistic practice in a refugee’s post-migration life. Through an ethnographic case study focusing on Kash, an Iranian man who sought asylum in Sweden, I theorize tattooing as intercultural bridgework (Anzaldúa 2002) functioning in three ways: self-expression, a mode of social integration, and ultimately a transferable skill. This article argues for considering tattoo art as a sustainable (meaning, something that can sustain the artist) art form in the post-migration context. A focus on tattooing as a refugee/migrant practice presents a novel contribution to work on migration and art and allows for an examination of the embodied intersections of expression and integration outside the realm of project-based research.

Per Dahlbeck & Pär Widén kritiserar påståendet att “Ibland kan ett F ändå vara ett riktigt bra betyg” från Sydsvenskans ledarskribent. De ställer sig undrande inför sakligheten i Sydsvenskans ledare och ifrågasätter textens allmänna tyckande. Behöver inte behöver ledarskribenter i Sydsvenskan utgå varken från beprövad erfarenhet eller vetenskaplig grund?

In this article I analyze Tove Jansson’s art of the miniature. Drawing on Gaston Bachelard’s conceptualization of the miniature and adapting it to the critical discourse of children’s literature and the miniature, I argue that Jansson’s verbal and visual art in general, and in the Moomin series in particular, can be understood in terms of a “miniaturizing imagination”. Thus, the miniature in Tove Jansson’s work – verbal, visual, artifactual – typically achieves condensation and enrichment rather than reduction, a “poetic space” to use Bachelard’s term. Tove Jansson’s “muminalism” serves to open up the fictional world of the Moomintrolls in an act of fictional world-building.

According to the national framing of the Swedish preschool system, educators are expected to act as mediators of the dominant language while simultaneously promoting multilingualism. Previous research shows that educators display an insecurity as well as a lack of knowledge of how to implement this dual undertaking. This article examines educators’ dual undertaking of linguistic diversity (changeability), on the one hand, and a national standard (stability) on the other, based on ethnographic data from three preschools with socioeconomic differences. The data are analysed employing concepts from pedagogic theory and linguistic diversity. Bernstein’s competence model with weak classification and framing accommodates translanguaging, giving room for the children’s own linguistic initiatives. Translanguaging is understood from a local as well as a global perspective; the local is based on global norms and global norms relate to local practices. The results show that educators support children as linguistic and multilingual beings. Unlike previous studies showing that middle-class children benefit from the competence model, this study shows how children with different socio-economic backgrounds benefit from the competence model. The diversity of language practice in Swedish pre-schools has the potential to create opportunities for new forms of agency and identity for children.

This paper lays the ground for a novel discussion on the encounter between José Martí and Antonio Gramsci. It argues that Martí and Gramsci can be profitably and innovatively read together when interrogating the profound “spatial articulations” that animate their political vision. The discussion principally focuses on Martí's concept of Our America and Gramsci's Southern Question. Methodologically, the article deploys a “diachronic tactic” that mobilises a broad body of literature that emerged long after Martí's and Gramsci's lives, particularly considering contributions within Radical Geography and Postcolonial Studies. 

Research on students’ perceptions and understanding of technology has shown that students have a narrow view of technology: for example, technology is often manifested in students’ descriptions as artefacts or objects. This study investigates the ways in which students’ understanding of how technology is manifested expands during a series of classroom activities in technology. The study was conducted at a compulsory primary school with eight-year-old students. The data (video and audio recordings) were collected in small-group interactions and in whole-class discussions. In the interactions, the students utilised self-taken photographs to visualise their understanding and perception of technology’s manifestations: object, activity, volition, and knowledge (Mitcham in Thinking through technology. The path between engineering and philosophy, The University of Chicago Press, 1994). Based on their prior knowledge, the students perceived technology as contemporary electrical artefacts. As they engage in a technology project, they develop and expand their understanding of how technology is manifested, as well as relate different manifestations to one another. The findings indicate that students achieve a more advanced understanding of technological manifestations compared to only discussing each manifestation of technology separately. 

