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  • 247851.
    Zetterberg, Charlotta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Kemikaliers vara eller icke vara2003In: Miljörätten i förändring: En antologi / [ed] Gabriel Michanek och Ulla Björkman, Uppsala: Iustus förlag, 2003, p. 117-136Chapter in book (Refereed)
  • 247852.
    Zetterberg, Charlotta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Kommunala möjligheter att kompensera för förluster av biologisk mångfald2019In: Miljörätten och den förhandlingsovilliga naturen Vänbok till Gabriel Michanek / [ed] Darpö, Forsberg, Pettersson och Zetterberg, Iustus förlag, 2019Chapter in book (Refereed)
  • 247853.
    Zetterberg, Charlotta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Miljöbalken (1998:808), 14 kap. On-line lagkommentar i Lexino, 2017-Article in journal (Other academic)
  • 247854. Zetterberg, Charlotta
    Miljöbalken (1998:808), 14 kap. On-line lagkommentar i Lexino, 2017 –2017Other (Other academic)
  • 247855.
    Zetterberg, Charlotta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Miljöbalken (1998:808), 9 kap. On-line lagkommentar i Lexino, 2014-2014Other (Other academic)
  • 247856.
    Zetterberg, Charlotta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Miljöbalken (1998:808), 9 kap. On-line lagkommentar i Lexino, 2014 –2014Other (Other academic)
  • 247857. Zetterberg, Charlotta
    Miljöbalken (1998:808), 9 kap. On-line lagkommentar i Lexino, 2014 –2014Other (Other academic)
  • 247858. Zetterberg, Charlotta
    Miljöfarliga produkter och fördelning av ansvar för utredning och bevisning i handelskonflikter2010In: Europarättslig tidskrift, ISSN 1403-8722, no 2, p. 262-282Article in journal (Refereed)
  • 247859.
    Zetterberg, Charlotta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Protection of living resources in the European Union1998In: The Harmonization of Polish Environmental Protection Law with European Standards: The Protection of Environmental Living Resources 1998, Przysiek: Agricultural Advisory Centre , 1998, p. 9-14Chapter in book (Other academic)
  • 247860.
    Zetterberg, Charlotta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Sweden2003In: The Yearbook of European environmental law: Vol. 3 / [ed] Han Somsen, oxford: Oxford University Press, 2003, Vol. 3, p. 713-724Chapter in book (Refereed)
  • 247861.
    Zetterberg, Charlotta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Utsättningar av genetiskt modifieradeorganismer: Sammanfattning2000In: Att spränga gränser: Bioteknikens möjligheter och risker : slutbetänkande / av Bioteknikkommittén, Stockholm: Fritzes, 2000, p. 469-477Chapter in book (Other academic)
  • 247862.
    Zetterberg, Charlotta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    WTO och handeln med genetiskt modifierade organismer2001In: Retfærd. Nordisk Juridisk Tidsskrift, ISSN 0105-1121, Vol. 92, no 1, p. 30-46Article in journal (Refereed)
  • 247863.
    Zetterberg, Charlotta
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Darpö, JanPettersson, MariaForsberg, Maria
    Miljörätten och den förhandlingsovilliga naturen Vänbok till Gabriel Michanek2019Conference proceedings (editor) (Refereed)
  • 247864.
    Zetterberg, Charlotta
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Edvardsson Björnberg, Karin
    Division of Philosophy, Royal Institute of Technology, KTH.
    Time for a New EU Regulatory Framework for GM Crops?2017In: Journal of Agricultural and Environmental Ethics, ISSN 1187-7863, E-ISSN 1573-322X, Vol. 30, no 3, p. 325-347Article in journal (Refereed)
    Abstract [en]

    In recent years, the EU legislation on genetically modified (GM) crops has come under severe criticism. Among the arguments are that the present legislation is inconsistent, disproportionate, obsolete from a scientific point of view, and vague in terms of its scope. In this paper, the EU GM legislation (mainly the “Release Directive”, 2001/18/EC) is analysed based on five proposed criteria: legal certainty, non-discrimination, proportionality, scientific adaptability, and inclusion of non-safety considerations. It is argued that the European regulatory framework does not at present satisfy the criteria of legal certainty, non-discrimination, and scientific adaptability. Two ways of reforming the present legislation toward greater accommodation of the values expressed through the proposed criteria are briefly introduced and discussed.

  • 247865.
    Zetterberg, Charlotta
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Edvardsson Björnberg, Karin
    Hansson, Sven-Ove
    Andreasson, Erik
    Zhu, Li-Hua
    Consistent Risk Regulation? Differences in the European regulation of food crops2018In: Journal of Risk Research, article id 1501594Article in journal (Refereed)
  • 247866. Zetterberg, Charlotta
    et al.
    Michanek, Gabriel
    Den svenska miljörätten2017Book (Other academic)
  • 247867.
    Zetterberg, Charlotta
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Michanek, Gabriel
    Den svenska miljörätten2017 (ed. 4)Book (Other academic)
  • 247868.
    Zetterberg, Charlotta
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Michanek, Gabriel
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Den svenska miljörätten2017 (ed. 4)Book (Other academic)
  • 247869.
    Zetterberg, Charlotta
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Michanek, Gabriel
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Den svenska miljörätten2012 (ed. 3)Book (Other academic)
  • 247870.
    Zetterberg, Charlotta
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Michanek, Gabriel
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Supplement ”Den svenska miljörätten”2015Book (Other academic)
  • 247871.
    Zetterberg, Charlotta
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Michanek, Gabriel
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Law, Department of Law.
    Supplement till "Den svenska miljörätten"2014Other (Other academic)
  • 247872.
    Zetterberg, Christine
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology.
    Trafikinformation som når ut: En studie om nya kanaler för störningsinformation i trafiken2010Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The Swedish traffic system is congested, especially in the urban areas; travellers face daily growing traffic jams and delays in public transport. In a congested traffic system, travellers need support to make smart and sustainable decisions and one such tool is traffic information.

