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  • Kylén, Maya
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    von Koch, Lena
    Pessah-Rasmussen, Hélène
    Ytterberg, Charlotte
    Heylighen, Ann
    Elf, Marie
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    The importance of the built environment in person-centred stroke rehabilitation at home2019Inngår i: The importance of the built environment in person-centred stroke rehabilitation at home, 2019Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Introduction: Health services will change dramatically as the prevalence of home healthcare increases. Only technologically advanced stroke acute care will be performed in hospitals. This, along with the rising demand for services to be more person-centred will place pressure on healthcare to consider quality across the continuum of care. Research indicates that planned discharge tailored to individual needs can reduce adverse events and promote competence in self-management. However, the environmental factors that may play a role in a patient’s recovery process remain unexplored. In this presentation, experiences and emerging findings from a research project targeting such issues will be presented. The purpose is to explore factors in the built environment that can facilitate/hinder a person-centred rehabilitation process in the home. Methods: The study uses a mixed methods design, with the ICF and person-environment theories as conceptual frameworks. Qualitative and quantitative data are currently collected from medical records and during home visits three months after stroke by use of questionnaires, interviews and observations. Workshops will be held to identify what experts and users (patients, significant others, staff) consider important in the built environment. Results: Emerging findings concerning the contexts and mechanisms that are important to support the rehabilitation process at home will be presented. Conclusions: Providing scientific knowledge that support patients’ recovery process in the home poses challenges for research that requires multidisciplinary knowledge. By bringing together international experts committed to improve care models and design, we will contribute to this under researched field and build capacity for the future.

  • Kylén, Maya
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    von Koch, Lena
    Pessah-Rasmussen, Hélène
    Marcheschi, Elizabeth
    Ytterberg, Charlotte
    Heylighen, Ann
    Elf, Marie
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Chalmers University.
    The Importance of the Built Environment in Person-Centred Rehabilitation at Home: Study Protocol2019Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, nr 13, artikkel-id 2409Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Health services will change dramatically as the prevalence of home healthcare increases.Only technologically advanced acute care will be performed in hospitals. This—along with theincreased healthcare needs of people with long-term conditions such as stroke and the rising demandfor services to be more person-centred—will place pressure on healthcare to consider quality across thecontinuum of care. Research indicates that planned discharge tailored to individual needs can reduceadverse events and promote competence in self-management. However, the environmental factorsthat may play a role in a patient’s recovery process remain unexplored. This paper presents a protocolwith the purpose to explore factors in the built environment that can facilitate/hinder a person-centredrehabilitation process in the home. The project uses a convergent parallel mixed-methods design,with ICF (International Classification of Functioning, Disability and Health) and person–environmenttheories as conceptual frameworks. Data will be collected during home visits 3 months after strokeonset. Medical records, questionnaires, interviews and observations will be used. Workshops will beheld to identify what experts and users (patients, significant others, sta) consider important in thebuilt environment. Data will be used to synthesise the contexts, mechanisms and outcomes that areimportant to support the rehabilitation process at home.

  • Carlsson, Axel C
    et al.
    Nowak, Christoph
    Lind, Lars
    Östgren, Carl Johan
    Nyström, Fredrik H
    Sundström, Johan
    Carrero, Juan Jesus
    Riserus, Ulf
    Ingelsson, Erik
    Ärnlöv, Johan
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Karolinska Institutet.
    Growth differentiation factor 15 (GDF-15) is a potential biomarker of both diabetic kidney disease and future cardiovascular events in cohorts of individuals with type 2 diabetes: a proteomics approach2019Inngår i: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, s. 1-7Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Diabetic kidney disease (DKD) is a leading risk factor for end-stage renal disease and is one of the most important risk factors for cardiovascular disease in patients with diabetes. It is possible that novel markers portraying the pathophysiological underpinning processes may be useful.Aim: To investigate the associations between 80 circulating proteins, measured by a proximity extension assay, and prevalent DKD and major adverse cardiovascular events (MACE) in type 2 diabetes.Methods: We randomly divided individuals with type 2 diabetes from three cohorts into a two-thirds discovery and one-third replication set (total n = 813, of whom 231 had DKD defined by estimated glomerular filtration rate <60 mg/mL/1.73 m2 and/or urinary albumin-creatinine ratio ≥3 g/mol). Proteins associated with DKD were also assessed as predictors for incident major adverse cardiovascular events (MACE) in persons with DKD at baseline.Results: Four proteins were positively associated with DKD in models adjusted for age, sex, cardiovascular risk factors, glucose control, and diabetes medication: kidney injury molecule-1 (KIM-1, odds ratio [OR] per standard deviation increment, 1.65, 95% confidence interval [CI] 1.27-2.14); growth differentiation factor 15 (GDF-15, OR 1.40, 95% CI 1.16-1.69); myoglobin (OR 1.57, 95% CI 1.30-1.91), and matrix metalloproteinase 10 (MMP-10, OR 1.43, 95% CI 1.17-1.74). In patients with DKD, GDF-15 was significantly associated with increased risk of MACE after adjustments for baseline age, sex, microalbuminuria, and kidney function and (59 MACE events during 7 years follow-up, hazard ratio per standard deviation increase 1.43 [95% CI 1.03-1.98]) but not after further adjustments for cardiovascular risk factors.Conclusion: Our proteomics approach confirms and extends previous associations of higher circulating levels of GDF-15 with both micro- and macrovascular disease in patients with type 2 diabetes. Our data encourage additional studies evaluating the clinical utility of our findings.