Google Trends (GT) collate the volumes of search keywords over time and by geographical location. Such data could, in theory, provide insights into people’s ex ante intentions to migrate, and hence be useful for predictive analysis of future migration. Empirically, however, the predictive power of GT is sensitive, it may vary depending on geographical context, the search keywords selected for analysis, as well as Google’s market share and its users’ characteristics and search behavior, among others. Unlike most previous studies attempting to demonstrate the benefit of using GT for forecasting migration flows, this article addresses a critical but less discussed issue: when GT cannot enhance the performances of migration models. Using EUROSTAT statistics on first-time asylum applications and a set of push-pull indicators gathered from various data sources, we train three classes of gravity models that are commonly used in the migration literature, and examine how the inclusion of GT may affect models’ abilities to predict refugees’ destination choices. The results suggest that the effects of including GT are highly contingent on the complexity of different models. Specifically, GT can only improve the performance of relatively simple models, but not of those augmented by flow Fixed-Effects or by Auto-Regressive effects. These findings call for a more comprehensive analysis of the strengths and limitations of using GT, as well as other digital trace data, in the context of modeling and forecasting migration. It is our hope that this nuanced perspective can spur further innovations in the field, and ultimately bring us closer to a comprehensive modeling framework of human migration.

The demand for the accurate and timely identification of melanoma as a major skin cancer type is increasing daily. Due to the advent of modern tools and computer vision techniques, it has become easier to perform analysis. Skin cancer classification and segmentation techniques require clear lesions segregated from the background for efficient results. Many studies resolve the matter partly. However, there exists plenty of room for new research in this field. Recently, many algorithms have been presented to preprocess skin lesions, aiding the segmentation algorithms to generate efficient outcomes. Nature-inspired algorithms and metaheuristics help to estimate the optimal parameter set in the search space. This research article proposes a hybrid metaheuristic preprocessor, BA-ABC, to improve the quality of images by enhancing their contrast and preserving the brightness. The statistical transformation function, which helps to improve the contrast, is based on a parameter set estimated through the proposed hybrid metaheuristic model for every image in the dataset. For experimentation purposes, we have utilised three publicly available datasets, ISIC-2016, 2017 and 2018. The efficacy of the presented model is validated through some state-of-the-art segmentation algorithms. The visual outcomes of the boundary estimation algorithms and performance matrix validate that the proposed model performs well. The proposed model improves the dice coefficient to 94.6% in the results.

Despite initial suggestions that the COVID-19 pandemic affected everyone equally, it quickly became clear that some were much worse affected than others. Marginalization—including poverty, substandard accommodation, precarious or no employment, reduced access to healthcare and other key public goods—was clearly correlated with higher rates of both contagion and fatality. For Sweden, COVID-19 inequality could be seen along clear racial and socio-economic lines, with some of the first high death rates seen amongst Somali communities, where individuals had contracted the virus through unsafe employment as taxi drivers transporting wealthier Swedes home from their winter holidays. At the same time, actors on the extra parliamentarian far-right in Sweden were quick to blame the country's relatively high per-capita fatality rate on persons born outside Sweden working in the healthcare and care home sector. Media frames affirming racial stereotypes grounded in cultural racism circulated across the ecosystem of alternative media in the country. In both healthcare and the media, we see growing forms of exclusion disproportionately affecting migrants. Such intertwined exclusions in Sweden, as the article argues, are a sign of a wider disintegration of Swedish society in which individuals lose trust in both the core institutions as well as across different parts of society. Drawing on Davina Cooper's understanding of the relationship between the state and other public institutions with individuals as based on “touch,” the article explores how exclusionary practices impact this relationship. Our key argument is that, whilst ostensibly such practices often most materially hurt minority groups (e.g., migrants), they are indicative of—and accelerate—a broader disintegration of society through undermining a logic of “care” necessary to sustain social bonds.

Eta Carinae (η Car) exhibits a unique set of P Cygni profiles with both broad and narrow components. Over many decades, the spectrum has changed-there has been an increase in observed continuum fluxes and a decrease in Fe II and H I emission-line equivalent widths. The spectrum is evolving toward that of a P Cygni star such as P Cygni itself and HDE 316285. The spectral evolution has been attributed to intrinsic variations such as a decrease in the mass-loss rate of the primary star or differential evolution in a latitudinal-dependent stellar wind. However, intrinsic wind changes conflict with three observational results: the steady long-term bolometric luminosity; the repeating X-ray light curve over the binary period; and the constancy of the dust-scattered spectrum from the Homunculus. We extend previous work that showed a secular strengthening of P Cygni absorptions by adding more orbital cycles to overcome temporary instabilities and by examining more atomic transitions. CMFGEN modeling of the primary wind shows that a time-decreasing mass-loss rate is not the best explanation for the observations. However, models with a small dissipating absorber in our line of sight can explain both the increase in brightness and changes in the emission and P Cygni absorption profiles. If the spectral evolution is caused by the dissipating circumstellar medium, and not by intrinsic changes in the binary, the dynamical timescale to recover from the Great Eruption is much less than a century, different from previous suggestions.