    One issue today is that too few travellers use traffic information in support of their travel. Research shows that travellers would see great value in receiving the information; however current systems do not meet their requirements. This is a problem since the society would benefit greatly from a well functioning traffic information system.

    In this report, a number of channels that can be applicable for providing traffic information will be explored, with particular emphasis on interference information.The information channels are analyzed based upon the needs and requirements of the society and the traveller. The thesis of the report is: the more of these needs and requirements are met in a channel; the better is the channel to use for traffic information. The channels explored are: SMS, e-mail, RSS, the social medias: Facebook and Twitter but also mobile applications.

    This report will demonstrate that SMS best meet the requirements of the society and the traveller. However, e-mail and RSS are two good complements or alternatives.When using social media, a two-way communication must be established between the sender and the receiver. Mobile applications are a good option for reaching travellers along their way and can be developed to meet the requirements of the society and travellers.

  • 247873.
    Zetterberg, David
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Sirsjö, Adam
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Nyanställdas reaktioner på klassificering genom onboarding-tester2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det blir allt vanligare att arbetsgivare låter nyanställda inleda sitt arbete på den nya arbetsplatsen med att genomföra ett så kallat “onboarding-test”. Motivet är att förbättra den nyanställdes integrationsprocess inom organisationen. Syftet med denna uppsats var att undersöka hur människor reagerar på att få sin personlighet klassificerad i samband med testerna. Hur onboarding-testtagare reagerar studerades genom en kvalitativ intervjustudie som utmynnade i grundad teori. Genom studien har åtta typer av reaktioner identifierats.

  • 247874.
    Zetterberg Friberg, Joacim
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Social and Economic Geography.
    Läromedel i tiden: En textanalytisk studie om globaliseringsbegreppets utbredning i Östmans geografiböcker2013Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 247875.
    Zetterberg Friberg, Joacim
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Educational Sciences, Department of Education.
    Rytmen i skolan: En historisk analys av rytmbegreppets plats i musikämnets kursplaner2012Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I vårt västerländska samhälle där musik är en stor del av mångas vardagliga liv, glöms ibland musikens grundläggande byggstenar bort. Rytmen är en av dessa byggstenar. Uppsatsens innehåll behandlar rytm som begrepp, läroplanshistorik samt en kvalitativ textanalys av svenska skolans kursplaner i musik mellan 1962-2011. Fokus befinner sig på användningen av rytmbegreppet och rytmik i grundskolans senare år, årskurs sju, åtta och nio. Avslutningsvis diskuteras rytmikens historia och utveckling för framtiden, skillnaden mellan teori och ”verklighet”, samt hur lärare kan tolka och förhålla sig till kursplaner. Syftet med uppsatsen är att synligöra rytmen och rytmikens teoretiska utbredning och funktion i skolans kursplaner. Teorin för studien metod bygger på Hans-Georg Gadamers hermeneutiska synsätt om tolkning av text, samt Michel Foucault tankar om diskursanalys.

  • 247876.
    Zetterberg, Gösta
    Uppsala University, Disciplinary Domain of Science and Technology.
    On mutagenesis in Ophiostoma1962Doctoral thesis, comprehensive summary (Other academic)
  • 247877.
    Zetterberg, H.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Rehabilitation Medicine.
    Elmgren, Gunilla Frykberg
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Rehabilitation Medicine.
    Gaverth, J.
    Lindberg, P. G.
    Neural and Nonneural Contributions to Wrist Rigidity in Parkinson's Disease: An Explorative Study Using the NeuroFlexor2015In: BioMed Research International, ISSN 2314-6133, E-ISSN 2314-6141, p. 276182-Article in journal (Refereed)
    Abstract [en]

    Objective. The NeuroFlexor is a novel method incorporating a biomechanical model for the measurement of neural and nonneural contributions to resistance induced by passive stretch. In this study, we used the NeuroFlexor method to explore components of passive movement resistance in the wrist and finger muscles in subjects with Parkinson's disease (PD).

    Methods. A cross-sectional comparison was performed in twenty-five subjects with PD with clinically identified rigidity and 14 controls. Neural (NC), elastic (EC), and viscous (VC) components of the resistance to passive extension of the wrist were calculated using the NeuroFlexor. Measurements were repeated during a contralateral activation maneuver.

    Results. PD subjects showed greater total resistance (P < 0.001) and NC (P = 0.002) compared to controls. EC and VC did not differ significantly between groups. Contralateral activation maneuver resulted in increased NC in the PD group but this increase was due to increased resting tension. Total resistance and NC correlated with clinical ratings of rigidity and with bradykinesia.

    Conclusions. The findings suggest that stretch induced reflex activity, but not nonneural resistance, is the major contributor to rigidity in wrist muscles in PD. The NeuroFlexor is a potentially valuable clinical and research tool for quantification of rigidity.

