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  • 1.
    Ademovski, Seida Erovic
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Mårtensson, Carina
    Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Persson, G. Rutger
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    The effect of periodontal therapy on intra-oral halitosis: a case series2016In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 43, no 5, p. 445-452Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to evaluate the effects of non-surgical periodontal therapy on intra-oral halitosis 3months after therapy. Material and methods: Sixty-eight adults with intra-oral halitosis were included in a case series. Intra-oral halitosis was evaluated at baseline, and at 3months after treatment using the organoleptic scores (OLS), Halimeter (R), and a gas chromatograph. Results: Significant reductions for OLS (p<0.01), total sum of volatile sulphur compounds (T-VSC) (p<0.01) and methyl mercaptan (MM) (p<0.05) values were found after treatment. Hydrogen sulphide (H2S) levels were not significantly reduced. The numbers of probing pockets 4mm, 5mm and 6mm were significantly reduced as a result of therapy (p<0.001). Bleeding on probing (BOP) and plaque indices were also significantly reduced (p<0.001). For the 34 individuals with successful periodontal treatment (BOP<20% and a 50% reduction of total pocket depth) reductions in OLS (p<0.01) and T-VSC scores (p<0.01) were found. Eleven individuals were considered effectively treated for intra-oral halitosis presenting with a T-VSC value <160ppb, a H2S value <112ppb and a MM value <26ppb. Conclusion: Non-surgical periodontal therapy resulted in reduction of OLS, MM and T-VSC values 3months after therapy. Few individuals were considered as effectively treated for intra-oral halitosis.

  • 2.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och Folkhälsovetenskap.
    Epidemiologi för hälsovetare: en introduktion2016 (ed. 2)Book (Other academic)
    Abstract [sv]

    Den andra upplagan av Epidemiologi för hälsovetare har aktualiserats och uppdaterats i alla delar. Flera nya delar som relaterar till utvecklingen inom epidemiologin har också tillkommit.

    Boken ger en grundläggande beskrivning av arbetssätt, teorier och metoder inom epidemiologin. Med utgångspunkt i rubrikerna Beskriva, Analysera och Åtgärda förklaras begrepp och analysmetoder, olika typer av studier samt hur epidemiologin kan användas i hälsofrämjande syfte. Statistiska metoder, felkällor samt etiska frågeställningar relaterade till området behandlas och exempel ges på praktiska tillämpningar inom flera områden. Nytt i den här upplagan är bl.a. avsnitt om kvalitetsregister, epigenetik, livsförloppsepidemiologi samt evidensbaserad medicin liksom ett kapitel om socialepidemiologi. Författaren introducerar läsaren i ämnet epidemiologi på ett enkelt och tydligt sätt, bland annat med hjälp av konkreta exempel på arbetssätt och analysmöjligheter. Bokkapitlen avslutas i den nya upplagan med ett ökat antal studieuppgifter med tillhörande facit.

    Epidemiologi för hälsovetare vänder sig i första hand till universitets- och högskolestuderande inom vård- och folkhälsoområdet, det vill säga till blivande folkhälsovetare, sjuksköterskor, sjukgymnaster, farmaceuter, socialarbetare och arbetsterapeuter, men även som introduktion under läkarutbildningen och till yrkesverksamma inom dessa områden.

  • 3.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och Folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life.
    Johannsen, Annsofi
    Karolinska Institutet.
    Dental patients' perceptions and motivation in smoking cessation activities2016In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, no 4, p. 285-290Article in journal (Refereed)
    Abstract [en]

    Objective

    The aim of the present study was to investigate smokers' perceptions of and motivation for smoking cessation activities in dentistry.

    Materials and methods

    Patients who smoked were consecutively recruited from general as well as specialist dental care clinics in Sweden. After a dental visit the patients completed a questionnaire about self-perceived oral health, smoking habits, motivation, reasons to quit and not to quit smoking, support to quit, smoking cessation activities and questions about smoking asked by dentists and dental hygienists.

    Results

    The sample consisted of 167 adult patients (≥ 20 years) who smoked daily. During the last 6 months, 81% of the patients had experienced oral health problems. The most common complaints were discolourations of the teeth, periodontal problems and dry mouth (38%, 36% and 33%, respectively). Improved general health was a major reason to quit smoking (89%). It was also stated that it was important to avoid oral health problems. 71% of the patients preferred to quit by themselves and 16% wanted support from dentistry. High motivation to quit smoking was reported by 20%. Occurrence of periodontitis during the last 6 months was significantly associated with being highly motivated to stop smoking (OR = 3.0, 95% CI = 1.03-8.55).

    Conclusions

    This study revealed that, although it was important to quit smoking to avoid oral health problems, the patients were not aware that tobacco cessation activities can be performed in dentistry. Periodontal problems seem to be the most motivating factor among the patients who were highly motivated to stop smoking.

  • 4.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Blekinge Institute of Thechology & Trinity College, Dublin.
    Sjögren, P
    Oral Care.
    Zimmerman, M
    Karolinska Institutet.
    Dental status in nursing home residents with domiciliary dental care in Sweden2017In: Community Dental Health, ISSN 0265-539X, Vol. 34, no 4, p. 203-207Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To describe the dental health status of elderly people in nursing homes receiving domiciliary dental care.

    DESIGN: Case note review.

    CLINICAL SETTING: Nursing homes in 8 Swedish counties.

    PARTICIPANTS: Care dependent elderly people (≥65 years).

    METHODS: Clinical data, including the number of remaining natural teeth, missing and decayed teeth (manifest dental caries) and root remnants, recorded by dentists according to standard practices. Medical and dental risk assessments were performed.

    RESULTS: Data were available for 20,664 patients. Most were women (69.1%), with a mean age of 87.1 years (SD 7.42, range 65-109). The mean age for men was 83.5 years (SD 8.12, range 65-105). Two or more medical conditions were present in most of the population. A total of 16,210 individuals had existing teeth of whom 10,974 (67.7%) had manifest caries. The mean number of teeth with caries was 5.0 (SD 5.93) corresponding to 22.8% of existing teeth. One in four individuals were considered to have a very high risk in at least one professional dental risk assessment category.

    CONCLUSIONS: Care dependent elderly in nursing homes have very poor oral health. There is a need to focus on the oral health-related quality of life for this group of frail elderly during their final period of life.

  • 5.
    Andruškienė, Jurgita
    et al.
    Litauen.
    Kuzmienė, Ala
    Litauen.
    Martinkėnas, Arvydas
    Litauen.
    Jurgutis, Arnoldas
    Litauen.
    Ejlertsson, Göran
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Psychosocial work experiences related to health: a study of Lithuanian hospital employees2015In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 53, no 3, p. 669-677Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Research in the area of workplace health promotion from a salutogenic perspective is lacking in Eastern Europe.

    OBJECTIVE: To evaluate the relationship between psychosocial work environment and health from a salutogenic perspective among Lithuanian hospital workers.

    METHODS: Using a cross-sectional design a questionnaire was distributed to staff in a large hospital in Lithuania. Out of 811 employees, 714 completed the survey: 151 physicians, 449 nurses and 114 other staff members (e.g., psychologists, technicians, therapists). A response rate of 88.0% was achieved. The Work Experience Measurement Scale (WEMS) and the Salutogenic Health Indicator Scale (SHIS) were linguistically adapted and used for the first time in a Lithuanian context. Logistic and multiple linear regression models were used for the analyses.

    RESULTS: Supportive working conditions, positive internal work experiences and time experience contributed the most to good health, defined as a high SHIS index. Having an executive post was significantly related to good work experiences, i.e. a high WEMS score, while being at the age of 40-54 years was associated with a low WEMS score. Physicians had the highest score on supportive working conditions; while nurses had the lowest scores on autonomy.

    CONCLUSIONS: A salutogenic approach enables an organisation to identify how to improve working conditions for the employees by focusing on possibilities and resources. Individual activities for workplace health promotion among different work groups seem necessary.