Previous Hubble Space Telescope (HST)/Space Telescope Imaging Spectrograph (STIS) longslit observations of Eta Carinae (η Car) identified numerous absorption features in both the stellar spectrum, and in the adjacent nebular spectra, along our line of sight (LOS). The absorption features became temporarily stronger when the ionizing far-ultraviolet radiation field was reduced by the periastron passage of the secondary star. Subsequently, dissipation of a dusty structure in our LOS has led to a long-term increase in the apparent brightness of η Car, an increase in the ionizing ultraviolet (UV) radiation, and the disappearance of absorption from multiple velocity-separated shells extending across the foreground Homunculus lobe. We use HST/STIS spectro-images, coupled with published infrared and radio observations, to locate this intervening dusty structure. The velocity and spatial information indicate the occulter is ≈1000 au in front of η Car. The Homunculus is a transient structure composed of dusty, partially ionized ejecta that eventually will disappear due to the relentless rain of ionizing radiation and wind from the current binary system along with dissipation and mixing with the interstellar medium. This evolving complex continues to provide an astrophysical laboratory that changes on human timescales.

This paper examines the introduction of Visual Thinking Strategies (VTS) in Denmark and its potential as a pedagogical tool used throughout Danish education culture and particularly in Danish primary schools. The first active Danish users of and trainers in VTS in the country provide purposive qualitative interview data through structured e-mail interviews focused on their experiences with VTS and their impressions of this pedagogical tool in the Danish education culture context. The analysis of this qualitative data indicates that VTS is highly and widely adaptable to Danish education culture which, like other Scandinavian education systems, is based on bildung didactic principles. In their contemporary manifestation, these principles value the emancipation of the individual and the promotion of democratic learning processes. The introduction of VTS is still a work in progress in the Danish context and is not yet formally used in the school system. However, it is precisely there that a rich vein of opportunities exists for VTS in Denmark.

Software is often described according to a front-end and back-end dichotomy, with interaction happening in the former and the latter being the domain of development and maintenance. My in-depth research on and through the supposedly obsolete and highly detested programming language COBOL, goes beyond this dichotomy and reveals a back-back-end of software, as a site that makes dichotomies such as front-end and back-end possible in the first place. The persistence of COBOL as a legacy system within the digital services of the Global North is shown to be widespread, all the while these systems are maintained by workforces located in the Global South. With a focus on India, the article discusses the paradoxical situation of supposedly developed countries being dependent on labour in emerging and developing countries, in order for infrastructures to keep seeming developed. This involves processes of outsourcing and software wrapping that are described in the article along with the educational structures that are set in place for the maintenance to take place. What Manuel Castells’ once famously dubbed the space of flows of the global network society, is here discussed as having produced a ‘space of flaws’ in which a hidden workforce makes sure that the global flows keep flowing. Beyond the context of software development, I have engaged with COBOL intersectionally, through fieldwork and practice-based art and design methodologies, mapping the extent of which this language, rather than being obsolete, occupies an ‘undead’ position within planetary information networks. The article suggests that the existence of such undead legacy systems goes against ideas of linear technological development as a natural force as well as linear socio-economic development on a whole. The temporal and spatial regimes that work to hide asymmetries of development are discussed and ultimately, I suggest that, contrary to this obfuscation, we need analytical and practical approaches that actively engage these asymmetries.        

This paper illuminates how teachers are influenced by age, gender and sexuality in teaching about sex and relationships. In this analysis grounded in feminist theory, age, gender and sexuality are considered to be enacted as doings. Six interviews with teachers working with sexuality education in K-12 schools in Sweden were chosen from of a larger body of material consisting of 21 interviews with professionals engaged in school-based sexuality education. The six interviewees were selected because they explicitly addressed how teachers’ age, gender and/or sexuality come to matter in the classroom. Findings show how male and female teachers organise their teaching in relation to normative expectations of age, gender and sexuality. In sexuality education, the diverse life-courses of (hetero)sexual women offer a wide range of pedagogic possibilities for female teachers to address issues of sexuality, consent and relationships whereas male teachers are constrained to doing safe(r) forms of masculinity by directing attention away from their bodies and experiences. In understanding these results, I argue that the figure of the tant has been key in forming the pedagogic backdrop to Swedish sexuality education, hence embedding a normative ‘who’ in the ‘how’ to teach sexuality education.