  • 247878.
    Zetterberg, Hanna
    et al.
    Uppsala University, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Faculty of Social Sciences, Department of Business Studies.
    Ahlström, Frank
    Uppsala University, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Faculty of Social Sciences, Department of Business Studies.
    Finansiella instrument: Värderingseffekter i Swedbank efter införandet av IAS 392008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Då det sedan 2005 har varit obligatoriskt för företag att värdera sina finansiella tillgångar enligt IAS 39 fann vi det intressant att fördjupa oss i vilka effekter den nya redovisningen gett. Inom banksektorn utgör andelen finansiella tillgångar en stor del av de totala tillgångarna, varför vi beslöt oss för att undersöka just den branschen. För att kunna få ett tillfredsställande djup i uppsatsen valde vi att göra en fallstudie över Swedbank. Den forskningsfråga som vi har valt att undersöka är: Vilka effekter har värdering till verkligt värde av finansiella instrument i Swedbank haft för externa intressenter? Vi har valt att dels använda oss av intervjuer med personer som har olika kunskapsområden, för att få en mer övergripande bild, dels har vi granskat Swedbanks årsredovisningar för att se eventuella effekter i siffror. En modell över kvalitativa egenskaper har använts för att göra en jämförelse med våra undersökningar. Dessutom har vi genom att leta efter eventuella effekter på likviditeten ytterligare analyserat hur Swedbank uppfyller kravet på tillförlitlighet. I analysen har vi kommit fram till att det har skett en förbättring i Swedbanks redovisning då bland annat tillförlitligheten har ökat på flera plan. Bilden av företaget blir mer rättvisande då innebörden redovisas före formen. Dessutom blir det enklare för externa intressenter att göra jämförelser mellan olika företag då redovisningen görs på samma vis. På det generella planet har vi kunnat konstatera att riskerna för försämrad likviditet ökar om värderingsmodeller används vid värderingen. Inom Swedbank har detta dock undvikits genom att de inte använder sig av denna typ av modeller. Till framtida studier föreslår vi en undersökning av flera banker för att få en tydligare överblick av banksektorn.

  • 247879.
    Zetterberg, Hanna
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Åkerström, Jenny
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Increasing the business spectrum: Created values in purchasing2008Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this master’s thesis is to examine the process of creating values in a purchasing organisation; meaning in which areas created values can be added and what affects the possibility to do so. In addition, the study looks into what can be improved to further enlarge the business spectrum. Through these outlines, a survey has been made to investigate the view on created values from a purchaser, management and supplier perspective. This gives several aspects of within which areas you can work with added values. The study is based on a questionnaire to 60 purchasers at Scania CV AB. The thesis demonstrates that to a certain extent sourcing managers already work with increasing the business spectrum by adding values. But even though Scania is a company with a mature purchasing organisation there are still several areas where the work with created values can be improved, for example within process development and administration.

  • 247880.
    Zetterberg, Hans
    Uppsala University, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Faculty of Social Sciences, Department of Economic History.
    Frågan om den näringspolitiska målsättningen för järnvägsbyggandet i Sverige i 1853/54 års riksdagsdebatt1968Independent thesis Basic level (degree of Bachelor)Student thesis
  • 247881.
    Zetterberg, Henrik
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of History.
    Kungen är död, länge leve kungen: En undersökning av arvkungadömets utmaningar 1544–17962009Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Swedish hereditary kingship was not without its problems. In March 1792, Gustav III was assassinated leaving an immature heir to the throne. The direct succession of Gustav IV Adolf was impossible as he had not yet reached the age of majority. This example epitomises this study’s focal point –the hereditary kingship’s challenges.

    This is a study of the hereditary kingship’s formation and practices. It sheds light on how the hereditary kingship dealt with challenges through constitutional law and how the transfer of power was portrayed ceremonially. Closely connected with the transfer of power, are the underlying concepts of kingship. Normally the succession occurs through one king’s funeral and the following king’s coronation, however it could also take place through abdication or coup d’état.

    The study consists of two analytical parts. The first part aims to elucidate the formation and practices of the hereditary kingship with an exposé beginning in 1544: the establishment of the hereditary kingship. The second part focuses on the immaturity of Gustav IV Adolf up until he reached the age of majority in 1796.

    The findings show that the formation of the hereditary kingship and its practices display certain themes when power is transferred and when challenges are overcome. These includethe notion of unity, to be chosen, legality, to fulfil one’s role as ruler, and continuity. The results also show that hereditary kingship adapts to meet its challenges and that these themes are omnipresent and part of a constantly ongoing process when power is transferred. In Gustav IV Adolf’s case, the constitutional law dictated how the regiment was to be organised. In addition, his guardian Charles was granted Royal Authority and acted as Regent. The saying which composes the title of this study illustrates the natural transfer of power; albeit that this transpired gradually. The conclusion is a deepened understanding of the words: The king is dead, long live the king.

  • 247882. Zetterberg, Henrik
    et al.
    Mörtberg, Erik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care.
    Song, Linan
    Chang, Lei
    Provuncher, Gail K
    Patel, Purvish P
    Ferrell, Evan
    Fournier, David R
    Kan, Cheuk W
    Campbell, Todd G
    Meyer, Ray
    Rivnak, Andrew J
    Pink, Brian A
    Minnehan, Kaitlin A
    Piech, Tomasz
    Rissin, David M
    Duffy, David C
    Rubertsson, Sten
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care.
    Wilson, David H
    Blennow, Kaj
    Hypoxia Due to Cardiac Arrest Induces a Time-Dependent Increase in Serum Amyloid β Levels in Humans2011In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 6, no 12, p. e28263-Article in journal (Refereed)
    Abstract [en]

    Amyloid β (Aβ) peptides are proteolytic products from amyloid precursor protein (APP) and are thought to play a role in Alzheimer disease (AD) pathogenesis. While much is known about molecular mechanisms underlying cerebral Aβ accumulation in familial AD, less is known about the cause(s) of brain amyloidosis in sporadic disease. Animal and postmortem studies suggest that Aβ secretion can be up-regulated in response to hypoxia. We employed a new technology (Single Molecule Arrays, SiMoA) capable of ultrasensitive protein measurements and developed a novel assay to look for changes in serum Aβ42 concentration in 25 resuscitated patients with severe hypoxia due to cardiac arrest. After a lag period of 10 or more hours, very clear serum Aβ42 elevations were observed in all patients. Elevations ranged from approximately 80% to over 70-fold, with most elevations in the range of 3-10-fold (average approximately 7-fold). The magnitude of the increase correlated with clinical outcome. These data provide the first direct evidence in living humans that ischemia acutely increases Aβ levels in blood. The results point to the possibility that hypoxia may play a role in the amyloidogenic process of AD.