  • 6.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap.
    Delprojekt – sammanfattandebeskrivning av FMI projekten2016In: Framtidens motionsidrott: möjligheter och utmaningar / [ed] Åsa Bringsén, Kristianstad: Kristianstad University Press , 2016, p. 9-12Chapter in book (Other (popular science, discussion, etc.))
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  • 7.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap.
    Deltagande föreningar, ledarnivå – beskrivning av verksamhet och uppfattning om motionsidrott2016In: Framtidens motionsidrott: möjligheter och utmaningar / [ed] Åsa Bringsén, Kristianstad: Kristianstad University Press , 2016, p. 27-43Chapter in book (Other (popular science, discussion, etc.))
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  • 8.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap.
    Deltagande föreningar, styrelsenivå – beskrivning av verksamhet och uppfattning om motionsidrott2016In: Framtidens motionsidrott: möjligheter och utmaningar / [ed] Åsa Bringsén, Kristianstad: Kristianstad University Press , 2016, p. 13-26Chapter in book (Other (popular science, discussion, etc.))
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  • 9.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Framtidens motionsidrott: möjligheter och utmaningar2016Collection (editor) (Other academic)
    Abstract [sv]

    Inom ramen för projektet Framtidens Motionsidrott genomfördes 34 delprojekt i Blekinge, Halland, Skåne och Småland under hösten 2015 och våren 2016. I denna rapport presenteras resultatet av följeforskningens sju delstudier, vars syfte var att studera förutsättningarna för och nyttan med att implementera motionsidrott i idrottsrörelsen i Region Syd. Resultatet visar att idrottsrörelsen är en arena med stor potential vad gäller implementering av motionsidrott utifrån ett folkhälsoperspektiv. Det finns utmaningar att hantera men nuvarande hälsotrend i samhället, pågående strategiarbete inom idrottsrörelsen och positiva erfarenheter av motionsidrott inom projektet FMI visar dock på goda förutsättningar och nytta.

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  • 10.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, School of Health and Society, Avdelningen för samhällsvetenskap och integrerad hälsovetenskap.
    Hälsofrämjande föreningsidrott för högstadieflickor – vad är det?2013Conference paper (Refereed)
    Abstract [sv]

    Det finns flera positiva samband mellan idrott, fysisk aktivitet, hälsa och välbefinnande men få svenska ungdomar når upp till den rekommenderade dagliga fysiska aktivitetsnivån. Initiativ behövs därför för att öka den fysiska aktivitetsnivån bland ungdomar på fritiden. De flesta barn och ungdomar är aktiva i idrottsföreningar någon gång under sin uppväxt men tonårspojkar är generellt sett mer idrottsligt aktiva än jämnåriga flickor. Det behövs därför mer kunskap om högstadieflickors erfarenhet av och syn på idrott för att idrottsaktiviteter ska kunna organiseras så att fler högstadieflickor kan och vill hålla på med idrott. Därför genomfördes 34 fokusgruppsintervjuer med 244 högstadieflickor i Skåne nordost 2011-2012. Resultatet analyserades med fokus på att identifiera salutogena faktorer relaterat till högstadieflickor och idrottslig aktivitet.

    Resultatet visade att högstadieflickorna i regionen är en heterogen grupp som vill olika saker med sin fritid generellt och med idrott specifikt. På ett övergripande plan framkom det dock att föreningsidrotten var en potentiell hälsofrämjande socialisationsmiljö för högstadieflickors i Skåne nordost. Det dominerande resultatfokuserade tävlingsverksamheterna behöver dock kompletteras med andra typer av idrottsmiljöer. Fler idrottsmiljöer karaktäriserade av aktivitetsglädje, sociala infallsvinklar, ett barnrättsligt perspektiv och jämlikhet kan sannolikt bidra till att idrottsrörelsen i större omfattning positivt bidrar till hälsa bland högstadieflickor i regionen. Den praktiska verksamheten i idrottsföreningarna behöver med andra ord organiseras utifrån och följa innehållet i idrottsrörelsens styrdokument, samtidigt som den anpassas efter olika målgruppers specifika behov utifrån den livssituation de befinner sig i för tillfället. Det finns ett behov av dialog och samarbete på olika nivåer inom idrottsrörelsen generellt men även kommunerna har här en viktig funktion att fylla.

  • 11.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap.
    Idrottskonsulenter diskuterar följeforskningens resultat2016In: Framtidens motionsidrott: möjligheter och utmaningar / [ed] Åsa Bringsén, Kristianstad: Kristianstad University Press , 2016, p. 57-62Chapter in book (Other (popular science, discussion, etc.))
    Download full text (pdf)
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  • 12.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, School of Health and Society, Avdelningen för samhällsvetenskap och integrerad hälsovetenskap.
    När utseendet kommer i vägen: optimering av behandlingsresultat genom internationell samverkan med fokus på kompetensutveckling2015Conference paper (Refereed)
    Abstract [sv]

    En så kallad utseendekultur dominerar i de flesta postindustriella samhällen, där bland annat media ständigt levererar genus specifika stereotyper för hur vi ska se ut och vad vi bör göra för att uppnå ”det perfekta utseendet”. Det sociala trycket att leva upp till ett snävt och i många fall orealistiskt utseendesideal är stort och bidrar till att missnöje med eget utseende och negativ kroppsuppfattning ökar i snabb takt. Studier har visat att missnöje med eget utseende bland annat leder till bantning och användning av anabola steroider, ätstörningar och muskel dysmorfi, försämrad social funktion samt låg självkänsla, försämrat välbefinnande och psykisk ohälsa. En speciellt utsatt grupp är människor med utseenderelaterad synlig avvikelse, som t.ex. olika former av missbildningar. Deras upplevelser av social diskriminering påverkar personliga ambitioner, utbildning och arbetsmöjligheter negativt.

     

    Parallellt med att problemet med negativ kroppsuppfattning och missnöje med eget utseende ökar, så ökar också efterfrågan på kosmetiska ingrepp och psykologiskt stöd i t ex hälso-och sjukvården. Hälso- och sjukvårdspersonal ställs inför utmaningar relaterade till komplexa psykosociala sammanhang, som de genom forskning har gett uttryck för att de saknar kompetens att hantera. Patienternas till gång till stöd är därför otillräckligt.

     

    Ett EU-finansierat samverkansprojekt arbetar därför med att ta fram ett kursmaterial som är användbart för olika etablerade hälsoutbildningar på högskole- och universitetsnivå i Europa, men även för kompetensutveckling av yrkesverksamma inom hälsoområdet. I projektet ingår lärosäten från Storbritannien, Italien, Turkiet, Litauen och Sverige men även Europeiska föreningen för gom- och läppspalt. Det tvååriga projektet startade den 1/9 2014, är ett resultat av ett annat EU finansierat nätverksprojekt och har resulterat i beviljade anslag för ytterligare ett EU finansierat samverkansprojekt med utbildningsfokus.

  • 13.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, School of Health and Society, Avdelningen för samhällsvetenskap och integrerad hälsovetenskap.
    Resultatfokuserad tävlingsverksamhet motarbetar breddidrott och folkhälsa: diskussion utifrån högstadieflickors erfarenhet av idrott i Skåne nordost2013In: Idrottsforskaren, ISSN 0348-9787, no 2, p. 17-27Article in journal (Other academic)
    Abstract [sv]

    Resultatfokuserad tävlingsidrott dominerar i Skåne nordost och bidrar till att mindre

    tävlingsinriktade högstadieflickor inte är idrottsligt aktiva. Många högstadieflickor efterfrågar

    dock möjligheten att vara idrottsligt aktiv i verksamheter med mindre fokus på

    tävlingsresultat. Resultatet och annan forskning tyder dock på att det kan vara svårt att

    påverka inriktningen på den etablerade idrottsverksamheten, på grund av lokala faktorer men

    också på grund av idrottens organisering på ett övergripande plan. Fotboll är den lagidrott

    som dominerar i regionen och resultatet åskådliggör hur flickor i en del lagidrottsföreningar

    upplever brister vad gäller jämlikhet då pojkverksamhet prioriteras framför flickverksamhet.

    Manlig dominans i traditionell idrott kan förklara prioriteringar som föreningar gör generellt

    och underlag från en svensk förening synliggör hur det kan ta sig uttryck i ett konkret

    idrottsligt sammanhang. Uppgifter från en specifik förening visar hur den får statligt

    idrottsligt stöd trots troliga brister vad gäller jämlikhet, folkhälsoperspektiv och

    barnrättsperspektiv. Föreningsidrotten är en potentiell positiv socialisationsmiljö för

    högstadieflickors i Skåne nordost om de dominerande resultatfokuserade

    tävlingsverksamheterna kan kompletteras med mer idrottsverksamhet präglat av

    aktivitetsglädje, fokus på sociala aspekter, ett barnrättsligt perspektiv, jämlikhet och

    folkhälsoaspekter. Det som behövs är att fler idrottsföreningar i själva verket arbetar utifrån

    innehållet i idrottsrörelsens styrdokument och att användningen av statens stöd till idrotten i

    större omfattning skapar förutsättningar för att syftet med stödet kan uppnås. Samarbete är det

    som behövs och här har idrottsrörelsen generellt men också kommunerna en viktig funktion

    att fylla.