  • Aronsson, Mattias
    Högskolan Dalarna, Akademin Humaniora och medier, Franska.
    La littérature francophone dans les manuels suédois de FLE2019Inngår i: Nordic Journal of Francophone Studies/Revue nordique des études francophones, E-ISSN 2003-0401, Vol. 2, nr 1, s. 49-62Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [fr]

    Le système éducatif est une institution importante pour la circulation et la consécration de la littérature, car il s’agit d’une partie essentielle de la chaîne de réception littéraire. La présente étude porte sur les textes littéraires que l’apprenant de FLE (français langue étrangère) découvre au collège et au lycée suédois. À ce stade d’apprentissage, quand l’élève n’a acquis que des compétences élémentaires de la langue cible, le manuel scolaire reste l’outil d’enseignement par excellence. Le corpus de l’étude est composé de douze manuels créés pour l’enseignement du français dans le système éducatif suédois. Le but de l’étude est de répondre aux questions suivantes : Quels textes littéraires français et francophones figurent dans les manuels de FLE produits et utilisés en Suède ? La littérature du monde francophone est-elle aussi bien représentée que celle de la France métropolitaine dans ces manuels ? Dans notre recensement des textes littéraires, nous incluons la chanson et les bandes dessinées, genres textuels souvent appelés paralittéraires et exclus du domaine de la « vraie » littérature dans la tradition française, à la différence de la Suède. Les résultats montrent que les manuels du corpus sont bien ancrés dans la tradition littéraire suédoise, car la paralittérature y occupe une place prépondérante. Qui plus est, la France métropolitaine domine largement sur le reste du monde francophone dans ces manuels. Cette domination reflète les relations de pouvoir restées asymétriques entre l’ancien colonisateur et les populations jadis colonisées, en même temps qu’elle révèle un eurocentrisme implicite dans les manuels recensés.

  • Hildingsson, I.
    et al.
    Lindgren, H.
    Karlström, A.
    Christensson, K.
    Bäck, L.
    Mudokwenyu–Rawdon, C.
    Maimbolwa, M. C.
    Laisser, R. M.
    Kiruja, Jonah
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. College of Health Science and Medicine, Faculty of Nursing and Midwifery, Hargeisa University, Hargeisa, Somalia.
    Sharma, B.
    African midwifery students’ self-assessed confidence in antenatal care: a multi-country study2019Inngår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 12, nr 1, artikkel-id 1689721Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Evidence-based antenatal care is one cornerstone in Safe Motherhood and educated and confident midwives remain to be optimal caregivers in Africa. Confidence in antenatal midwifery skills is important and could differ depending on the provision of education among the training institutions across Africa.

    Objective: The aim of the study was to describe and compare midwifery students’ confidence in basic antenatal skills, in relation to age, sex, program type and level of program.

    Methods: A survey in seven sub-Saharan African countries was conducted. Enrolled midwifery students from selected midwifery institutions in each country presented selfreported data on confidence to provide antenatal care. Data were collected using a selfadministered questionnaire. The questionnaire consisted of 22 antenatal skills based on the competency framework from the International Confederation of Midwives. The skills were grouped into three domains; Identify fetal and maternal risk factors and educate parents; Manage and document emergent complications and Physical assessment and nutrition.

    Results: In total, 1407 midwifery students from seven Sub-Saharan countries responded. Almost one third (25-32%) of the students reported high levels of confidence in all three domains. Direct entry programs were associated with higher levels of confidence in all three domains, compared to post-nursing and double degree programs. Students enrolled at education with diploma level presented with high levels of confidence in two out of three domains.

    Conclusions: A significant proportion of student midwives rated themselves low on confidence to provide ANC. Midwifery students enrolled in direct entry programs reported higher levels of confidence in all domains. It is important that local governments develop education standards, based on recommendations from the International Confederation of midwives. Further research is needed for the evaluation of actual competence.