  • 247883.
    Zetterberg, Ida
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology.
    Nilsson, Sigrún
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology.
    Kontaktperson - en insats för vem?: En kvalitativ studie om bedömningskriterier i kontaktpersonsutredningar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Kontaktperson är den vanligaste barnavårdsinsatsen som Sveriges socialtjänster förmedlar tillbarn och unga. Trots detta finns det tämligen begränsad forskning kring hur insatsenmotiveras och vad den konkret skall fylla för syfte. Insatsen kontaktperson regleras i 3 kap. 6b § första stycket Socialtjänstlagen (2001:453) (SoL). Där framgår det att en kontaktpersonkan utses med uppgift att hjälpa den enskilde och hans eller hennes närmaste i personligaangelägenheter. Vad som inryms i personliga angelägenheter framgår inte av paragrafen menenligt förarbeten var det tänkt att rollen som kontaktperson ska fyllas av en lekman som skaverka i förebyggande syfte. Denna studie har syftat till att undersöka vilkabedömningskriterier socialsekreterare utgår ifrån i utredningarna för att bevilja kontaktpersonenligt SoL för barn och unga. För att besvara syftet har en kvalitativ studie genomförts därutredningsdokument har granskats i en kommun belägen i Mellansverige. Analysen avdatamaterialet har utförts utifrån en teoretisk tolkningsram som innefattar Hasenfelds teori ommänniskobehandlande organisationer och Lipskys teori om gräsrotsbyråkratier tillsammansmed de teoretiska begreppen normalitet och avvikelse. Studiens resultat visade vilkabedömningskriterier som förekom i utredningarna för att bevilja kontaktperson. Insatsenmotiverades främst utifrån ett behov av en vuxen förebild som kan hjälpa den unge att kommaut i sociala sammanhang för att förebygga isolering och verka för en aktiv och meningsfullvardag. Studien kan utöver detta bidra med kunskap om hur normer och organisatoriskafaktorer kan påverka socialsekreterares bedömningar som ligger till grund för att beviljainsatsen kontaktperson.

  • 247884.
    Zetterberg, Johnny
    Uppsala University, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Faculty of Social Sciences, Department of Economics.
    Unemployment, Labour Market Policy and the Wage Bargaining System1995In: Labour Market Policies at the Crossroads, The Expert Group for Labor Market Research, Stockholm , 1995Chapter in book (Other scientific)
  • 247885.
    Zetterberg, Karin
    Uppsala University, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Faculty of Social Sciences, Department of Economics.
    Vilka väljs ut?: En urvalsanalys av två samverkansformer kring arbetslivsinriktad rehabilitering i Uppsala län2007Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna uppsats är ett resultat av ett uppsatssamarbete med Försäkringskassan i Uppsala. Försäkringskassan i Uppsala län bedriver tillsammans med andra myndigheter ett flertal former av samordnad rehabiliteringsverksamhet. Fokus för samverkandet ligger på personer med långvarig frånvaro från arbetsmarknaden på grund av arbetslöshet, sjukdom eller dylikt och som är i behov av arbetslivsinriktad rehabilitering. Syftet med denna uppsats är att ana-lysera vilka individer som blir aktuella att delta i två av dessa samverkansformer, Fyrpart respektive Tvåpart. Avsikten är att se vilka faktorer som ökar sannolikheten att arbetslivs-inriktad rehabilitering kommer till stånd, samt om sannolikheten att bli utvald skiljer sig åt mellan de två samverkansformerna. För detta ändamål har logistisk regressionsanalys till-ämpats på individdata. Resultatet tyder på att ålder har störst betydelse för huruvida rehabili-teringsåtgärder inleds eller inte. Inga statistiskt säkerställda skillnader i urvalet mellan Tvåpart och Fyrpart återfinns. Med hjälp av en deskriptiv analys har även en uppföljning av avslutade ärenden i Tvåpart gjorts för att, utifrån de två samverkansformernas urvalskriterier, se vilka variabler som spelat en roll för utfallet efter avslutad rehabilitering för de medverkande individerna. Här tyder resultatet på att framför allt längden på sjukfallet spelar en roll för huruvida individen återgår i arbete eller inte.

  • 247886.
    Zetterberg, Kristoffer
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Centre for Gender Research.
    Vem gör spel för mig?: om diskursiv kamp och heteronorm på spelsidan Gamereactor2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Gamereactor beskriver sig på sin hemsida som Europas största speltidning. Syftet med den här studien har varit att undersöka vad som får möjlighet att synas på hemsidan och på vilka villkor det får ta plats, d.v.s. hur Gamereactor skriver om detta. Studien består av en mindre kvantitativ undersökning och en djupare kvalitativ som båda har för avsikt att belysa områden med anknytning till genusvetenskapliga ämnesområden.