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  • 14.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Staff development talks from a wellbeing perspective2017Conference paper (Other academic)
    Abstract [en]

    Background

    Wellbeing at work is a complex phenomenon and there are thus also many different strategies that can be used for the enhancement of co-workers wellbeing and individual development. On a yearly basis most organizations have manager/employee dialogues, so called performance appraisal interviews or staff development talks (SDT), which sometimes includes a focus on workers wellbeing. Little is however known about managers’ views and carrying through of SDT:s in relation to a wellbeing perspective.

    Aim

    The aim was to explore managers’ description of SDT implementation from a wellbeing perspective.  

    Method

    Fifteen managers (3 women and 12 men with varying age) at different levels of an inter municipal corporation company participated in three focus group interviews. The participants shared their thoughts about SDT:s in general and described their implementation of SDT:s in particular. The results from the interviews were transcribed and analyzed through conventional qualitative content analysis.

    Results

    All the participants found the SDT:s useful for them in their role as managers of different units of the company. Clarity and concretization were considered important but more or less challenging for them depending on the work at the unit. The results showed that the managers had different approaches characterizing the planning and implementation of SDT:s, which resulted in the wellbeing perspective being more or less in focus during the SDT:s. The identified approaches were named operational and interpersonal.

    Conclusion

    Managers different SDT approaches means that the wellbeing perspective is more or less in focus in relation to SDT:s, despite the managers being located in the same company and having the same information as well as dialogue tools. Communication, reflection and senesemaking among managers is thus needed for strengthening the wellbeing perspective in general, with adherent relation to employees having equal opportunities for SDT:s characterized by a wellbeing perspective in particular.

  • 15.
    Bringsén, Åsa
    et al.
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Lund University.
    Andersson, Ingemar
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Development and quality analysis of the Salutogenic Health Indicator Scale (SHIS)2009In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 37, no 1, p. 13-19Article in journal (Refereed)
    Abstract [en]

    Background: Current health measurement instruments tend to measureaspects of ill-health rather than health in general. There isa need for a salutogenic perspective when describing healthand developing a health measurement instrument. The aim of thisarticle is to present the development process and quality assessmentof a salutogenic health indicator scale. Methods: A descriptionof health, emanating from the concept of health, positive healthand well-being, was used as a basis for the construction ofthe scale. The scale is a semantic differential consisting of12 indicator items covering nine heath-related dimensions. Aprincipal component analysis was performed, and three healthindicator indexes were constructed. Correlation with self-ratedhealth questions was investigated, weighted kappa values werecalculated, and Cronbach's alpha (CA) was used to check internalconsistency. Results: The analysis resulted in a two-factormodel, and the indexes were named intrapersonal characteristics(CA= 0.90) and interactive function (CA= 0.84), summarised intohealth complete (CA= 0.92). Kappa values ranged from 0.44 to0.67, and correlations with self-rated health status were strongerthan those with self-rated sick-leave. Conclusions: Our healthdescription was characterized by complexity, but the instrumentis a short salutogenic health indicator scale. The shortnessincreases the usability. The instrument seems to be able tooffset the current problem of there being a lack of salutogenichealth measurement instruments. The results indicate that furthertesting is justified.

  • 16.
    Bringsén, Åsa
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för samhällsvetenskap och integrerad hälsovetenskap. Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Research as a resource in a local Workplace Health Promotion project2008Conference paper (Refereed)
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  • 17.
    Bringsén, Åsa
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap.
    Andersson, Petra
    Kjell Arthursson, Frida
    Ejlertsson, Lina
    A health promoting leisure time for young teenage girls: results from a focusgroup study in Sweden2011Conference paper (Other academic)
    Abstract [en]

    Background

    An action research project was initiated in order to explore young teenage girls’ opinions of leisure time and activities and initiate health promoting activity groups for girls age 13-16 in two municipalities in the south of Swed

    Study design

    The project started with a focus group study that explored girls’ opinions about leisure time and activities.

    Sample size and composition

    A total of fifteen semi structured focusgroup interviews were conducted in February-April 2011. A total of 110 girls, age 13-16, were participating in the study. A combination of a purpose fold selection strategy and randomisation was used for facilitating transferability of the results.

    Analysis

    The results were analysed through a tape based qualitative content analysis that focused on the manifest content of the interviews.

    Results

    The findings showed that the girls wanted their leisure time to be characterised by a variety of different activities. Activities were often related to a combination of the social, physical and psychological dimension of health. The psychological dimension was associated with activity related positive experiences and emotions.Conclusions

    Health promoting activity groups needs to be implemented with support from all the three dimensions of health and characterised by a variety of different activities.

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  • 18.
    Clausson, Eva
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Hedin, Gita
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Health supportive family conversation: intended to turn Negative weight development in preschool children.2015Conference paper (Other academic)
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  • 19.
    Dalago, Haline Renata
    et al.
    Brasilien.
    Schuldt Filho, Guenther
    Brasilien.
    Rodrigues, Mônica Abreu Pessoa
    Brasilien.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Bianchini, Marco Aurélio
    Brasilien.
    Risk indicators for peri-implantitis: a cross-sectional study with 916 implants2017In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 28, no 2, p. 144-150Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The aim of this study was to identify systemic and local risk indicators associated with peri-implantitis.

    MATERIAL AND METHODS: One hundred eighty-three patients treated with 916 osseointegrated titanium implants, in function for at least 1 year, were included in the present study. The implants were installed at the Foundation for Scientific and Technological Development of Dentistry (FUNDECTO) - University of Sao Paulo (USP) - from 1998 to 2012. Factors related to patient's systemic conditions (heart disorders, hypertension, smoking habits, alcoholism, liver disorders, hepatitis, gastrointestinal disease, diabetes mellitus I and II, hyperthyroidism or hypothyroidism, radiation therapy, chemotherapy, menopause, osteoporosis, active periodontal disease, history of periodontal disease and bruxism), implant's characteristics (location, diameter, length, connection, shape, and antagonist), and clinical parameters (wear facets, periodontal status on the adjacent tooth, plaque accumulation on the adjacent tooth, modified plaque index, sulcus bleeding index, probing depth, bleeding on probing, width of keratinized tissue and marginal recession).

    RESULTS: An increased risk of 2.2 times for history of periodontal disease (PD), 3.6 times for cemented restorations compared to screw-retained prostheses, 2.4 times when wear facets were displayed on the prosthetic crown and 16.1 times for total rehabilitations when compared to single rehabilitations were found. Logistic regression analysis did not show any association between the implant's characteristics and peri-implantitis.

    CONCLUSIONS: A history of periodontal disease, cemented prostheses, presences of wear facets on the prosthetic crown and full mouth rehabilitations were identified as risk indicators for peri-implantitis. Implants' characteristics were not related to the presence of peri-implantitis.

  • 20. Ejlertsson, Göran
    et al.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och Folkhälsovetenskap.
    Nilsson, Petra
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II.
    A new perspective in measuring health: the salutogenic approach2010Conference paper (Refereed)
  • 21.
    Erovic Ademovski, Seida
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Treatment of intra-oral halitosis2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Intra-oral  halitosis  (bad  breath)  is reported  to affect  15-83 % of the adult population. Having intra-oral halitosis is a social and psycho-logical handicap, and may cause people in the  person’s social circle to increase the physical distance or to turn their faces in another direction to avoid the unpleasant smell from the exhaled air. Such behaviours may affect the individual’s self-confidence resulting in insecurity in social and intimate relations. The oral health-related quality of life status has also been reported to be lower in individuals with halitosis. Approximately 90% of what is considered as bad breath is the result of the degradation of organic substrates (proteins) by an- aerobic bacteria of the oral cavity. Intra-oral halitosis can be  assessed using both subjective and objective methods to evaluate the subject’s exhaled air. The most common one and the one often referred to as the ”gold standard”, is the organoleptic scoring system (OLS). OLS is a subjective method  evaluating  the  strength  of halitosis in exhaled air using a scale from 0-5. One objective  method to assess the presence of volatile sulphur compounds in exhaled air is to use a sulphide monitor measuring the total sum of the volatile sulphur  compounds  (T-VSC) in exhaled  air.  The three  gases  (hydrogensulphide (H2S), methyl mercaptan (MM) and dimethyl sulphide (DMS)) in exhaled air related to intra-oral halitosis can be assessed separately using a simplified gas chromatograph. Different treatment models such as periodontal treatment, tongue scraping and rinsing with Zn ion containing products have been used to reduce intra-oralhalitosis. The  present  thesis  has  evaluated  the  efficacy of  different treatment models in the treatment of intra-oral  halitosis.

