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Leaderless Management as the Solution to Struggles Over the Moral Center of Healthcare? : Ward Nurses’ Critique of Management as “Real Utopias” in the Public Sector

Through a historization of the Swedish public sector together with vignettes grounded in interviews, this paper questions managerialism in the public sector. The chapter argues for leaderless management as a shift of attention from managerialism toward worker control. The chapter explores what nurses identify as central areas of conflict shaping their work, and what forms of change they view as ne

Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia

Background: Adolescents with HIV are faced with challenges when taking care of their medication, which affects their treatment adherence. Therefore, this study aimed to explore the experiences and needs of adolescents living with HIV regarding their antiretroviral therapy adherence and retention in care in southern Ethiopia.Methods: An inductive qualitative study design was applied to explore adol

Type and frequency of side effects during PC6 acupuncture : observations from therapists and patients participating in clinical efficacy trials of acupuncture

BACKGROUND: Many therapists practise PC6 acupuncture for emesis (nausea and vomiting) during pregnancy, different cancer therapies, palliative care, after surgery, or to induce relaxing effects in general. Knowledge of side effects is central to shared decision-making.AIM: To describe the type and frequency of side effects and the level of needle-induced pain during PC6 acupuncture.METHODS: We inc

The role of the clinical departments for understanding patient heterogeneity in one-year mortality after a diagnosis of heart failure : A multilevel analysis of individual heterogeneity for profiling provider outcomes

PURPOSE: To evaluate the general contextual effect (GCE) of the hospital department on one-year mortality in Swedish and Danish patients with heart failure (HF) by applying a multilevel analysis of individual heterogeneity.METHODS: Using the Swedish patient register, we obtained data on 36,943 patients who were 45-80 years old and admitted for HF to the hospital between 2007 and 2009. From the Dan

Antimicrobial stewardship programs; a two-part narrative review of step-wise design and issues of controversy Part I : step-wise design of an antimicrobial stewardship program

Regardless of one’s opinion of antimicrobial stewardship programs (ASPs), it is hardly possible to work in hospital care and not be exposed to the term or its practical effects. Despite the term being relatively new, the number of publications in the field is vast, including several excellent reviews of general and specific aspects. Work in antimicrobial stewardship is complex, and includes not on

'We have a plan for that': : A qualitative study of health system resilience through the perspective of health workers managing antenatal and childbirth services during floods in Cambodia

OBJECTIVE: Health system resilience can increase a system's ability to deal with shocks like floods. Studying health systems that currently exhibit the capacity for resilience when shocked could enhance our understanding about what generates and influences resilience. This study aimed to generate empirical knowledge on health system resilience by exploring how public antenatal and childbirth healt

MEASUREMENT AND HEALTH CARE MANAGEMENT

Over recent decades many health care organisations have ‘modernised’ their management accounting systems by using the balanced scorecard (BSC). However, public health care involves multi-dimensional goals and resolving conflicts of interest. The question is whether a management control system based on measurements is suitable in a health care context. Light can be shed on this question using a stu

Variability in end-of-life healthcare use in patients with osteoarthritis : a population-based matched cohort study

PURPOSE: To investigate the patterns of healthcare use (HCU) at the last year of life in persons with osteoarthritis (OA).METHODS: Using linked registers, we identified persons aged≥ 65 years who died during 2003-2014 and were resided in the Skåne region during 5-year prior to death. Among these, we randomly matched decedents with a principal OA diagnosis prior to the last year of life (OA cohort,

Can we talk? : Heterogamy and Effective Contraceptive Use among Married and Cohabiting Women

Heterogamy is linked to less effective contraceptive use amongst adolescents. It is not known whether this holds for married/cohabiting women, though the couple context of dating partners differs from stable relationships with respect to communication and power. We explore the association between heterogamy and women’s choice of contraception by analyzing partnered women from the 2006-2010 Nationa

Comparison of MRD monitoring by IG/TR rearrangement and BCR/ABL1 transcript in PH+ pediatric acute lymphoblastic leukemia patients treated with imatinib in the EsPhALL study

Background. In the European Study for Pediatric Ph+ ALL (EsPhALL), a total of 128 patients aged 1 to 18 years diagnosed with ALL and evidence of t(9;22)(q34;q11) received post-Induction Imatinib on top of BFM high risk chemotherapy backbone, either in Good Risk (GR) (after randomization, n=58) or in Poor Risk (PR) (n=70), as defined according to early response to the National induction treatment.

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Abstract in Danish Artiklen argumenterer for, at vi alle fødes som mennesker, og at vi alle dør som mennesker; starttidspunktet er os givet; sluttidspunktet kender vi ikke, og det er i princippet uden ’aldersberegning’. Vores livshistorie er med til at skabe, forme og beskrive os; gennem hele livet og også ind i døden. Alder kan forstås og beskrives på mange måder, hvor vi ofte kategoriserer og it