    I den kvantitativa undersökningen analyseras Gamereactors nyhetsrapportering under en månad och jag visar där, med utgångspunkt i andra studier kring spelkultur och representationer, hur den till stor del uppvisar en stereotyp och snäv bild av spelkulturen, där målgruppen är en ung, vit, teknikintresserad grupp män. Däremot framträder också en liten genusdiskussion som leder till starka reaktioner både för och emot.

    Den kvalitativa undersökningen undersöker de diskurser och den diskursiva kamp som framträder i textmaterialet, och jag menar här att Gamereactors textproduktion kan förstås som en diskursordning där en samling diskurser kring olika genrer kämpar om att definiera vad som anses vara ”bra spelbarhet” och ”spelmässig substans” i olika spel. Detta kontrasteras ofta mot diskussioner kring jämställdhet och representationer men det finns också en vilja att närma sig den här typen av problematiserande dimensioner i diskussioner och rapportering, vilket leder till en som analysen föreslår ambivalent och motsägelsefull textproduktion.

    Vad analysen också visar på är en kraftigt heteronormativ diskurs som avgör vad som går att skriva och tänka, och som framträder både i hur skribenter skriver om kön och kroppsligheter, vilka subjekt som blir möjliga att identifiera sig med, och vilka bilder som används för att ”marknadsföra” innehållet.

  • 247887.
    Zetterberg, Lena
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience.
    Multidimensional Aspects of Dystonia: Description and Physiotherapy Management2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aims: The overall aim of this research was to increase the knowledge about dystonia by identifying factors that influence self-reported quality of life and health in this disorder and to determine what factors predict disability. A further aim was to develop an objective outcome measure for quantifying the movement dysfunction in cervical dystonia (CD) and evaluate effects of physiotherapy.

    Methods: A descriptive correlative design was adopted for study I (n=351), with a questionnaire covering physical activity, satisfaction with treatment, physiotherapy or not, and quality of life and health measured with the Craniocervical Dystonia Questionnaire (CDQ-24) and the Cervical Dystonia Impact Profile, respectively.

    In study II a CD group (n=6) was compared with a control group (n=6). Head movements were measured with a motion capture system, and a Movement Energy Index (MEI) was calculated. In study III an experimental single-case design (n=6) was used, with continuous assessments during pre-treatment, intervention and follow-up. Quality of life, measured with CDQ-24, was the primary outcome measure.

    A prospective correlative design was applied in study IV (n=179), where data from questionnaires were collected on inclusion and 2 months later. Independent variables were: duration of dystonia, severity of dystonia, pain intensity, catastrophizing, self-efficacy, fatigue, kinesiophobia, depression, anxiety and physical activity; and the dependent variables were the Neck Disability Index and the Functional Disability Questionnaire.

    Results: Study I indicated that physical activity and satisfaction with treatment were associated with quality of life and health in dystonia. In study II the groups differed significantly concerning MEI in all movement directions. Mean MEI was significantly higher in patients than in controls. Positive treatment outcomes were reported by all patients in study III, mainly with reduced pain and reduced CD severity during the treatment period. Five of the six patients reported increased quality of life at the 6-month follow-up. Perceived self-efficacy, fatigue, pain intensity and anxiety contributed significantly to disability prediction in study IV.

    Conclusion: These investigations have increased the knowledge of dystonia from a multidimensional perspective and the results could be valuable in developing new treatment strategies.

    List of papers
    1. Impact of dystonia on quality of life and health in a Swedish population
    Open this publication in new window or tab >>Impact of dystonia on quality of life and health in a Swedish population
    2009 (English)In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 119, no 6, p. 376-382Article in journal (Refereed) Published
    Abstract [en]

    Objectives –  Dystonia is often disabling and disfiguring. The aim of the study was to identify factors influencing the impact of dystonia on self-reported quality of life and health.

    Material and methods –  Members of the Swedish Dystonia Patient Association participated in a survey covering demographic variables, satisfaction with treatment, physiotherapy and physical activity. Quality of life and health were assessed by the Craniocervical Dystonia Questionnaire and the Cervical Dystonia Impact Profile, respectively. Of 378 questionnaires, 76% were analysed. Multiple linear regression analyses were performed to evaluate associations of the above variables with quality of life and health.

    Results –  Level of physical activity and satisfaction with treatment showed the highest association with quality of life and health. No significant relationship was found between form of dystonia and quality of life.

    Conclusions –  The study indicates a need for health care professionals to encourage physical activity and to question dystonia patients about satisfaction with treatment. Further investigations with prospective controlled trials are necessary to evaluate the value of physiotherapy and physical activity in patients with dystonia.

    Keywords
    dystonia, healt, quality of life
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:uu:diva-97888 (URN)10.1111/j.1600-0404.2008.01111.x (DOI)000266014600005 ()
    Available from: 2008-11-28 Created: 2008-11-28 Last updated: 2017-12-14Bibliographically approved
    2. Objective assessment of cervical dystonia: A pilot study
    Open this publication in new window or tab >>Objective assessment of cervical dystonia: A pilot study
    Show others...
    2005 In: Acta Neurologica Scandinavica, Vol. 112, no 4, p. 248-53Article in journal (Refereed) Published
    Identifiers
    urn:nbn:se:uu:diva-97889 (URN)
    Available from: 2008-11-28 Created: 2008-11-28Bibliographically approved
    3. Physiotherapy in Cervical Dystonia: Six experimental single-case studies
    Open this publication in new window or tab >>Physiotherapy in Cervical Dystonia: Six experimental single-case studies
    Show others...
    2008 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 24, no 4, p. 275-290Article in journal (Refereed) Published
    Abstract [en]