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  • 22.
    Erovic Ademovski, Seida
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Lingström, P
    University of Gothenburg.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Blekinge Institute of Techology, Dublin Dental University Hospital, Dublin.
    The effect of different mouth rinse products on intra-oral halitosis2016In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 14, no 2, p. 117-123Article in journal (Refereed)
    Abstract [en]

    AIM: To evaluate the effect of different mouth rinses 12 h after rinsing on genuine intra-oral halitosis.

    MATERIALS AND METHODS: Twenty-four adults with halitosis were included in a double-blind, crossover, randomized clinical trial. Halitosis was evaluated 12 h after rinsing with placebo and five mouth rinse products containing zinc acetate and chlorhexidine diacetate; zinc lactate, chlorhexidine and cetylpyridinium chloride; zinc acetate and chlorhexidine diacetate with reduced amounts of mint and menthol; zinc chloride and essential oil; and chlorine dioxide using the organoleptic method and a gas chromatograph. Test periods were separated by 1 week.

    RESULTS: Hydrogen sulphide (H2 S), methyl mercaptan (MM) and the organoleptic scores (OLS) were significantly reduced 12 h following rinsing with all substances compared to placebo (P < 0.05). H2 S was more effectively reduced after rinsing with zinc acetate and chlorhexidine diacetate and zinc acetate and chlorhexidine diacetate with reduced amounts of mint and menthol compared to rinsing with zinc chloride and essential oil (P < 0.05), and significantly lower values of MM were obtained after rinsing with zinc acetate and chlorhexidine diacetate compared to zinc lactate, chlorhexidine and cetylpyridinium chloride (P < 0.05). The percentage effectively treated individuals (H2 S (<112 ppb), MM (<26 ppb) and OLS score <2) varied from 58% percentage (zinc acetate and chlorhexidine diacetate) to 26% (zinc chloride and essential oil).

    CONCLUSION: All treatments resulted in reduction in halitosis 12 h after rinsing compared to placebo. H2 S and MM were most effectively reduced by zinc acetate and chlorhexidine diacetate.

  • 23.
    Erovic Ademovski, Seida
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Mårtensson, Carina
    Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Persson, Rutger G
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    The long-term effect of a zinc acetate and chlorhexidine diacetate containing mouth rinse on intra-oral halitosis: a randomized clinical trial2017In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 44, no 10, p. 1010-1019Article in journal (Refereed)
  • 24.
    Garmy, Pernilla
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Hedin, Gita
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Norell-Clarke, Annika
    Karlstads universitet.
    Sollerhed, Ann-Christin
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Faculty of Education, Avdelningen för humaniora.
    Clausson, Eva
    Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Hansson, Erika
    Kristianstad University, Faculty of Education, Avdelningen för psykologi. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad.
    Sömn, medievanor och livsstil  hos barn och ungdomar2019In: Barnsliga sammanhang: forskning om barns och ungdomars uppväxt och livsvillkor / [ed] Eva K. Clausson & Bo Nilsson, Kristianstad: Kristianstad University Press , 2019, p. 103-113Chapter in book (Other academic)
    Abstract [sv]

    Vi vet idag inte tillräckligt om sömnvanor, medievanor och dess relation till andra livsstilsfaktorer såsom fysisk aktivitet och övervikt hos barn och ungdomar. Med förändringarna i samhället förändras också våra barns och ungdomars sömn- och livstilsvanor. Detta är frågor som många ställer till elevhälsan. I detta kapitel kommer resultat från studier om sömn, medievanor och livsstil att beskrivas. Vi kommer även att sätta ljuset på frågor som är angelägna att studera vidare.

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  • 25.
    Grönbeck Lindén, Ingela
    et al.
    Göteborgs universitet.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Dahlin-Ivanoff, Synneve
    Göteborgs universitet.
    Gahnberg, Lars
    Karolinska institutet.
    Hägglin, Catharina
    Göteborgs universitet.
    Development of an instrument to assess oral hygiene ability in older adults: the oral hygiene ability instrument2019In: Gerodontology, ISSN 0734-0664, E-ISSN 1741-2358Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To describe the development process of an instrument to assess the ability to manage daily oral hygiene and the cause of impaired oral hygiene. The instrument is initially aimed for use by the dental team in the ageing population.

    BACKGROUND: Oral hygiene is an important component of oral health. Inability to manage oral hygiene combined with other risk factors often results in poor oral health and impaired quality of life.

    METHODS: A guideline for instrument development was used during the construction of the instrument. The method included three phases: I. planning: the purpose and target group of the instrument were determined, and a literature review and qualitative focus-group study were conducted; II. construction: objectives were formulated, and a pool of items was built; and III. evaluation and validation, which included two pilot studies, interviews, item analyses and revision of the instrument.

    RESULTS: The planning and construction phases resulted in an instrument with 47 items comprising three parts: (a) interview, (b) clinical examination and (c) observation of activities of daily living (oral hygiene). After two pilot studies, the instrument was found to have good content validity. Analyses of qualitative and quantitative data resulted in a reduction in the number of items to 33.

    CONCLUSION: OHAI can be a valuable tool as a preventive method to identify older adults at risk of impaired oral health. However, the instrument needs further evaluation before wider use.

  • 26.
    Grönbeck-Lindén, Ingela
    et al.
    University of Gothenburg.
    Hägglin, Ingela
    University of Gothenburg.
    Gahnberg, Lars
    University of Gothenburg.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Factors affecting older persons’ ability to manage oral hygiene: a qualitative study2017In: JDR Clinical & Translational Research, ISSN 2380-0844, Vol. 2, no 3, p. 223-231Article in journal (Refereed)
    Abstract [en]

    A great challenge for the dental service is to support the growing group of elderly people with preserving good oral health throughout their lives. Limitations in the ability to manage oral hygiene and an increased number of risk factors are often reflected by poor oral health. Thus, the need for individualized support and oral health procedures based on the older person’s condition is significant. Deficiencies in the motor skills needed to manage oral hygiene are well known, but other factors that affect the ability are not well studied. The aim of the present study was to identify factors that may affect an elderly person’s ability to perform oral hygiene self-care, which is the first step to develop a more comprehensive “oral hygiene ability index.” The design of the study was qualitative. Data were collected from 4 focus group interviews with a total of 23 participants. Three of the groups consisted of dental hygienists, occupational therapists, and assistant nurses, all working with elderly persons. The fourth group was made up of elderly people (72–89 years). Content analysis was used to analyze the data. The latent content was formulated into the core category, “oral hygiene—a complex activity.” Three categories emerged: “psychological,” “environmental,” and “functional” dimensions. The psychological dimension described attitude/motivation, emotions, and cognitive factors. The environmental dimension included practical conditions and social context. The functional dimension dealt with bodily and oral function as well as the senses. In conclusion, self-care with respect to oral hygiene is a complex activity for elderly persons and includes a large number of factors. These factors should be taken into consideration when developing a future oral hygiene ability index.

    Knowledge Transfer Statement: Various factors may affect the ability to manage oral hygiene self-care. Impaired ability to manage oral hygiene, in combination with an increased number of risk factors, often results in deteriorating oral health and impaired quality of life in older persons. Factors necessary to manage oral hygiene were identified in a qualitative study of dental hygienists, occupational therapists, and assistant nurses, all working with elderly patients, and a group of elderly persons. The results of this study may be important for clinical oral health work with older patients and for the planning of oral health and social care interventions for the growing group of older people.