  • Zalakeviciute, R.
    et al.
    Rybarczyk, Yves
    Högskolan Dalarna, Akademin Industri och samhälle, Mikrodataanalys. Intelligent and Interactive Systems Lab (SI2 Lab) Universidad de Las Americas (UDLA), Ecuador.
    Granda-Albuja, M. G.
    Diaz Suarez, M. V.
    Alexandrino, K.
    Chemical characterization of urban PM10 in the Tropical Andes2019Inngår i: Atmospheric Pollution Research, ISSN 1309-1042, E-ISSN 1309-1042Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Complex inhalable particles have become one of the main causes to trigger health problems worldwide. While the level of concern depends on the chemical composition of these particles, some regions are poorly studied, particularly, the Andes. In this work, the chemical characterization of atmospheric PM10 filter samples, collected between January and October of 2017, was carried out for the first time in the world's highest capital, Quito, Ecuador. This study investigates PM10 relation with meteorological variables and criteria pollutants. Average PM10 concentrations ranged from 24.9 μg m−3 to 26.2 μg m−3, with some alarming peaks during the episodes of fires and New Year's celebration. The major elements at study sites were Ca, Na, S, Mg, P, K, Fe, Si and Al, while the major water-soluble ion was SO42−. Meteorology plays an important role at this complex terrain city. Factor analysis showed natural dust and soil resuspension as the main source of particulate matter. Moreover, two less urbanized sites showed evidence of industrial activities or airport emissions, while the central city site showed a very strong signal of traffic-related pollution. These results are compared with representative cities around the world. As is the case in developing countries, low-quality diesel fuel is recognized for emitting large amounts of heavy metals, resulting in higher levels of those tracers in traffic flow areas. This work demonstrates the problems facing a midsize city, such as the lack of stricter regulations and, thus compromised air quality. This may imply serious respiratory and cardiovascular health effects.

  • Zhang, Fan
    Högskolan Dalarna, Akademin Industri och samhälle, Mikrodataanalys.
    A hybrid structured deep neural network with Word2Vec for construction accident causes classification2019Inngår i: International Journal of Construction Management, ISSN 1562-3599Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    According to the latest fatal work injury rates reported by the Bureau of Labors Statistics, construction sites remain the most hazardous workplaces. In the construction sector, fatality investigation summary reports are available for past accidents and by investigating such reports, valuable insights can be gained. In this study, text mining algorithms are explored for automatic construction accident causes classification. To be more specific, Word2Vec skip-gram model is utilized to learn word embedding from a domain-specific corpus and a hybrid structured deep neural network is proposed by incorporating the learned word embedding for accident reports classification. Dataset from Occupational Safety and Health Administration (OSHA) is employed in the experiment to evaluate the performance of the proposed approach. Besides, five baseline models: support vector machine (SVM), linear regression (LR), K-nearest neighbor (KNN), decision tree (DT), Naive Bayes (NB) are employed to compare with the proposed approach. Experiment results show that the proposed model achieves the highest average weighted F1 score among all models considered in this study. The result also proves the effectiveness of applying Word2Vec skip-gram algorithm for semantic information augmentation. As a result, robustness of the model is improved when classifying cases of low support values.

  • Lovati, M.
    et al.
    Zhang, Xingxing
    Högskolan Dalarna, Akademin Industri och samhälle, Energiteknik.
    Impact of electrical vehicle (EV) penetration on the cost-optimal building integrated photovoltaics (BIPV) at a small residential district in Sweden2019Inngår i: IOP Conference Series: Materials Science and Engineering, 2019, Vol. 609, nr 7, artikkel-id 072066Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Buildings are transforming into prosumers because of the intensive growth in photovoltaics (PV), electric vehicles (EV) and home batteries. To adapt such transformation trend, this paper optimizes the cost-optimal capacity and positions of building integrated photovoltaics (BIPV) in a small residential district in Sweden, by considering thermal-electricity loads, power sharing among neighbour buildings, and electrical storage. This study focuses on two optimization scenarios with two different objectives: (1) maximizing net present value (NPV) of the BIPV system, and (2) achieving 27% renewable energy sources (RES) (as set by EU Framework for climate and energy).The optimization is performed with varying penetration of EV demand. The results show that: in scenario (1) the increase in EVs enables larger BIPV capacity with slightly improved self-consumption and thus with a little more profit. In scenario (2) however the levelized cost of electricity (LCOE) of the self-consumed electricity sensibly increases with growing presence of EVs, leading to the decreased profit. In conclusion, three main factors were found that are negatively affecting the performance of BIPV in relation to the EVs in the Swedish residential sector: A low electricity price in summer, a prevalence of the EV load at night, and the absence of PV over-production in winter.