Studies on rental housing financialisation have blossomed over the last decade. Studies are often concerned with issues around affordability and displacement, while less focus has been on how financialisation reconfigures the materials of housing, home, and the residential environment by subordinating maintenance to aggressive and unsustainable renovation strategies. We look at the case of Sweden and zoom in on a working-class Stockholm suburb where part of the housing stock is owned by the German, publicly listed real estate company Vonovia. We discuss how national and international regulations remain insufficient in ensuring that every day and structural maintenance is conducted properly by financialised landlords, leaving tenants stuck with delayed and poor-quality repair and replacement work as well as insufficient communication, severely affecting their quality of life. We propose to discuss the concepts of “housing as infrastructure” to account for these complex consequences. 

Introduction

Experiences of sexual harassment are common among university students. At the same time, research shows that victims and bystanders find it difficult to determine when an incident meets the criteria for sexual harassment. The aim of this study therefore was to obtain a richer and deeper understanding of the obstacles that university students encounter in identifying sexual harassment in the academic environment.

Methods

Individual interviews and focus groups were conducted with a total of 85 students at the bachelor’s, master’s and doctoral level in five European countries (Belgium, Croatia, Germany, the Netherlands and Sweden) between 2020 and 2022. Thematic analysis was used to identify obstacles in identifying sexual harassment.

Results

The obstacles described by participants were found to fall into three main categories: (1) preconceived notions about what constitutes sexual harassment that did not necessarily concur with lived experiences, (2) navigating an often blurred or ambiguous line between acceptable and unacceptable behaviour and (3) the existence of competing interpretations of what had happened.

Conclusions

The results point to a gap between the participants’ lived experiences and their interpretations of them, which include difficulties positioning their experiences within their theoretical understanding of sexual harassment.

Policy Implications

Measures to counteract the obstacles faced by victims and bystanders in identifying sexual harassment in academia should target this cognitive gap, for instance by addressing the stereotypes that characterize preconceived notions about sexual harassment.

In Sweden, units managed by nurses specialised in counselling and telephone triage, have been developed within the Child and Adolescent Mental Health services (CAMHS). This study has a qualitative design and illuminates the nurses' perceptions of what helps or hinders their assessments and telephone triage. The Enhanced Critical Incident Technique was utilised, eight nurses were interviewed in depth, to identify factors influencing triage. The study is the first to provide a comprehensive description of helpful and hindering factors while performing telephone triage. It illuminates telephone triage in Swedish CAMHS settings and provides insights how to enhance and implement this practice.

BACKGROUND: Over the past 40 years, the tasks of pharmacists have shifted from logistic services to pharmaceutical care (PhC). Despite the increasing importance of measuring quality of care, there is no general definition of Quality Indicators (QIs) to measure PhC. Recognising this, a working group in a European association of PhC researchers, the Pharmaceutical Care Network Europe (PCNE), was established in 2020.

AIM: This research aimed to review existing definitions of QIs and develop a definition of QIs for PhC.

METHOD: A two-step procedure was applied. Firstly, a systematic literature review was conducted to identify existing QI definitions that were summarised. Secondly, an expert panel, comprised of 17 international experts from 14 countries, participated in two surveys and a discussion using a modified Delphi technique to develop the definition of QIs for PhC.

RESULTS: A total of 182 QI definitions were identified from 174 articles. Of these, 63 QI definitions (35%) cited one of five references as the source. Sixteen aspects that construct QI definitions were derived from the identified definitions. As a result of the Delphi study, the panel reached an agreement on a one-sentence definition of QIs for PhC: "quality indicators for pharmaceutical care are validated measurement tools to monitor structures, processes or outcomes in the context of care provided by pharmacists".

CONCLUSION: Building upon existing definition of QIs, an international expert panel developed the PCNE definition of QIs for PhC. This definition is intended for universal use amongst researchers and healthcare providers in PhC.