    The aim of the study was to explore the outcome of a physiotherapy program targeted to improve the quality of life of people with cervical dystonia (CD) by reducing pain, improving awareness of postural orientation, increasing muscle strength, and reducing the effort of moving the head and neck. In six single case studies, the primary outcome measure for each case was the Cervical Dystonia Questionnaire (CDQ) to measure the impact of the program on the individuals' quality of life. Secondary outcome measures were identified for the different components of the physiotherapy program: Visual Analogue Scale (pain); Postural Orientation Index (postural orientation awareness); and Movement Energy Index (effort of moving head and neck). Each of the cases had the severity of their problems scored on the Toronto Western Spasmodic Torticollis Scale. The study period was 26 weeks: 2 weeks' baseline period, 4 weeks' treatment period, and 20 weeks' follow-up. All measures except the Movement Energy Index (MEI) and CDQ-24 were taken three times per week for the first 6 weeks of the study and then once at 3 and 6 months. The MEI was taken once a week during the pretreatment and the treatment periods and during the first 2 weeks of follow-up and also after 3 and 6 months of follow-up. The CDQ-24 was taken once in the pretreatment period, once after completion of treatment, once 2 weeks after treatment, and once at 3 and 6 months of follow-up. Five of the six case studies reported an increase in quality of life at 6-month follow-up, as measured on the CDQ-24. Three of the six cases reported a reduction in pain and severity of the dystonia and had improved scores on the postural orientation measure at 6-month follow-up. All six patients had a reduction in the movement energy scores, but this was not significant. The outcomes of the six case studies would suggest that further investigation is required to show the effectiveness of physiotherapy programs in the management of CD.

    National Category
    Physiotherapy
    Identifiers
    urn:nbn:se:uu:diva-97890 (URN)10.1080/09593980701884816 (DOI)18574753 (PubMedID)
    Available from: 2008-11-28 Created: 2008-11-28 Last updated: 2017-12-14Bibliographically approved
    4. Predicitive variables for disability in cervical dystonia
    Open this publication in new window or tab >>Predicitive variables for disability in cervical dystonia
    Article in journal (Refereed) Submitted
    Identifiers
    urn:nbn:se:uu:diva-97891 (URN)
    Available from: 2008-11-28 Created: 2008-11-28Bibliographically approved
  • 247888.
    Zetterberg, Lena
    et al.
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience. Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Automatic control. Enheten för sjukgymnastik.
    Aquilonius, S-M
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience. Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Automatic control.
    Lindmark, Birgitta
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience. Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Automatic control. Enheten för sjukgymnastik.
    Lundström, E
    Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Automatic control.
    Stokes, V
    Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Automatic control.
    Färnstrand, C
    Halvorsen, K
    Objective assessment in cervical dystonia.2004In: Proceedings from ESMAC 13th Annual Meeting of European Society of Movement Analysis of Adult and Children in Warsaw, Poland, 23-25 September 2004., 2004Conference paper (Other scientific)
  • 247889.
    Zetterberg, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
    Aquilonius, Sten-Magnus
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
    Lindmark, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
    Impact of dystonia on quality of life and health in a Swedish population2009In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 119, no 6, p. 376-382Article in journal (Refereed)
    Abstract [en]

    Objectives –  Dystonia is often disabling and disfiguring. The aim of the study was to identify factors influencing the impact of dystonia on self-reported quality of life and health.

    Material and methods –  Members of the Swedish Dystonia Patient Association participated in a survey covering demographic variables, satisfaction with treatment, physiotherapy and physical activity. Quality of life and health were assessed by the Craniocervical Dystonia Questionnaire and the Cervical Dystonia Impact Profile, respectively. Of 378 questionnaires, 76% were analysed. Multiple linear regression analyses were performed to evaluate associations of the above variables with quality of life and health.

    Results –  Level of physical activity and satisfaction with treatment showed the highest association with quality of life and health. No significant relationship was found between form of dystonia and quality of life.

    Conclusions –  The study indicates a need for health care professionals to encourage physical activity and to question dystonia patients about satisfaction with treatment. Further investigations with prospective controlled trials are necessary to evaluate the value of physiotherapy and physical activity in patients with dystonia.

  • 247890.
    Zetterberg, Lena G.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Reviewing the effects of physical therapy in Cervical Dystonia2013In: Journal of neural transmission, ISSN 0300-9564, E-ISSN 1435-1463, Vol. 120, no 7, p. 1158-1159Article in journal (Other academic)
  • 247891.
    Zetterberg, Lena
    et al.
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience. sjukgym.
    Halvorsen, K
    Färnstrand, Catarina
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience. neurofysiologi.
    Lundström, Erik
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience. neurologi.
    Lindmark, Birgitta
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience. sjukgym.
    Aquilonius, S-M
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience. neurologi.
    Objective assessment of cervical dystonia: a pilot study2005In: Acta Neurol Scand, Vol. 112, p. 248-253Article in journal (Refereed)
  • 247892.
    Zetterberg, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Halvorsen, Kjartan
    Färnstrand, Catarina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Clinical Neurophysiology.
    Aquilonius, Sten-Magnus
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurology.
    Lindmark, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Physiotherapy in Cervical Dystonia: Six experimental single-case studies2008In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 24, no 4, p. 275-290Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to explore the outcome of a physiotherapy program targeted to improve the quality of life of people with cervical dystonia (CD) by reducing pain, improving awareness of postural orientation, increasing muscle strength, and reducing the effort of moving the head and neck. In six single case studies, the primary outcome measure for each case was the Cervical Dystonia Questionnaire (CDQ) to measure the impact of the program on the individuals' quality of life. Secondary outcome measures were identified for the different components of the physiotherapy program: Visual Analogue Scale (pain); Postural Orientation Index (postural orientation awareness); and Movement Energy Index (effort of moving head and neck). Each of the cases had the severity of their problems scored on the Toronto Western Spasmodic Torticollis Scale. The study period was 26 weeks: 2 weeks' baseline period, 4 weeks' treatment period, and 20 weeks' follow-up. All measures except the Movement Energy Index (MEI) and CDQ-24 were taken three times per week for the first 6 weeks of the study and then once at 3 and 6 months. The MEI was taken once a week during the pretreatment and the treatment periods and during the first 2 weeks of follow-up and also after 3 and 6 months of follow-up. The CDQ-24 was taken once in the pretreatment period, once after completion of treatment, once 2 weeks after treatment, and once at 3 and 6 months of follow-up. Five of the six case studies reported an increase in quality of life at 6-month follow-up, as measured on the CDQ-24. Three of the six cases reported a reduction in pain and severity of the dystonia and had improved scores on the postural orientation measure at 6-month follow-up. All six patients had a reduction in the movement energy scores, but this was not significant. The outcomes of the six case studies would suggest that further investigation is required to show the effectiveness of physiotherapy programs in the management of CD.