  • Jin, Y.
    et al.
    Yan, D.
    Zhang, Xingxing
    Högskolan Dalarna, Akademin Industri och samhälle, Energiteknik.
    Han, Mengjie
    Högskolan Dalarna, Akademin Industri och samhälle, Mikrodataanalys.
    Kang, X.
    An, J.
    Sun, H.
    District household electricity consumption pattern analysis based on auto-encoder algorithm2019Inngår i: IOP Conference Series: Materials Science and Engineering, 2019, Vol. 609, nr 7, artikkel-id 072028Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The energy shortage is one key issue for sustainable development, a potential solution of which is the integration with the renewable energy resources. However, the temporal sequential characteristic of renewable resources is different from traditional power grid. For the entire power grid, it is essential to match the energy generation side with the energy consumption side, so the load characteristic at the energy use side is crucial for renewable power integration. Better understanding of energy consumption pattern in buildings contributes to matching different source of energy generation. Under the background of integration of traditional and renewable energy, this research focuses on analysis of different household electricity consumption patterns in an urban scale. The original data is from measurement of daily energy consumption with smart meter in households. To avoid the dimension explosion phenomenon, the auto-encoder algorithm is introduced during the clustering analysis of daily electricity use data, which plays the role of principal component analysis. The clustering based on auto-encoder gives a clear insight into the urban electricity use patterns in household. During the data analysis, several feature variables are proposed, which include peak value, valley value and average value. The distinction analysis is also conducted to evaluate the analysis performance. The study takes households in Nanjing city, China as a case study, to conduct the clustering analysis on electricity consumption of residential buildings. The analysis results can be further applied, such as during the capacity design of district energy storage.

  • May, Ross
    et al.
    Högskolan Dalarna, Akademin Industri och samhälle, Mikrodataanalys.
    Zhang, Xingxing
    Högskolan Dalarna, Akademin Industri och samhälle, Energiteknik.
    Wu, J.
    Han, Mengjie
    Högskolan Dalarna, Akademin Industri och samhälle, Mikrodataanalys.
    Reinforcement learning control for indoor comfort: A survey2019Inngår i: IOP Conference Series: Materials Science and Engineering, 2019, Vol. 609, nr 6, artikkel-id 062011Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Building control systems are prone to fail in complex and dynamic environments. The reinforcement learning (RL) method is becoming more and more attractive in automatic control. The success of the reinforcement learning method in many artificial intelligence applications has resulted in an open question on how to implement the method in building control systems. This paper therefore conducts a comprehensive review of the RL methods applied in control systems for indoor comfort and environment. The empirical applications of RL-based control systems are then presented, depending on optimisation objectives and the measurement of energy use. This paper illustrates the class of algorithms and implementation details regarding how the value functions have been represented and how the policies are improved. This paper is expected to clarify the feasible theory and functions of RL for building control systems, which would promote their wider-spread application and thus contribute to the social economic benefits in the energy and built environments.

  • Isugi, Aimée
    Högskolan Dalarna, Akademin Industri och samhälle, Företagsekonomi.
    To what extent does diversity correlate with the financial performance of the 101 most profitable companies in the United States?2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [en]

    The purpose:  This research principal target is to investigate the correlation between the financial profitability (EBIT) of 101 most profitable companies (2018) in the United States; and their leadership demographics. Research question:  To what extent does diversity correlate with the financial performance of the most profitable companies in the United States? Methodology This study was based on a quantitative research approach Cross-sectional was used as a study design to be able to investigate the relationship between the variables at 1 point in the time.                                                                    Regressions analysis was used as the method of analysis, to be able to explain to what extend the variable are correlated with each other and to be able to perform hypothesis tests.  Result: Results from this study emphasize that there is no credible evidence that profitability in 2018 is somehow affected by the concentration of women and minorities in the management board. Conclusion: In conclusion, this study has not found a concrete connection between diversity concentration in the management level and profitability.

  • Landin, Stine
    et al.
    Högskolan Dalarna, Akademin Industri och samhälle, Informatik.
    Dorén, Simone
    Högskolan Dalarna, Akademin Industri och samhälle, Informatik.
    Uppbyggnaden av en djurrättskampanj: En visuell innehållsanalys av reklamkampanjer för djurrättsorganisationer2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Under det senaste årtiondet har djurrättsintresset i världen ökat markant. Samtidigt blir marknadsföring mer och mer viktigt i en allt mer digitaliserad värld, så hur marknadsför sig egentligen en djurrättsorganisation?  Syftet med föreliggande studie är att se hur en djurrättskampanj skulle kunna se ut generellt, genom att göra en visuell innehållsanalys på 20 utvalda reklamkampanjer för djurrättsorganisationer. För var reklamkampanj analyserades sex stycken reklamenheter. Resultatet presenterades sedan i form av tabeller och diagram, men även genom en egenskapad generisk reklamkampanj.   För att validera att den egenskapade reklamkampanjen uppfattas som generell användes en fokusgrupp där de olika enheternas generalitet diskuterades. Utefter detta justerades utformningen av bildspråket.  Undersökningen visade att det finns en del olikheter mellan olika djurrättsorganisationers reklamkampanjer, men även gemensamma nämnare kunde hittas.