  • 27.
    Hagell, Peter
    et al.
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Edfors, Ellinor
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Hedin, Gita
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Westergren, Albert
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Sjödahl Hammarlund, Catharina
    Lund University.
    Group concept mapping for evaluation and development in nursing education2016In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 20, p. 147-153Article in journal (Refereed)
    Abstract [en]

    The value of course evaluations has been debated since they frequently fail to capture the complexity of education and learning. Group Concept Mapping (GCM), a participant-centred mixed-method was explored as a tool for evaluation and development in nursing education and to better understand students' learning experiences, using data from a GCM-based evaluation of a research training assignment integrating clinical practice and research data collection within a Swedish university nursing program. Student nurses (n = 47) participated in a one-day GCM exercise. Focus group brainstorming regarding experiences from the assignment that the students considered important and instructive yielded 98 statements that were individually sorted based on their student-perceived relationships, and rated regarding their importance/instructiveness and need for development. Quantitative analysis of sort data produced a 2-dimensional map representing their conceptual relationships, and eight conceptual areas. Average cluster ratings were plotted relative to each other and provided a decision aid for development and planning by identifying areas (i.e., "Research methodology", "Patients' perspectives", and "Interviewer role") considered highly important/instructive and in high need for development. These experiences illustrate the use and potential of GCM as an interactive participant-centred approach to evaluation, planning and development in nursing and other higher health science educations.

  • 28.
    Hallström, Hadar
    et al.
    Malmö University.
    Lindgren, Susann
    Halland Hospital, Halmstad.
    Widén, Cecilia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Renvert, Stefan
    Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Twetman, Svante
    Danmark.
    Probiotic supplements and debridement of peri-implant mucositis: a randomized controlled trial2015In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, no 1, p. 60-66Article in journal (Refereed)
    Abstract [en]

    Objective.

    The aim of this double-blind randomized placebo-controlled trial was to evaluate the effects of probiotic supplements in adjunct to conventional management of peri-implant mucositis.

    Materials and methods.

    Forty-nine adult patients with peri-implant mucositis were consecutively recruited after informed consent. After initial mechanical debridement and oral hygiene instructions, the patients received a topical oil application (active or placebo) followed by twice-daily intake of lozenges (active or placebo) for 3 months. The active products contained a mix of two strains of Lactobacillus reuteri. Patients were clinically monitored and sampled at baseline and after 1, 2, 4, 12 and 26 weeks. The clinical end-points were pocket-probing depth (PPD), plaque index (PI) and bleeding on probing (BOP). In addition, the subgingival microbiota was processed with checkerboard DNA-DNA hybridization and samples of gingival crevicular fluid (GCF) were analyzed for selected cytokines with the aid of multiplex immunoassays.

    Results.

    After 4 and 12 weeks, all clinical parameters were improved in both the test and the placebo group. PPD and BOP were significantly reduced compared with baseline (p < 0.05), but no significant differences were displayed between the groups. The clinical improvements persisted 3 months after the intervention. No major alterations of the subgingival microflora were disclosed and the levels of inflammatory mediators in GCF did not differ between the groups.

    Conclusions.

    Mechanical debridement and oral hygiene reinforcement resulted in clinical improvement of peri-implant mucositis and a reduction in cytokine levels. Probiotic supplements did not provide added benefit to placebo.

  • 29.
    Hallström, Hadar
    et al.
    Malmö University.
    Persson, Rutger G
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Lindgren, Susann
    Halland's hospital.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Open flap debridement of peri-implantitis with or without adjunctive systemic antibiotics: a randomized clinical trial.2017In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 44, no 12, p. 1285-1293Article in journal (Refereed)
    Abstract [en]

    AIMS: To investigate clinical, radiographic and microbiological outcome over 12 months following open flap debridement of peri-implantitis with or without antibiotics.

    MATERIALS AND METHODS: Peri-implantitis was surgically treated with or without Zithromax(®) in 19 control and 20 test individuals. Probing pocket depth (PPD), gingival inflammation (BOP), intra-oral radiographs and microbial samples were studied. Per protocol, and intent to treat analyzes were performed.

    RESULTS: The mean difference (reduction) in PPD values between baseline and month 12 in the test and control groups were: 1.7 mm (SD ± 1.1, 95% CI: 1.1, 2.3, p < 0.001), and 1.6 mm (SD ± 1.5, 95% CI: 0.8, 2,4, p < 0.001), respectively. Data analysis failed to show study group differences for BOP, PPD, radiographic bone level, and microbial load. Succesful treatment (per protocol: PPD≤ 5 mm, no BOP, no suppuration and no bone loss ≥ 0.5 mm) at 12 months in test and control groups were 7/15 (46.7%), and 4/16 (25.0%). Bacterial load reduction was similar in study groups with a temporary reduction following treatment.

    CONCLUSIONS: Surgical treatment of peri-implantitis with adjunctive systemic azithromycin did not provide one-year clinical benefits in comparison to those only receiving open flap debridement. This article is protected by copyright. All rights reserved.

  • 30.
    Isehed, Catrine
    et al.
    Umeå university.
    Holmlund, Anders
    Uppsala university.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Svenson, Björn
    Örebro university.
    Johansson, Ingegerd
    Umeå university.
    Lundberg, Pernilla
    Umeå university.
    Effectiveness of enamel matrix derivative on the clinical and microbiological outcomes following surgical regenerative treatment of peri-implantitis: a randomized controlled trial2016In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 43, no 10, p. 863-873Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: This randomized clinical trial aimed at comparing radiological, clinical and microbial effects of surgical treatment of peri-implantitis alone or in combination with enamel matrix derivative (EMD).

    METHODS: Twenty-six subjects were treated with open flap debridement and decontamination of the implant surfaces with gauze and saline preceding adjunctive EMD or no EMD. Bone level (BL) change was primary outcome and secondary outcomes were changes in pocket depth (PD), plaque, pus, bleeding and the microbiota of the peri-implant biofilm analyzed by the Human Oral Microbe Identification Microarray over a time period of 12 months.

    RESULTS: In multivariate modelling, increased marginal BL at implant site was significantly associated with EMD, the number of osseous walls in the peri-implant bone defect and a Gram+/aerobic microbial flora, whereas reduced BL was associated with a Gram-/anaerobic microbial flora and presence of bleeding and pus, with a cross-validated predictive capacity (Q(2) ) of 36.4%. Similar, but statistically non-significant, trends were seen for BL, PD, plaque, pus and bleeding in univariate analysis.

    CONCLUSION: Adjunctive EMD to surgical treatment of peri-implantitis was associated with prevalence of Gram+/aerobic bacteria during the follow-up period and increased marginal BL 12 months after treatment.

  • 31.
    Jakobsson, Liselotte
    et al.
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Nilsson, Petra
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Fransson, Per
    Umeå University.
    The influence from sense of coherence on perceived health after prostatectomy: a 5 year follow up2017In: Medical and Clinical Research, ISSN 0976-5530, Vol. 2, no 2Article in journal (Refereed)
    Abstract [en]

    The purpose of the study was to to describe which factors of health related quality of life were associated with a high sense of coherence in a 5 year perspective. The sense of coherence, SOC-scale, EORTC QLQ C-30 and PR 25 questionnaires were applied to a sample of 222 men at baseline and over 5 years following radical prostatectomy. Result showed significant association to SOC in psychological aspects (emotional and cognitive functioning, p=<0.00-0.04 respectively 0.04) and for hormone treatment related symptoms (i.e. manhood p=<0.05). High SOC was associated with quality of life (index) in the early post treatment period and to aspects of general functioning (role-, emotional- respectively cognitive) in year 3 and 5. High sense of coherence was interpreted to be a health resource for experiencing life quality connected to different aspects at different time points of the data collection. The result showed stability in SOC and QoL scoring over 5 years.

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  • 32. Klinge, Björn
    et al.
    Flemming, Thomas
    Cosyn, Jan
    De Bruyn, Hugo
    Eisner, Barbara M
    Hultin, Margareta
    Isidor, Flemming
    Lang, Niklaus P
    Lund, Bodil
    Meyle, Jürg
    Mombelli, Andrea
    Navarro, Jose Manuel
    Pjetursson, Bjarni
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Schliephake, Henning
    The patient undergoing implant therapy: summary and consensus statements: the 4th EAO Consensus Conference 20152015In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 26 Suppl 11, p. 64-7Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: The assignment for this working group was to update the existing knowledge regarding factors considered being of special relevance for the patient undergoing implant therapy. This included areas where conflicting opinions exists since long or recently has been expressed, like the role of antibiotic prophylaxis in dental implant surgery and peri-implantitis. Also areas with growing interest and concern such as patient-reported outcome measures (PROMs) and health-economy was included in this review.

    MATERIALS AND METHODS: The literature in the respective areas of interest (antibiotic prophylaxis, peri-implantitis, patient-reported outcome measurements and health-economic aspects) was searched using different strategies for the different papers. Search strategies ranged from a complex systematic review to systematic- and narrative reviews, depending on subject and available literature. All collected material was critically reviewed. Four manuscripts were subsequently presented for group analysis and discussion and plenum discussions and concensus approval. The selected areas were considered to be of key importance and relevance for the patient undergoing implant therapy.