Commensurate measures of alcohol-related consequences across countries and cultures are critical for addressing the global burden of hazardous alcohol use. The Rutgers Alcohol Problem Index (RAPI), developed and validated in the United States, is a popular measure of alcohol problems. This study examined measurement invariance of the RAPI across samples of U.S. and Swedish high school seniors. Latent mean differences in alcohol problems across countries and differences in associations between alcohol problems with alcohol use and protective behavioral strategies (PBS) were also examined. The RAPI was scalar invariant. Swedish students reported fewer problems than U.S. students (latent mean difference = −0.19, p = .047). In both samples, the RAPI was positively correlated with alcohol use frequency and quantity (ps < .001), and negatively correlated with PBS use (ps < .05). Overall, the RAPI demonstrated measurement invariance, and we found evidence for its validity across samples of U.S. and Swedish high school seniors.

So called ‘smart’ built environments operate in a peculiar temporal nexus: they are simultaneously just around the corner, already here, and yesterday’s news. This is usually put down to hype and hyperbole, but it may well be argued that smart built environments do indeed exist across temporal dimensions – only not in the way we imagine them to.

Instead of speaking of a digital turn in housing, we would be better served by employing the plural: digital turns. In fact, once we begin to unravel the history of how the idea of what we today call smart technology has been implemented in multi-household rental dwellings since the early 1980s, a pattern emerges.

The article charts how landlords and others have placed smart devices that monitor, encourage or discipline tenants to behave in certain ways. This is a parallel story to the dream of a leisure-centred technology-enabled house of the future. This parallel story is darker and centres on the transformation of the dwelling through its digitalisation.

BACKGROUND: Employers are legally obligated to ensure the safety and health of employees, including the organizational and psychosocial working environment. The Copenhagen Psychosocial Questionnaire (COPSOQ III) covers multiple dimensions of the work environment. COPSOQ III has three parts: a) work environment b) conflicts and offensive behaviours and c) health and welfare. We translated all three parts into Norwegian and evaluated the statistical properties of the 28 work environment dimensions in part a), using a sample of registered nurses.

METHODS: The original English version was translated into Norwegian and back translated into English; the two versions were compared, and adjustments made. In total, 86 of 99 items from the translated version were included in a survey to which 8804 registered nurses responded. Item response theory models designed for ordinal manifest variables were used to evaluate construct validity and identify potential redundant items. A standard confirmatory factor analysis was performed to verify the latent dimensionality established in the original version, and a more exploratory factor analysis without restrictions is included to determine dependency between items and to identify separable dimensions.

RESULTS: The measure of sampling adequacy shows that the data are well suited for factor analyses. The latent dimensionality in the original version is confirmed in the Norwegian translated version and the scale reliability is high for all dimensions except 'Demands for Hiding Emotions'. In this homogenous sample, eight of the 28 dimensions are found not to be separate dimensions as items covering these dimensions loaded onto the same factor. Moreover, little information is provided at the low and high ends of exposure for some dimensions in this sample. Of the 86 items included, 14 are found to be potential candidates for removal to obtain a shorter Norwegian version.

CONCLUSION: The established Norwegian translation of COPSOQ III can be used in further research about working environment factors and health and wellbeing in Norway. The extended use of the instrument internationally enables comparative studies, which can increase the knowledge and understanding of similarities and differences between labour markets in different countries. This first validation study shows that the Norwegian version has strong statistical properties like the original, and can be used to assess work environment factors, including relational and emotional risk factors and resources available at the workplace.

There is a scarcity of knowledge regarding the potential benefits of human-nature contact within the context of working life. Even more limited is the research that focuses on working outdoors and the setting in which it takes place. This study aimed to obtain insight into key aspects of the physical environment relevant for the experienced benefits and challenges of workers exploring office work outdoors. We conducted interviews with key informants as well as photo registration and mapping of the different green spaces in the environments of six small or medium-sized workplaces. The information gathered was used as background knowledge for exploratory qualitative interviews, which were conducted while walking in natural settings chosen by the interviewees. With a landscape architectural perspective and an inductive approach, we explored employees' experiences of bringing office work outdoors. The following themes emerged: 'Simplicity,' 'Safeness', 'Comfort', and 'Contact with Nature' were experienced as key aspects in relation to the physical environment, whereas 'Sociality', 'Well-being', and 'Functioning' stood out as the main benefits and, 'Digital dependency' and 'Illegitimacy' as challenges to overcome. Based on the identification of potential benefits and their prerequisites, we propose implications for practice and research that can be useful when focusing on bringing office work outdoors.