  • Molnar, David
    Högskolan Dalarna, Akademin Industri och samhälle, Materialteknik. KTH, Tillämpad materialfysik.
    Stacking fault energy and deformation behaviour of austenitic stainless steels: a joint theoretical-experimental study2019Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [sv]

    Austenitiska rostfria stål är främst kända för sin exceptionella korrosionsbeständighet. De har en ytcentrerad kubisk (FCC) struktur som stabiliseras genom att nickel, mangan eller kväve tillsätts till Fe-Cr legeringen. Fe-Cr-Ni-systemet kan utökas ytterligare genom tillsats av andra element såsom Mo, Cu, Ti, C, etc. för att förbättra egenskaperna. Eftersom austenitiska rostfria stål ofta används som konstruktionsmaterial är det viktigt att kunna förutsäga deras mekaniska egenskaper baserat på deras sammansättning, mikrostruktur, magnetiska tillstånd, etc. 

    I denna avhandling är det plastiska deformationsbeteendet hos austenitiska rostfria stål undersökt med teoretiskt och experimentellt. I FCC material spelar staplingsfelsenergin (SFE) en viktig roll vid förutsägelsen och beskrivning av deformationsmekanism. Baserat på storleken av SFE kan olika deformationsmekanismer observeras, såsom martensitbildning, tvillingbildning, eller dislokationsglidning. Alla dessa funktioner påverkar beteendet, därför är det önskvärt att förutsäga och kontrollera deras förekomst. Legering och temperatur har stark inverkan på SFE och därmed legeringarnas mekaniska egenskaper. Flera modeller, baserade på SFE och mer nyligen på den så kallade generaliserade staplingsfelenergin (GSFE eller γ-surface), är tillgängliga för att förutsäga legeringens affinitet till tvillingbildning och den kritiska spänning som representerar den minsta upplösta skjuvspänningen som krävs för att initiera tvillingbildning. Man kan använda ab initio beräkningar baserade på täthetsfunktionalteori (DFT) för att beräkna GSFE för austenitiska stål och härleda parametrar som twinnability och kritisk tvillingsspänning.

    Korrelation mellan staplingsfelenergi och deformationsbeteendet för fyra olika austenitiska rostavstavning stål diskuteras i detta arbete. SFE för de valda legeringarna erhålls genom ab initio beräkningar och baserat på olika modeller, deras tendens till tvillingbildning och den kritiska tvillingsspänningen kan förutsägas. Deras mekaniska beteende och affinitet till tvilling och martensitisk transformation kartläggs över ett brett temperaturområde (−70°C to +500°C) för de fyra legeringarna. De teoretiska förutsägelserna jämförs med resultat från dragprov och bakåtspridd elektrondiffraktion (EBSD). Flera konventionella och in situ dragprov utfördes för att verifiera de teoretiska resultaten. Vi utförde EBSD-mätningar på dragprov som avbrutits vid olika töjningar och efter brott samt med in situ dragprov för att följa utvecklingen av mikrostrukturen noggrant. Vi tar hänsyn till de inre energibarriärernas roll i våra förutsägelser och presenterar ett nytt sätt att experimentellt få GSFE av austenitiska rostfria stål. Tidigare kunde endast SFE mätas tillförlitligt genom väl utformade experiment. I den aktuella avhandlingen går vi vidare och föreslår en teknik som kan ge noggranna värden för den instabila staplingsfelenergin för alla austenitiska legeringar som uppvisar tvillingbildning på låga spänningsnivåer. Betydelsen av temperatur och mellanliggande legering på mekaniskt beteende undersökt också i detta arbete.

  • Swing Gustafsson, Moa
    Högskolan Dalarna, Akademin Industri och samhälle, Energiteknik. Mälardalens högskola, Framtidens energi.
    Heating of buildings from a system perspective2019Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Energy efficiency measures in buildings are considered to have great potential for reducing total energy use, and contribute to a reduced climate and environmental impact. In Sweden, however, there is a focus on bought energy, which does not always reflect the environmental and climate impact. Focusing on bought energy means that a house owner may choose an electricity based heat pump instead of district heating (DH), since heat pumps result in less bought energy compared to DH.

    The energy system surrounding the buildings is affected by the choice of energy carriers used for heating. This thesis uses three different methods to study how the energy system is affected. In the first part, primary energy use has been calculated for a simulated building with different heating systems, resulting in different electricity and DH demands. The second part studies the impact on peak demand and annual consumption in the power grid and DH system due to different market shares of electricity based heating and DH. In the third part, the life cycle cost is calculated for different heating solutions from both a building and a socio-economic perspective, for 100 % renewable energy system scenarios.

    The results show that the choice of energy carrier has a great influence on primary energy use. However, this depends even more on the calculation method used. Which heating solution, and thus which energy carrier, gives the lowest primary energy use varies with the different methods.

    The power grid and DH system are affected by the choice of energy carrier. There is a potential to lower peak demand in the power grid by more efficient heat pumps. But an even greater potential is shown by using DH instead of electricity based heating. A larger share of DH also allows the production of more electricity with the use of combined heat and power.