    RESULTS: The results and conclusions of the review process are presented in the respective papers. The group's conclusions, identified knowledge gaps, directions for future research and concensus statements are presented in this article. The following reviews were available for group discussions and the foundation for subsequent plenary sessions: Lund B, Hultin M, Tranaeus S, Naimi-Akbar A, Klinge B. (2015) Perioperative antibiotics in conjunction with dental implant placement. A complex systematic review. Renvert S & Quirynen M. (2015) Risk indicators for peri-implantitis. A narrative review. De Bruyn H, Raes S, Matthys C, Cosyn J. (2015) The current use of patient centered/reported outcomes in implant dentistry. A systematic review. Beikler T & Flemmig T.F. (2015) Economic evaluation of implant-supported prostheses. A narrative review.

  • 33.
    Ljung-Djärf, Agneta
    et al.
    Kristianstad University, School of Education and Environment, Avdelningen för Pedagogik.
    Bringsén, Åsa
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Preventivt arbete mot trakasserier och mobbning vid Högskolan Kristianstad2015In: Ledarutvecklingsprogram för kvinnor och män vid Lunds universitet 2013-2014: erfarenheter från ett genusintegrerat ledarskapsprogram / [ed] Kajsa Widén, Inger Lövkrona, Lund: AKKAdemien för ledarskapsutveckling, Lunds universitet , 2015, p. 135-145Chapter in book (Other academic)
    Abstract [sv]

    Högskolan i Kristianstads deltagare har undersökt trakasserier och mobbning Preventivt arbete mot trakasserier och mobbning vid Högskolan i Kristianstad. Högskolan har en rad dokument som beskriver det förebyggande arbetet samt hantering av incidenter av mobbning och trakasserier. Dokumenten pekar ut på ett övergripande plan vad som är ett acceptabelt bemötande, alla medarbetares ansvar att föra vidare information om risker och/eller incidenter. Högskolan genomför vartannat år en arbetsmiljöenkät för att få en ökad kunskap om arbetstagarnas psykosociala miljö, dvs. för att få veta hur det ser ut i praktiken. Ett oroväckande högt antal anställda upplever sig ha blivit utsatta för hot, våld och trakasserier i anslutning till arbetet. Lika oroväckande, finner gruppen, är det faktum att det är få som pratar med  sin närmaste chef eller gör en formell anmälan. Detta gör att problemet är svårt att definiera, hantera och göra något åt.

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  • 34. Lundin, Susanne
    et al.
    Nagy, Sebastian
    Khalaf, Atika
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences.
    Nilsson, Marie
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Forskningsmiljön Man - Health - Society (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Sömnproblem bland cancerpatienter i palliativ vård2019In: Sömn och hälsa, ISSN 2003-234X, no 1, p. 46-56Article in journal (Other academic)
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  • 35.
    Muzila, Mbaki
    et al.
    Swedish University of Agricultural Sciences, Balsgård.
    Rumpunen, Kimmo
    Swedish University of Agricultural Sciences, Balsgård.
    Wright, Helen
    Storbritannien.
    Roberts, Helen
    Storbritannien.
    Grant, Melissa
    Storbritannien.
    Nybom, Hilde
    Swedish University of Agricultural Sciences, Balsgård.
    Sehic, Jasna
    Swedish University of Agricultural Sciences, Balsgård.
    Ekholm, Anders
    Swedish University of Agricultural Sciences, Balsgård.
    Widén, Cecilia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Alteration of neutrophil reactive oxygen species production by extracts of Devil's Claw (Harpagophytum)2016In: Oxidative Medicine and Cellular Longevity, ISSN 1942-0900, E-ISSN 1942-0994, article id 3841803Article in journal (Refereed)
    Abstract [en]

    Harpagophytum, Devil's Claw, is a genus of tuberiferous xerophytic plants native to southern Africa. Some of the taxa are appreciated for their medicinal effects and have been traditionally used to relieve symptoms of inflammation. The objectives of this pilot study were to investigate the antioxidant capacity and the content of total phenols, verbascoside, isoverbascoside, and selected iridoids, as well as to investigate the capacity of various Harpagophytum taxa in suppressing respiratory burst in terms of reactive oxygen species produced by human neutrophils challenged with phorbol myristate acetate (PMA), opsonised Staphylococcus aureus, and Fusobacterium nucleatum. Harpagophytum plants were classified into different taxa according to morphology, and DNA analysis was used to confirm the classification. A putative new variety of H. procumbens showed the highest degree of antioxidative capacity. Using PMA, three Harpagophytum taxa showed anti-inflammatory effects with regard to the PBS control. A putative hybrid between H. procumbens and H. zeyheri in contrast showed proinflammatory effect on the response of neutrophils to F. nucleatum in comparison with treatment with vehicle control. Harpagophytum taxa were biochemically very variable and the response in suppressing respiratory burst differed. Further studies with larger number of subjects are needed to corroborate anti-inflammatory effects of different taxa of Harpagophytum.

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  • 36.
    Nilsson, Helena
    et al.
    Halland Hospital.
    Berglund, Johan Sanmartin
    Blekinge Institute of Technology & Lund University.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Periodontitis, tooth loss and cognitive functions among older adults2018In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 22, no 5, p. 2103-2109Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: This study aims to evaluate the potential association between periodontitis, the number of teeth and cognitive functions in a cohort of older adults in Sweden.

    MATERIAL AND METHODS: In total, 775 individuals from 60 to 99 years of age were selected for the study. A clinical and radiographic examination was performed. The number of teeth and prevalence of periodontal pockets and bone loss was calculated and categorised. Cognitive functions were assessed using the Mini-Mental State Examination (MMSE) and clock test. The education level was obtained from a questionnaire. Data were analysed using chi-square tests and multivariate logistic regression.

    RESULTS: Age and gender were associated with the prevalence of bone loss. Age and education were associated with lower number of teeth. Gender was also associated with the presence of pockets. The multivariate logistic regression analysis demonstrated a statistically significant association between prevalence of bone loss, the number of teeth and the outcome on MMSE test. This association remained even after adjustment for age, education and gender. Tooth loss was also associated with lower outcome on clock test. Presence of periodontal pockets ≥ 5 mm was not associated with cognitive test outcome.

    CONCLUSIONS: A history of periodontitis and tooth loss may be of importance for cognitive functions among older adults.

    CLINICAL RELEVANCE: Diseases with and inflammatory profile may have an impact on cognitive decline.

  • 37.
    Nilsson, Marie
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Salutogenetic resources in the everyday lives of teachers: promoting workplace learning and well-being2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The aim of this thesis was to explore salutogenic resources in the everyday lives of teachers, and toinvestigate how an intervention of collegial reflection influences their work-related learning and their being.The thesis includes two parts, a needs assessment and an intervention, performed between 2009 and2016. Both qualitative and quantitative approaches have been used in the process of the thesis. Methods used for data generation have been multistage focus groups interviews, individual interviews, questionnaire, open mail questions, and digital recordings of the reflection meetings. Four different methods have been used For the analyses: content analysis, hermeneutic analysis, multiple linear regression, and thematic analysis.

    The findings indicate that the caring relationships with pupils, but also colleagues, were important for the teachers’ finding meaning in their work. The caring relationships and the sense of meaningfulness were important resources for the teachers well-being.

    Collegial reflection was a health promoting resource in that it contributed with social support from colleagues, a sense of belonging, a consensus regarding shool issues, and recovery. This recovery occurred while the teachers were having their collegial reflection, indicating that they still felt recovered even though they were reflecting on work-related issues.

    The thesis also indicates that teachers’ experiences of time pressure at work was the variable with the strongest associaton to their experience of work-life balance. The integration of work and private lives is an important part of being a teacher. Certain aspects of work was considered as positive and salutogenic when integrated with their private lives, such as the creative aspect of teaching. However, other aspects, such as ruminating over abused pupils, were affecting their well-being in a detrimental way when integrated in their private lives.

    In a time when much focus is put on teachers’ increasing workload, documentation and psychosocial risks, it is important to pay more attention to the salutogenic and the enhancing aspects of  teacher's work. By doing that, teachers’ well-being may be enhanced, as well as supporting teacher retention.