OBJECTIVE: Individuals with severe asthma often report poor Health-related quality of life (HRQoL) and more research is essential to increase understanding of how they may be helped to improve HRQoL. The main aim of the current paper is to evaluate HRQoL, and possible factors influencing HRQoL, in individuals with severe asthma. The aim is also to explore associations among anxiety, depression, beliefs of medication, self-efficacy, and HRQoL among individuals with severe and other asthma as well as those with no asthma.

METHODS: = 902) were recruited from West Sweden Asthma Study, a population-based study, which includes both questionnaire surveys and clinical examinations.

RESULTS: Individuals with severe asthma had worse physical HRQoL (measured with SF-8) than those with other and no asthma (median 48.4, 51.9, and 54.3, respectively). They also had worse mental HRQoL (median 46.7) and reported higher anxiety and depression scores (measured using HADS, median 5.0 and 3.5, respectively) compared to no asthma (median 4.0 and 2.0, respectively). HRQoL was particularly affected among women with severe asthma. Individuals with severe asthma believed that their asthma medication was more necessary than those with other asthma, but they reported more concern for the medication. Asthma control and packyears predicted physical HRQoL and anxiety predicted mental HRQoL among individuals with severe asthma.

CONCLUSIONS: Efforts to improve asthma control and to reduce anxiety may improve HRQoL in individuals with severe asthma. Especially, women with severe asthma seem to need support to improve their HRQoL. Reducing concerns with asthma medication is most likely essential as high concerns may lead to poor adherence, which in turn may negatively affect asthma control and HRQoL.

BACKGROUND: The development of entrustable professional activities (EPAs) as a framework for work-based training and assessment in undergraduate medical education has become popular. EPAs are defined as units of a professional activity requiring adequate knowledge, skills, and attitudes, with a recognized output of professional labor, independently executable within a time frame, observable and measurable in its process and outcome, and reflecting one or more competencies. Before a new framework is implemented in a specific context, it is valuable to explore social validity, that is, the acceptability by relevant stakeholders.

AIM: The aim of our work was to define Core EPAs for undergraduate medical education and further explore the social validity of the constructs.

METHOD AND MATERIAL: In a nationwide collaboration, EPAs were developed using a modified Delphi procedure and validated according to EQual by a group consisting of teachers nominated from each of the seven Swedish medical schools, two student representatives, and an educational developer (n = 16). In the next step, social validity was explored in a nationwide survey. The survey introduced the suggested EPAs. For each EPA, the importance of the EPA was rated, as was the rater's perception of the present graduates' required level of supervision when performing the activity. Free-text comments were also included and analyzed.

RESULTS: Ten Core EPAs were defined and validated. The validation scores for EQual ranged from 4.1 to 4.9. The nationwide survey had 473 responders. All activities were rated as "important" by most responders, ranging from 54 to 96%. When asked how independent current graduates were in performing the ten activities, 6 to 35% reported "independent". The three themes of the free text comments were: 'relevant target areas and content'; 'definition of the activities'; and 'clinical practice and learning'.

CONCLUSION: Ten Core EPAs were defined and assessed as relevant for Swedish undergraduate medical education. There was a consistent gap between the perceived importance and the certainty that the students could perform these professional activities independently at the time of graduation. These results indicate that the ten EPAs may have a role in undergraduate education by creating clarity for all stakeholders.

Using an intersectional analysis, this article critically analyses implied and expressed norms to identify perceptions of appropriate behaviour in children’s play, and to explore how social communicative arenas such as Internet forums construct knowledge and values. Adults’ responses to an incident that occurred amongst a group of children in Swedish early childhood education as part of free play during the preschool day were analysed. The incident was described in a thread posted on the Familjeliv (Family Life) internet forum. The research questions were: what images of children are prominent in discourse on appropriate behaviour as part of free play; what discursive categorisations of children related to age, gender and sexuality can be identified within this discourse; and how do these categorisations intersect? Netnography provided the method used together with thematic content analysis. Findings reveal two contrasting views: first, the view that four-year-olds cannot commit sexual assault on another person; and second, the view that they can. Young children were constructed either as non-sexual, innocent, curious and playful, or as perpetrators who lack consequentialist thinking. Age was the dominant discursive category utilised in relation to sexuality and appropriate behaviour, followed by gender. 

Ett lyckat resultat av en endodontisk behandling är starkt förknippat med väl utförda behandlingsmoment, från att arbeta aseptiskt till den slutliga permanenta restaureringen. 