    The life cycle cost for different heating solutions also depends on the method used. From a building owner’s perspective, with current electricity and DH prices, electricity based heating is more economical. However, from a socio-economic perspective, with increasing electricity system costs due to a larger share of variable electricity production in a 100 % renewable system, DH becomes more economically profitable in several scenarios.

    The choice of energy carrier for heating in buildings affects the energy system to a high degree. A system perspective is therefore important in local, national and global energy efficiency policies and projects.

  • Stormats, Karen
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Pedagogiskt arbete. Karlstads universitet, Institutionen för pedagogiska studier (from 2013).
    Flipp i tal och handling: En fallstudie om undervisningsmetoden flipp i tre gymnasielärares tal och handling2019Licentiatavhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    Flipped Classroom (flipp) is described in both school and scientific contexts as a new teaching method where the individual pupil and her active learning is placed at the center and where lesson time to a greater extent is used for discussion and laboratory work, while information gathering takes place outside lesson time via ICT. Flipp has in recent years become widely spread in Sweden, which is why it is interesting to investigate flipp in a Swedish context. This has so far been made to a very limited extent. This study aims to deepen the understanding of flipp as a teaching method as the method appears in the speech and actions of upper secondary school teachers who claim they use flipp when they teach. The study addresses three general issues. First, teachers' purposes with flipp are explored, second, the roles that emerge in flipped teaching is investigated and third, individualization in teaching where flipp is applied. The study is a case study based on interviews and observations with three upper secondary school teachers who flip their teaching. The study is based on social constructivist theory formation and Dewey's progressivist philosophy of education is the discussion partner in this study. Previous research suggests that in the development of flip, inspiration was drawn from pedagogical ideas from the early 1900s, which makes it advisable to discuss possible points of contact between flipp as expressed in the case study, and progressivism. Previous research presents flipp as a method for creating flexibility and individualization as well as a method that helps the teacher and students spend more time together for laboratory work and discussions. The teachers express that flipping helps the students to become active during lessons. Observations, however, show that there are significant problems with the students not preparing for the lesson to the extent that was expected, which will have negative consequences for the opportunities to work and discuss during lessons as intended. The study thus shows evidence that there is a discrepancy between the image that the teachers produce and the image of the flip that has been observed.

  • Bastholm, Caroline
    Högskolan Dalarna, Akademin Industri och samhälle, Energiteknik. Uppsala universitet, Fasta tillståndets fysik.
    Micro-grids supplied by renewable energy: Improving technical and social feasibility2019Licentiatavhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Universal access to electricity stands high on the global agenda and is regarded as essential for positive development in sectors such as health care, education, poverty reduction, food production and climate change. Decentralized, off-grid electrification is deemed an important complement to centralized grid extension. By utilizing a renewable energy source, solar technology for the generation of electricity, photovoltaics (PV) is being considered as a way forward to minimize the environmental problems related to energy use.

    This thesis aims to contribute to improving the technical and social feasibility of PV and PV-diesel hybrid micro-grids for the purpose of providing access to electricity to people in rural areas of countries with low level access to electricity. In line with these general aims, the focus has been to address three questions related to challenges in three phases of rural electrification. The work has a multi-disciplinary approach, addressing mainly technical and social aspects of long-term sustainability of micro-grids, in a local context, and the changes these are intended to generate. One specific micro-grid in Tanzania has been used as a major case study.

    The thesis is developed through three papers, all presenting methodologies or aspects for investigation in rural electrification projects and studies in general, and for PV-diesel hybrid micro-grids in particular. Paper I puts forward a methodology to facilitate non-social scientific researchers to take social aspects increasingly into consideration. Paper II is a guideline to support system users to increasingly apply an evaluation based system operation. Paper III specifically highlights the importance to consider blackouts when investigating how an existing off-grid PV-diesel hybrid system shall be utilized when a national grid becomes available.

  • Källströmer, Joel
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Pedagogiskt arbete.
    Bidrar matematikläxan till elevens matematiska kunskapsutveckling?: En intervjustudie om matematiklärares uppfattningar av matematikläxans möjligheter att hjälpa eleverna till en god matematisk kunskapsutveckling.2019Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med studien är att ta reda på om och i så fall hur yrkesverksamma matematiklärare inom årskurserna 4-6 uppfattar att matematikläxan bidrar till elevernas kunskapsutveckling. För att få svar på studiens frågeställning använde jag mig av en kvalitativ metod i form av en halvstrukturerad intervju. De 3 respondenterna från intervjuerna arbetar på en grundskola i Mellansverige. Svaren från dessa respondenter analyserades utefter den fenomenografiska metodansatsen.  Studiens resultat pekar på att matematikläxan, i stor utsträckning, i dag används som en arbetsuppgift utanför skolan med fokus på färdighetsövning. Ett sett att använda läxan som ett redskap för färdighetsträning är att arbeta med läxan i digital form, vilket ur ett lärarperspektiv minskar lärarnas arbetsbelastning samtidigt som de anser att det är enklare att ge individuell läxa utifrån elevens behov och kunskapsnivå. Slutsatsen är att alla respondenterna i studien anser att matematikläxan främjar elevernas matematiska kunskaper, så länge läxan utgår från elevens nuvarande kunskapsnivå.