  • 247893.
    Zetterberg, Lena
    et al.
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience.
    Halvorsen, Kjartan
    Färnstrand, Catarina
    Lundström, Erik
    Aquilonius, Sten-Magnus
    Lindmark, Birgitta
    Objective assessment of cervical dystonia: A pilot study2005In: Acta Neurologica Scandinavica, Vol. 112, no 4, p. 248-53Article in journal (Refereed)
  • 247894.
    Zetterberg, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Lindmark, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Söderlund, Anne
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Self-perceived non-motor aspects of cervical dystonia and their association with disability2012In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 44, no 11, p. 950-954Article in journal (Refereed)
    Abstract [en]

    Objective: To examine the multivariate association between a model of self-perceived non-motor aspects and disability in cervical dystonia. Design: A prospective and correlational design with two points of assessment. Subjects: All 273 members with cervical dystonia from the Swedish Dystonia Patient Association were invited to participate. Methods: Data were collected with one self-reported questionnaire. The questionnaire was sent by post on two separate occasions. Disability was the primary outcome variable measured by the Functional Disability Questionnaire. Results: The questionnaire was completed by 180 individuals (66%) on both occasions. The multivariate association between the non-motor model and disability was statistically significant (adjusted R-2 0.46, F(7, 149)=19.76, p = 0.001). This indicated that 46% of the variance in disability was explained by the non-motor model. Self-efficacy appeared to be the most salient predictor of disability. Conclusion: The results of this study highlight the need for increasing awareness of self-perceived non-motor aspects among care providers treating patients with cervical dystonia. This presents opportunities for new rehabilitation possibilities that apply a behavioural medicine perspective.

  • 247895.
    Zetterberg, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Urell, Charlotte
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Anens, Elisabeth
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Exploring factors related to physical activity in cervical dystonia2015In: BMC Neurology, ISSN 1471-2377, E-ISSN 1471-2377, Vol. 15, article id 247Article in journal (Refereed)
    Abstract [en]

    Background

    People with disabilities have reported worse health status than people without disabilities and receiving fewer preventive health services such as counseling around exercise habits. This is noteworthy considering the negative consequences associated with physical inactivity. No research has been conducted on physical activity in cervical dystonia (CD), despite its possible major impact on self-perceived health and disability. Considering the favorable consequences associated with physical activity it is important to know how to promote physical activity behavior in CD. Knowledge of variables important for such behavior in CD is therefore crucial. The aim of this study was to explore factors related to physical activity in individuals with cervical dystonia.

    Methods

    Subjects included in this cross-sectional study were individuals diagnosed with CD and enrolled at neurology clinics (n = 369). Data was collected using one surface mailed self-reported questionnaire. Physical activity was the primary outcome variable, measured with the Physical Activity Disability Survey. Secondary outcome variables were: impact of dystonia measured with the Cervical Dystonia Impact Scale; fatigue measured with the Fatigue Severity Scale; confidence when carrying out physical activity measured with the Exercise Self-Efficacy Scale; confidence in performing daily activities without falling measured with the Falls Efficacy Scale; enjoyment of activity measured with Enjoyment of Physical Activity Scale, and social influences on physical activity measured with Social Influences on Physical Activity in addition to demographic characteristics such as age, education level and employment status.

    Results

    The questionnaire was completed by 173 individuals (47 % response rate). The multivariate association between related variables and physical activity showed that employment, self-efficacy for physical activity, education level and consequences for daily activities explained 51 % of the variance in physical activity (Adj R 0.51, F (5, 162) = 35.611, p = 0.000). Employment and self-efficacy for physical activity contributed most strongly to the association with physical activity.

    Conclusions

    Considering the favorable consequences associated with physical activity it could be important to support the individuals with CD to remain in work and self-efficacy to physical activity as employment and self-efficacy had significant influence on physical activity level. Future research is needed to evaluate causal effects of physical activity on consequences related to CD .