BACKGROUND: It is not clear whether Viridans Group Streptococcal Infective Endocarditis (VGS-IE) among individuals at high risk is more frequent following bacteraemia caused by invasive dental procedures (IDPs) than after daily bacteraemia caused by chewing and tooth brushing. The aim of this nested study was to assess if VGS-IE was temporally associated with IDPs in a national cohort of individuals at high risk.

METHODS: This nested case-control and case-crossover study was based on a Swedish national cohort study of 76,762 individuals at high risk of IE due to complex congenital heart disease, prosthetic heart valve or previous IE. Participants were living in Sweden between July 1st, 2008 and January 1st, 2018. The frequency of IDPs during the 3 months before VGS-IE was calculated and compared to controls (sampled 1:10). A case-crossover study was conducted to account for residual confounders. Participants were identified using the national patient register, and IDPs were identified using the national dental health register.

FINDINGS: 98,247 IDPs were carried out in the cohort during the study period: 624 occasions of oral surgery, 44,190 extractions and 53,433 sessions of subgingival scaling. The study could not confirm that IDPs were more common among cases (4.6%) than controls (4.1%), OR = 1.22 [95% Confidence Interval (CI) 0.64-2.3], or during case- (3.3%) than reference periods (3.8%), OR = 0.89 [95% CI: 0.68-1.17]. Restricting the analysis to the period when cessation of antibiotic prophylaxis for the prevention of IE in Swedish dentistry was recommended, from the 1st of October 2012 to the 1st of January 2018, did not alter the results of the case-control study: OR 0.64, 95% CI: 0.20-2.09, or the case-crossover study: OR 0.58, 95% CI: 0.15-2.19.

INTERPRETATION: The study could not confirm that VGS-IE is associated with IDPs among individuals at high risk. A study with larger sample size could clarify whether there is a lack of association. The finding of a small (<5%) proportion of cases temporally associated with IDPs is similar to that of the previous large-scale study on IDPs and VGS-IE.

FUNDING: Funding was provided by the Board of doctoral education at Karolinska Institutet, the Public Health Agency of Sweden, Folktandvården Stockholm AB, Steering Group for Collaborative Odontological Research at Karolinska Institutet and Stockholm City County, and the Swedish Dental Association.

BACKGROUND: Temporomandibular disorders (TMD) are common and therefore managed by dentists on a daily basis. However, patients with TMD consistently go undetected and therefore untreated in dentistry. The reasons for these shortcomings have not been fully explored, specifically with regard to patients' perspectives. Therefore, this study aimed to explore patients' experiences of TMD and related treatment, with special focus on the experiences of having TMD, factors related to seeking care, and perspectives on received treatment.

METHODS: Purposive sampling was used to recruit adult patients at the Public Dental Health services (PDHS) in the Region of Västerbotten, Sweden, during 2019. Individual semi-structured interviews were conducted and analysed using Qualitative Content Analysis. Sixteen patients were interviewed (ten women and six men, 20-65 years). The interviews probed the patients' perspectives of having TMD, seeking care, and receiving treatment. All participants were also examined according to the Diagnostic Criteria for TMD (DC/TMD) and qualified for at least one DC/TMD diagnosis.

RESULTS: The data analysis led to the main theme Seeking care when the situation becomes untenable, but dental care fails to meet all needs. The patients expressed worry and social discomfort because of the symptoms but still strived to have an as normal daily life as possible. However, severe symptoms and associated consequences compelled them to seek professional help. Experiences of distrust together with challenges to access the PDHS were identified and related to the patients' unfulfilled expectations.

CONCLUSIONS: Patients' reported experiences indicate that receiving timely and appropriate care is more of an unfulfilled expectation than the current state of management of patients with TMD in dentistry.

We present a comprehensive analysis of wavenumber resonances or leaking modes associated with the Rayleigh operator in a half space containing a heterogeneous slab, being motivated by seismology. To this end, we introduce Jost solutions on an appropriate Riemann surface, a boundary matrix and a reflection matrix in analogy to the studies of scattering resonances associated with the Schrödinger operator. We analyse their analytic properties and characterize the distribution of these wavenumber resonances. Furthermore, we show that the resonances appear as poles of the meromorphic continuation of the resolvent to the nonphysical sheets of the Riemann surface as expected.