  • Lundström, Joakim
    Högskolan Dalarna, Akademin Industri och samhälle, Informatik.
    Spela vidare, konsumenten!: Interaktiv marknadsföring och svenska reklambyråers användande av spelifering2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med detta arbete var att genom semistrukturerade intervjuer och enkäter, kartlägga svenska reklambyråers användning och förståelse för vad spelifiering innebär inom marknadsföring. Reklambyråer utspridda i Sverige med olika antal anställda har svarat på enkäterna och majoriteten av reklambyråerna har hört talas om termen spelifiering sedan innan men endast ett fåtal har använt sig av det i sina egna reklamprojekt. Definitionen av spelifiering verkar vara snävare hos vissa reklambyråer då de oftast pratar om spelifiering som att man skapar ett komplett spel i sina projekt. Svenska reklambyråer ansåg inte heller att varumärken med etablerade kunder tjänar mer på att använda spelifiering i reklamprojekt än nystartade varumärken. Detta kan bero på att de anser att det viktiga är hur man utformar sitt projekt och att en lyckad kampanj skall fungera vare sig man har etablerade kunder eller inte. Gamers är mer bekväma vid användandet när det kommer till spelifierade reklamprojekt marknadsföring. En kund som är gamer kan även kräva mer för att bli positivt påverkad av en spelifierad reklamkampanj. Detta var reklambyråerna oense om och det kan bero på att deras vy på en lyckad reklamkampanj handlar om hur den formas, inte hur målgruppen ser ut.

  • Olofsson, Anette
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Pedagogiskt arbete.
    Lärares läsförståelseundervisning och stöttning till elever med lässvårigheter: Undersökning om hur svensklärare i årskurs 4–6 beskriver sin undervisning och stöttning i läsförståelse2019Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Svenskämnet syftar bland annat till att utveckla elevers förmåga att använda språket för att tänka, kommunicera och för att lära. Läsförståelsen hos svenska elever ligger inte på samma höga nivå som tidigare. Denna kvalitativa intervjustudie syftar till att undersöka vilka didaktiska val svensklärare gör i sin läsförståelseundervisning, men även hur de stöttar elever med lässvårigheter. Detta är viktigt att undersöka eftersom tidigare forskning visar att lärare undervisar i läsförståelse med olika undervisningsmetoder, vilket kan leda till att elever får ojämlika villkor för läsutveckling. För att utvecklas i sin läsförståelse behöver elever ingå i undervisning som präglas av att läraren har kunskap och förståelse för vad som utgör god läsförståelseundervisning. Lärare behöver även ha kunskap i hur stöttning till elever kan ske i läsförståelseundervisning, speciellt i fallet elever med lässvårigheter. Det teoretiska ramverk som studien utgår från är det sociokulturella perspektivet, som belyser att människan lär genom språk och kulturella redskap. Denna teori har i analysen av lärarnas utsagor stått som hjälp att förstå resultaten som framkommit. Resultaten i studien visar att alla de medverkande lärarna försöker hitta den proximala utvecklingszonen för eleverna, men att lärarna både organiserar sin läsförståelseundervisning och stöttar elever med lässvårigheter baserat på skilda förståelser av vad som utgör god läsförståelseundervisning.

  • Hedqvist, Hanna
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Pedagogiskt arbete.
    Skriva för hand – förlegad kunskap eller framtid?: En studie om hur förmågan att skriva för hand påverkar elevers textkvalitet och skrivmotivation2019Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
  • Röde, Linnéa
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Pedagogiskt arbete.
    En kvalitativ undersökning om hur ASL som metod för läs- och skrivinlärning fungerar för elever med NPF-problematik: Verksamma lärares erfarenheter2019Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Skolsituationen för elever med neuropsykiatriska funktionsnedsättningar, NPFproblematik är ofta problematisk på grund av de svårigheter de befinner sig i. Lärare saknar också ofta kunskap om och har därför svårt att möta och anpassa undervisningen för elever med den här typen av problematik. Eftersom skolans kunskapsinhämtning bygger på det skrivna ordet är det av största vikt att eleverna så fort som möjligt tillgodogör sig läs- och skrivundervisningen. Det finns en koppling mellan NPF-problematik och Dyslexi och läs- och skrivsvårigheter, vilket gör att läs- och skrivinlärningen kan blir extra bekymmersam för elever med NPFproblematik. Detta gör att det finns en ämnesdidaktisk vinst i att ta reda på hur metoder som används i läs- och skrivundervisningen ur ett NPF- perspektiv. Digitala verktyg används mer och mer i undervisningen och en metod för läs- och skrivinlärningen som utgår från användningen av dator eller lärplatta är Att skriva sig till läsning, ASL. Syftet med denna kvalitativa studie är att undersöka hur verksamma lärare upplever att ASL som metod för läs- och skrivinlärning fungerar för elever med NPF-problematik. Den teoretiska utgångspunkt som används är sociokulturellt perspektiv på lärande och metoden för undersökningen är halvstrukturerade intervjuer.