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  • 38.
    Nilsson, Marie
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Coexisting needs: paradoxes in collegial reflection—the development of a pragmatic method for reflection2017In: Education Research International, ISSN 2090-4002, E-ISSN 2090-4010, Vol. 2017, article id 4851067Article in journal (Refereed)
    Abstract [en]

    This paper addresses a feasibility study of a method for recurrent collegial reflection. A qualitative approach, using a participatory research design, was adopted. The collegial reflection was implemented in a school, in a middle-sized municipality in southern Sweden, with 21 teachers participating in the intervention. Data collection included digital recordings of collegial reflection, open questions by mail, and individual interviews. Findings indicated one major theme, paradoxes in the design of the collegial reflection, and three categories: wanting to decide and wanting to be guided; meeting each other as teachers and/or as persons; and looking for the safe and/or looking for the new. Before implementing the method in another context, management needs to appreciate these contradictory experiences, allow for voluntary participation, address participants’ expectations, and allocate time and tasks. This study implicates that collegial reflection may contribute to teachers’ professional development, and it is thereby relevant to teachers’ classroom practice and pupils’ learning. We conclude that, by creating a structure which supports teachers’ collegial reflection, the school may function as a supportive environment, which may contribute to teacher retention.

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  • 39.
    Nilsson, Marie
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
    Salutogenic resources in relation to teachers' work-life balance2017In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 54, no 4, p. 591-602Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Experiencing work-life balance is considered a health promoting resource. To counter-balance the negative development of teachers' work situation, salutogenic resources need to be examined among teachers.

    OBJECTIVE: To examine resources related to teachers' experience of their work-life balance.

    METHODS: Using a cross-sectional design, a questionnaire was distributed to 455 teachers in compulsory schools in a Swedish community. A total of 338 teachers participated (74%). A multiple linear regression method was used for the analysis.

    RESULTS: Four variables in the regression model significantly explained work-life balance and were thereby possible resources: time experience at work; satisfaction with everyday life; self-rated health; and recovery. The strongest association with work-life balance was time experience at work. Except time experience at work, all were individual-related.

    CONCLUSIONS: This study highlights the importance of school management's support in reducing teachers' time pressure. It also emphasizes the need to address teachers' individual resources in relation to work-life balance. In order to support teachers' work-life balance, promote their well-being, and preventing teachers' attrition, we suggest that the school management would benefit from creating a work environment with strengthened resources.

  • 40.
    Nilsson, Petra
    et al.
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    A key to success in workplace survey processes2017Conference paper (Other academic)
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  • 41.
    Nilsson, Petra
    et al.
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Blomqvist, Kerstin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Survey process quality: a question of healthcare manager approach2017In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 30, no 7, p. 591-602Article in journal (Refereed)
    Abstract [en]

    Purpose

    The purpose of this paper is to explore how healthcare first-line managers think about and act regarding workplace survey processes.

    Design/methodology/approach

    This interview study was performed at a hospital in south Sweden. First-line healthcare managers ( n=24) volunteered. The analysis was inspired by phenomenography, which aims to describe the ways in which different people experience a phenomenon. The phenomenon was a workplace health promotion (WHP) survey processes.

    Findings

    Four main WHP survey process approaches were identified among the managers: as a possibility, as a competition, as a work task among others and as an imposition. For each, three common subcategories emerged; how managers: stated challenges and support from hospital management; described their own work group and collaboration with other managers; and expressed themselves and their situation in their roles as first-line managers.

    Practical implications

    Insights into how hospital management can understand their first-line managers' motivation for survey processes and practical suggestions and how managers can work proactively at organizational, group and individual level are presented. Originality/value Usually these studies focus on those who should respond to a survey; not those who should run the survey process. Focusing on managers and not co-workers can lead to more committed and empowered managers and thereby success in survey processes.

  • 42.
    Olsson, Viktoria
    et al.
    Kristianstad University, School of Education and Environment, Avdelningen för Mat- och måltidsvetenskap. Kristianstad University, Research Environment Food and Meals in Everyday Life (MEAL).
    Larsson, Ewa
    Igelösa Life Science AB, Sweden.
    Wallin Bengtsson, Viveca
    Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Widén, Cecilia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Sensory acceptance of a diet designed to counteract obesity, diabetes and periodontaldisease2017Conference paper (Other academic)
    Abstract [en]

    A modified Nordic diet, developed by Igelösa Life Science AB, was tested in a clinical pilot study including ten individuals with type 2 diabetes during two weeks. The diet was based on locally produced, traditional ingredients such as intact grains, vegetables, legumes, root vegetables, fish, poultry, fruit and nuts. The intake of sugar, red meat and dairy products was restricted. One of the aims of the study was to study the sensory acceptance of the diet.

    The study was designed as a case-series. The diet was provided, ready-made and free of charge, to both the experimental subjects (N=10) and their partners (N=5). Two subjects were excluded due to heath implications, not related to the diet. The sensory acceptance was measured through questionnaire data and two focus groups (before and after the 2-week test period, 20 minutes each). Partners were invited to participate in the focus group interviews.

    Data from the questionnaire showed a high degree of liking for most meals. The result of the focus groups indicated the importance of the every-day meal as a social activity. They further expressed satisfaction with sensory properties and the perceived health benefits of the Igelösa diet but also some frustration regarding small portions, too little salt and somewhat unfamiliar ingredients.

    Sensory acceptance for diets nutritionally designed for weight reduction and/or maintenance is  a key factor. Despite the low number of participants, the pilot study indicate that the Igelösa diet is well accepted. An innovation of the study was that both the experimental subjects and their partners received the diet. The participants stated that this was supportive, facilitating adherence and promoting long-term impact on health. Habits, such as poor diet, can only be defeated by a concerted team effort and our work provide a glimpse of the potential benefits   of this shared approach.

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  • 43.
    Persson, Rutger G
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Washington University, USA.
    Dental geriatrics and periodontitis2017In: Periodontology 2000, ISSN 0906-6713, E-ISSN 1600-0757, Vol. 74, no 1, p. 102-115Article, review/survey (Refereed)
    Abstract [en]

    The present literature review is focused on two main areas: (i) periodontal conditions in older individuals; and (ii) the scientific data available on periodontal treatment outcomes in individuals ≥ 75 years of age. The population of older people is increasing but the data on periodontal therapies and their efficacy in this population are limited and need to be carefully reviewed. Although life expectancy has increased, this does not mean that older people are medically healthy. Several chronic systemic diseases are associated with periodontitis, and the prevalence of most chronic diseases increases with age. Furthermore, older people are challenged by impaired immunity (immune senescence) with a decline in the numbers of naïve T-cells in peripheral blood and lymphoid tissues. The most frequent significant correlates with successful ageing include not smoking and the absence of disability, arthritis and diabetes mellitus. Periodontal diseases in older individuals may have specific features that are not consistent with periodontal diseases. In this respect, data suggest that gingival lesions in older individuals develop differently from gingival lesions in younger adults. The progression of periodontitis may be slower in older individuals, and older individuals with periodontitis may benefit from more conservative treatment approaches. Diagnostic criteria used for the assessment and diagnosis of periodontitis in younger adults may not be fully applicable in older individuals. In summary, declining health, perception of treatment needs, dietary changes, comorbidity with other diseases and immune senescence are challenging factors to clinicians and researchers, in terms of therapies and in understanding periodontitis etiology in older individuals.

  • 44.
    Rantzow, Veronica
    et al.
    Vocational Education Helsingborg.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Lindmark, Ulrika
    Jönköping University.
    Occurrence of oral health problems and planned measures in dependent older people in nursing care2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 23-24, p. 4381-4389Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVE: The aim of the study was to describe oral health problems and planned measures in older people receiving nursing care.

    BACKGROUND: Poor oral health conditions have a negative impact on the quality of life of older people. Therefore, oral care is an important task in daily nursing activities.

    METHODS: Data were obtained from the web-based Swedish national quality register Senior Alert. Data regarding oral health status and planned measures in individuals ≥65 years from one county in Sweden between July 2014 and June 2015 were included. The Revised Oral Assessment Guide - the Jönköping (ROAG-J), was used routinely by nursing staff in nursing care facilities to measure oral health status.

    RESULTS: Oral assessments were made on 2567 individuals (65.7% women). The most common oral health problem was related to "Teeth" (43.0%), which indicates deficient oral hygiene and/or broken teeth. At least one measure was planned in all the participants. The most common planned measures were "Moistening of the mouth" (16.6%), followed by "Brushing - assistance or complete help" (13.5%).

    CONCLUSION: Oral health problems were common, and planned measures did not seem to be sufficient to address the identified problems. The results indicate that greater priority should be given to the oral health care of older people in nursing care.