I ett ULF-projekt om proportionalitet i matematiken vid Malmö universitet har författarna tagit fram elevuppgifter om proportionella samband. Eleverna arbetar med dessa systematiskt genom att spela in sina lösningar som filmer till läraren. Dessa följs upp genom att diskutera olika strategier i helklass. Denna procedur upprepas så att läraren kan följa elevernas utveckling. Artikeln beskriver att eleverna lottas ihop parvis och får sedan en begränsad tid på sig för att spela in en film där de löser eller åtminstone försöker lösa problemet. Filmen spelas in med skärmen vinklad så att endast pappret och elevernas skrivande syns. Det betyder att elevernas röster finns med men inte deras ansikten.

Introduction: In situ and ex situ conservation are the two main approaches for preserving genetic diversity. The advantages and disadvantages of the two approaches have been discussed but their genetic effects have not been fully evaluated.Methods: In this study we investigate the effects of the two conservation approaches on genetic diversity in red clover. Seed samples collected from wild populations in Sweden and Norway in 1980, their subsequent generations created during seed regeneration at the gene bank and samples recollected from the same location as the original samples, were analyzed with microsatellite markers, alongside reference samples from cultivars.Results: Overall, there was a differentiation between cultivars and the wild material and between wild material from Sweden and Norway. In general, the original collections clustered together with the later generations of the same accession in the gene bank, and with the recollected samples from the same location, and the level of diversity remained the same among samples of the same accession. Limited gene flow from cultivated varieties to the wild populations was detected; however, some wild individuals are likely to be escapees or affected by gene flow.Discussion: In conclusion, there were examples of genetic changes within individual accessions both in situ and ex situ, as is also to be expected in any living population. However, we observed only limited genetic changes in both in situ and ex situ conservation over the generations included in this study and with the relatively large populations used in the ex situ conservation in the gene bank at NordGen.

PURPOSE: To compare the failure rates and the prevalence of technical complications between full-coverage tooth-supported monolithic zirconia (MZ) and porcelain-veneered zirconia (PVZ) fixed dental prosthesis, based on a systematic literature review.

METHODS: An electronic search was performed in three databases, supplemented by hand searching. Several statistical methods were used.

RESULTS: Seventy-four publications reported 6370 restorations (4264 PVZ; 2106 MZ; 8200 abutment teeth; 3549 patients), followed up until 152 months. A total of 216 prostheses failed, and survival was statistically significant different between groups. PVZ had higher occurrence of complications than MZ; the difference was especially greater for either minor or major chipping. The difference in prevalence of either minor or major chipping was statistically significant for PVZ prostheses between cementation with glass ionomer and adhesive resin cement (higher), adhesive resin and resin-modified glass ionomer cement (RMGIC, higher), and between RMGIC (higher) and glass ionomer cement. For MZ the difference was significant only for minor chipping between RMGIC (higher) and adhesive resin cement. Abutment teeth to PVZ prostheses more often lost vitality. Decementation was not observed with RMGIC. Air abrasion did not seem to clinically decrease the decementation risk. The 5-year difference in the occurrence of minor or major chipping between MZ and PVZ prostheses was statistically significant, but nor for catastrophic fracture.

CONCLUSION: Tooth-supported PVZ prostheses present higher failure and complication rates than MZ prosthesis. The difference in complications is striking when it comes to chipping.

CLINICAL RELEVANCE: Awareness of the outcome differences between different types of zirconia prostheses is important for clinical practice.

Many skin disorders, including cancer, have inflammatory components. The non-invasive detection of related biomarkers could therefore be highly valuable for both diagnosis and follow up on the effect of treatment. This study targets the extraction of tryptophan (Trp) and its metabolite kynurenine (Kyn), two compounds associated with several inflammatory skin disorders. We furthermore hypothesize that lipid-based bicontinuous cubic liquid crystals could be efficient extraction matrices. They comprise a large interfacial area separating interconnected polar and apolar domains, allowing them to accommodate solutes with various properties. We concluded, using the extensively studied GMO-water system as test-platform, that the hydrophilic Kyn and Trp favored the cubic phase over water and revealed a preference for locating at the lipid-water interface. The interfacial area per unit volume of the matrix, as well as the incorporation of ionic molecules at the lipid-water interface, can be used to optimize the extraction of solutes with specific physicochemical characteristics. We also observed that the cubic phases formed at rather extreme water activities (>0.9) and that wearing them resulted in efficient hydration and increased permeability of the skin. Evidently, bicontinuous cubic liquid crystals constitute a promising and versatile platform for non-invasive extraction of biomarkers through skin, as well as for transdermal drug delivery.