  • 247896.
    Zetterberg, Lena
    et al.
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience.
    Åsenlöf, Pernilla
    Söderlund, Anne
    Lindmark, Birgitta
    Predicitive variables for disability in cervical dystoniaArticle in journal (Refereed)
  • 247897.
    Zetterberg, Liv
    et al.
    Umeå universitet, Institutionen för socialt arbete.
    Markstom, Urban
    Umeå universitet, Institutionen för socialt arbete.
    Sjostrom, Stefan
    Umeå universitet, Institutionen för socialt arbete.
    Risk management or improving the life for the patient?: Court rulings concerning compulsory community care in Sweden2011In: Psychiatrische Praxis, ISSN 0303-4259, E-ISSN 1439-0876, Vol. 38Article in journal (Refereed)
  • 247898.
    Zetterberg, Liv
    et al.
    Umeå universitet, Institutionen för socialt arbete.
    Markström, Urban
    Umeå universitet, Institutionen för socialt arbete.
    Sjöström, Stefan
    Umeå universitet, Institutionen för socialt arbete.
    Translating Coercion Policy into Inter-Organisational Collaboration: The Implementation of Compulsory Community Care for People with Mental Illness2016In: Journal of Social Policy, ISSN 0047-2794, E-ISSN 1469-7823, Vol. 45, no 4, p. 655-671Article in journal (Refereed)
    Abstract [en]

    In 2008, compulsory community care (CCC) for people with severe mental illness was introduced in Sweden. CCC requires co-operation between psychiatric and social services, thus further complicating the longstanding difficulties with service coordination in the mental health field.

    This article investigates what happens when a new policy is introduced that assumes complex co-operation of two organisations bestowed with high degrees of discretion. The process of institutionalisation will be analysed in terms of how an idea is translated and materialised on local levels. This has been investigated by interviewing key informants within psychiatric and social services at three different locations.

    The implementation was perceived as relatively successful and occurred without major conflict. The main effect of the new legislation was improvement in the coordination of services, where designing a template form for a coordinated care plan was central. The inter-organisational discussions about service coordination that arose had a spill-over effect on services for other patient groups.

    In essence, respondents describe CCC as a pedagogical reform to promote the coordination of services, rather than a reform to increase coercive powers over patients. This raises concerns about the legitimacy of the reform.

  • 247899.
    Zetterberg, Liv
    et al.
    Umeå universitet, Institutionen för socialt arbete.
    Sjöström, Stefan
    Umeå universitet, Institutionen för socialt arbete.
    Markström, Urban
    Umeå universitet, Institutionen för socialt arbete.
    The compliant court: Procedural fairness and social control in compulsory community care2014In: International Journal of Law and Psychiatry, ISSN 0160-2527, E-ISSN 1873-6386, Vol. 37, no 6, p. 543-550Article in journal (Refereed)
    Abstract [en]

    Compulsory community care (CCC) was introduced in Sweden in 2008. This article investigates all written court decisions regarding CCC over a 6 month period in 2009 (N = 541). The purpose is to examine how the legal rights of patients are protected and what forms of social control patients are subjected to. 51% of CCC patients are women and 84% are being treated for a psychosis-related disorder. In the court decisions, only 9% of patients are described as dangerous to themselves, while 18% are regarded a danger to others. The most common special provisions that patients are subjected to are medication (79%) and a requirement that they must maintain contact with either community mental health services (51%) or social services (27%). In the decisions, both the courts and court-appointed psychiatrists agree with treating psychiatrists in 99% of cases. Decisions lack transparency and clarity, and it is often impossible to understand the conclusions of the courts. There is considerable variation between regional courts as regards the provisions to which patients are subjected and the delegation of decision-making to psychiatrists. This means that decisions fail to demonstrate clarity, transparency, consistency and impartiality, and thus fail to meet established standards of procedural fairness. Surveillance techniques of social control are more common than techniques based on therapy or sanctions. Because of the unique role of medication, social control is primarily imposed on a physical dimension, as opposed to temporal and spatial forms. The article concludes that patients are at risk of being subjected to new forms of social control of an unclear nature without proper legal protection.

  • 247900.
    Zetterberg, Malin M.
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Chemistry, Department of Physical and Analytical Chemistry, Physical Chemistry.
    Reijmar, Karin
    Uppsala University, Disciplinary Domain of Science and Technology, Chemistry, Department of Physical and Analytical Chemistry, Physical Chemistry.
    Pränting, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology.
    Engström, Åke
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology.
    Andersson, Dan I.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology.
    Edwards, Katarina
    Uppsala University, Disciplinary Domain of Science and Technology, Chemistry, Department of Physical and Analytical Chemistry, Physical Chemistry.
    PEG-stabilized lipid disks as carriers for amphiphilic antimicrobial peptides2011In: Journal of Controlled Release, ISSN 0168-3659, E-ISSN 1873-4995, Vol. 156, no 3, p. 323-328Article in journal (Refereed)
    Abstract [en]

    Antimicrobial peptides hold potential as a possible alternative, or complement, to conventional antibiotics but new, safe and efficient means are needed for formulation and administration of the peptides. In this study we have investigated the utility of a novel type of lipid particles, the polyethylene glycol-stabilized lipid-disks, as carriers for the model peptide melittin. The structural integrity of the carrier particle when loaded with the peptide was investigated using cryo-transmission electron microscopy. Liposome leakage upon addition of the peptide-lipid-disks was monitored as a means to verify the membrane lytic effect of the formulation. The susceptibility of melittin to tryptic digestion was studied and compared in the absence and presence of lipid-disks. Finally, the antibacterial effect of the peptide-lipid-disk formulation was compared to that of free melittin after both single and repeated exposure to Escherichia coli. The results show that melittin can redistribute from the disk into a new host membrane and that formulation in the disks does not compromise melittin's membrane permeabilizing ability. Further, the peptide was found to be fully protected against degradation when bound to the disks. Time-kill experiments revealed that all the antibacterial effect of melittin administered in free form was gone after a single exposure to E. coli. In contrast, the disk formulation showed significant cell-killing effect also upon a second exposure to bacteria, indicating an extended release of peptide from the lipid-disks. These results suggest that the lipid-disks constitute a new class of promising carriers for peptide antibiotics.

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