    RELEVANCE TO CLINICAL PRACTICE: The study highlights the importance of not only identifying oral health problems but also having knowledge and strategies for oral health care. Collaboration is needed to support nurses in caring for the oral health care of older people in nursing homes. This article is protected by copyright. All rights reserved.

  • 45.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och Folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life.
    Halitosis (Dålig andedräkt)2016Other (Other academic)
  • 46.
    Renvert, Stefan
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Persson, G. Rutger
    USA.
    Treatment of periodontal disease in older adults2016In: Periodontology 2000, ISSN 0906-6713, E-ISSN 1600-0757, Vol. 72, no 1, p. 108-119Article in journal (Refereed)
    Abstract [en]

    Within the next 40 years the number of older adults worldwide will more than double. This will impact periodontal treatment needs and presents a challenge to health-care providers and governments worldwide, as severe periodontitis has been reported to be the sixth most prevalent medical condition in the world. Older adults (≥ 80 years of age) who receive regular dental care retain more teeth than those who do not receive such care, but routine general dental care for these individuals is not sufficient to prevent the progression of periodontitis with the same degree of success as in younger individuals. There is a paucity of data on the efficacy of different periodontal therapies for older individuals. However, considering the higher prevalence of chronic medical conditions seen in older adults, it cannot be assumed that periodontal therapy will yield the same degree of success seen in younger individuals. Furthermore, medications can influence the status of the periodontium and the delivery of periodontal care. As an example, anticoagulant drugs are common among older patients and may be a contraindication to certain treatments. Newer anticoagulants will, however, facilitate surgical intervention in older patients. Furthermore, prescription medications taken for chronic conditions, such as osteoporosis and cardiovascular diseases, can affect the periodontium in a variety of ways. In summary, consideration of socio-economic factors, general health status and multiple-drug therapies will, in the future, be an important part of the management of periodontitis in older adults.

  • 47.
    Renvert, Stefan
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Polyzois, Ioannis
    Irland.
    Treatment of pathologic peri-implant pockets2018In: Periodontology 2000, ISSN 0906-6713, E-ISSN 1600-0757, Vol. 76, no 1, p. 180-190Article in journal (Refereed)
    Abstract [en]

    Peri-implant and periodontal pockets share a number of anatomical features but also have distinct differences. These differences make peri-implant pockets more susceptible to trauma and infection than periodontal pockets. Inadequate maintenance can lead to infections (defined as peri-implant mucositis and peri-implantitis) within peri-implant pockets. These infections are recognized as inflammatory diseases, which ultimately lead to the loss of supporting bone. Diagnostic and treatment methods conventionally used in periodontics have been adopted to assess and treat these diseases. Controlling infection includes elimination of the biofilm from the implant surface and efficient mechanical debridement. However, the prosthetic supra-structure and implant surface characteristics can complicate treatment. Evidence shows that when appropriately managed, peri-implant mucositis is reversible. Nonsurgical therapy, with or without the use of antimicrobials, will occasionally resolve peri-implantitis, but for the majority of advanced lesions this approach is insufficient and surgery is indicated. The major objective of the surgical approach is to provide access and visualize the clinical situation. Hence, a more informed decision can be made regarding whether to use a resective or a regenerative surgical technique. Evidence shows that following successful decontamination, surgical treatment to regenerate the bone can be performed, and a number of regenerative techniques have been proposed. After treatment, regular maintenance and good oral hygiene are essential for a predictable outcome and long-term stability.

  • 48.
    Renvert, Stefan
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Polyzois, Ioannis N
    Clinical approaches to treat peri-implant mucositis and peri-implantitis.2015In: Periodontology 2000, ISSN 0906-6713, E-ISSN 1600-0757, Vol. 68, no 1, p. 369-404Article in journal (Refereed)
    Abstract [en]

    Therapies proposed for the treatment of peri-implant diseases are primarily based on the evidence available from treating periodontitis. The primary objective is elimination of the biofilm from the implant surface, and nonsurgical therapy is a commonly used treatment. A number of adjunctive therapies have been introduced to overcome accessibility problems or difficulties with decontamination of implant surfaces as a result of specific surface characteristics. It is now accepted that following successful decontamination, clinicians can attempt to regenerate the bone that was lost as a result of infection. The ultimate goal is re-osseointegration, and a number of regenerative techniques have been introduced. By reviewing the existing evidence, it seems that peri-implant mucositis is reversible when appropriately treated. Additionally, a combined therapy (mechanical therapy with local antimicrobials as adjuncts) can serve as an alternative to surgical intervention when treating peri-implantits in cases not suitable for surgery. Surgical therapy is an effective method for treating peri-implantitis, and various degrees of success of the use of regenerative procedures have been reported, regardless of whether or not radiographic evidence of defect fill has been achieved. Finally, no matter which therapy is employed, a prerequisite for the long-term stability of treatment results obtained is the ability of the patient to maintain good oral hygiene.

  • 49.
    Renvert, Stefan
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och Folkhälsovetenskap.
    Quirynen, Marc
    Belgien.
    Risk indicators for peri-implantitis: a narrative review2015In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 26, p. 15-44Article in journal (Refereed)
    Abstract [en]

    Aim: To examine the existing evidence in identifying risk indicators in the etiology of peri-implantitis. Material and methods: A literature search was performed in MEDLINE via PubMed database of the US National Library of Medicine, for articles published until October 2014 using Medical Subject Heading search terms + free text terms and in different combinations. Results: The microbiota associated with peri-implantitis is complex, demonstrating differences and similarities to the one seen at periodontitis sites. Plaque accumulation at dental implants triggers the inflammatory response leading to peri-implant mucositis/peri-implantitis. Individuals with a history of periodontal disease and smokers have an increased risk of developing peri-implantitis. There is some evidence to support the role of genetic polymorphism, diabetes, and excess cement as risk indicators for the development of peri-implantitis. There is also evidence to support that individuals on regular maintenance are less likely to develop peri-implantitis and that successful treatment of periodontitis prior to implant placement lowers the risk of peri-implantitis. Conclusions: Plaque accumulation at implants will result in the development of an inflammation at implants. A history of periodontal disease, smoking, excess cement, and lack of supportive therapy should be considered as risk indicators for the development of peri-implantitis.

  • 50.
    Renvert, Stefan
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Blekinge Institute of Techology, Dublin Dental University Hospital, Dublin.
    Widén, Cecilia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Persson, Rutger G.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Cytokine and microbial profiles in relation to the clinical outcome following treatment of peri-implantitis2017In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 28, no 9, p. 1127-1132Article in journal (Refereed)
    Abstract [en]

    AIM: To study whether cytokine levels and bacterial counts in p atients with peri-implantitis reflect clinical treatment outcome following non-surgical management.

    MATERIALS AND METHODS: Luminex magnet bead technology and checkerboard DNA-DNA hybridization were used to assess treatment outcome after treatment at the implant with the most severe peri-implantitis in 41 participants.

    RESULTS: Study group mean age was 40.3 years (SD ± 9.9). Stable treatment outcome after 6 months (no further bone loss, probing pocket depth decrease ≥0.5 mm, no bleeding/suppuration) was identified in 9 of 41 (22%) participants. Peri-implant crevicular fluid (PICF) levels were also lower for Il-1β (P < 0.01), and with trends of lower cytokine levels in PICF for TNF-α (P = 0.071), PDGFBB (P = 0.071), as well as for VEGF (vascular endothelial growth factor) (P = 0.071), and bacterial counts for Actinomyces israelii, Aggregatibacter actonomycetemcomitans (Y4), Campylobacter gracilis, Echerichia coli, Fusobacterium periodonticum, Leptotrichia buccalis, Parvimonas micra, Staphylococcus haemolyticus, Streptococcus anginosus, and Tannerella forsythia. Increasing levels of IL-1 β and S. aureus (r(2)  = 0.856) were found only at implants with non-stable outcome. A reduction of PICF levels for selected cytokines and bacteria studied had a sensitivity of 0.77, and a specificity of 0.80 against the clinical outcome as gold standard. Data analysis failed to differences in treatments (PerioFlow(®) versus YAG: ER laser) for changes in the expression of cytokines and bacteria studied.

    CONCLUSIONS: At 6 months, clinically stable treatment outcome of peri-implantitis is associated lower levels of putative pathogens total bacterial load with ≥30% reduction of IL1-β, L-6, and VEGF levels in PICF.

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