  • Rauhut Kompaniets, Olga
    et al.
    Moscow State University of Economics, Statistics and Informatics (MESI).
    Rauhut, Daniel
    Högskolan Väst.
    Place Marketing and Rural Municipalities in Northern Sweden: A Content Analysis of Municipal Homepages2013Inngår i: Romanian Journal of Regional Science, ISSN 1843-8520, E-ISSN 1843-8520, Vol. 7, nr 2, s. 11-36Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The place marketing concept is one of the most popular concepts used in the analysis and promotion of countries, regions, cities and towns. The intensification of competition for investment, tourism and human resources among European cities and towns has increased the importance of being unique. Most studies on place marketing focus on unique selling points and thus on brands of already extensively ‘marketed’ countries, national capitals and other large metropolitan areas, while the rural towns that need more marketing attention, given their need to overcome their lack of material and non-material resources, are often ignored. This is based on the idea of the promotion to target markets of the unique selling points of the town in question.This paper aims to discuss the extent to which the place marketing concept can be viewed as an essential tool in the effective promotion of 75 rural towns in the seven northernmost regions of Sweden. The paper outlines the reasons why rural towns in Northern Sweden should use place marketing. The article also highlights the basic features of the place marketing concept and its key elements for rural towns as well as describing the target audience for rural towns while identifying their specific needs and wants.

  • Rauhut Kompaniets, Olga
    et al.
    Högskolan Dalarna, Akademin Industri och samhälle, Företagsekonomi.
    Nilson, Henrietta
    Högskolan Halmstad.
    Wine Tourism and Family Enterprises in Southern Sweden: Problems, Challenges and Potentials2019Inngår i: 4th Annual Conference of the International Place Branding Association, Volos, Greece, 27-29 November 2019, 2019, s. 83-84Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Starting in 1999, Sweden officially entered the EU wine sector with a quota of 250,000 litres p.a. Since then, the Swedish wine sector, predominantly located in southern Sweden, has commercialised and become a market in the agricultural area. As in other wine producing countries, the Swedish wine sector is dominated by family-owned businesses. It is established in gastronomy tourism research that e.g. wine tourism promote the regional image and attract new tourists to the region. About 50 wineries produce wine in southernmost Swedish region Scania (in Swedish: ‘Skåne’). Some of them have been commercially successful in linking wine production with tourism. Still, the sector appears to be unable to take-off.

    Aim. This paper aims at discussing the wine tourism in southern Sweden and its reliance on family business development. Three research questions are proposed to be answered: (1) is there a potential for wine tourism in southern Sweden? (2) What structural problems challenge the development of the Swedish wine tourism? (3) What is the impact of family businesses on wine tourism?

    Main approach. This is a market analysis based on secondary data. The discussion focuses on structural challenges, the marketing environment, to identify the key elements for family enterprises in entering a new market. 

    Key arguments/findings. Factors such as grapes, climate or technical issues regarding wine production cause little problems. The challenges to overcome lay in structural problems, e.g. a monopoly market due to the government alcohol monopoly, legal constraints, lack of marketing and promotion, lack of viticulture knowledge, networking and cooperation with local enterprise, and, hence, a relatively limited demand for Swedish wine.

    For family enterprises, wine tourism appears the most suitable opportunity to run a profitable business in the wine sector, and, hence, the family enterprises are, as in all wine producing countries, a key factor for wine production development.

    Conclusion. Most wine producers in southern Sweden have a profound interest and competence in wine producing from a technical side. At the same time, the lack of viticulture knowledge, marketing and promotion, networking and cooperating with local enterprise may partly explain why the Swedish wine sector does not take-off. The Swedish government alcohol monopoly rather represents a challenge than an insurmountable obstacle; the small local Swedish producers of e.g. vodka, gin, brandy and whiskey have successfully managed to deal with these legal constraints. As soon as the family owned Swedish wine sector understands how to attract new target groups with an unexpected, exotic and unique product, the Swedish wine tourism will take-off.

  • Andersson, Lisa
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Pedagogiskt arbete.
    Konkret laborativt material i matematikundervisning: Synliggörande av det matematiska innehållet tal i bråkform med hjälp av konkret laborativt material i år 4–62019Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med studien är att undersöka hur lärare med hjälp av konkret laborativt material kan synliggöra det matematiska innehållet tal i bråkform i matematikundervisningen i år 4–6. Bakgrunden till studien är omdiskuterade resultaten i matematik som svenska elever fått i PISA och TIMMS samt ett intresse för hur konkret material på ett gynnsamt sätt kan användas i matematikundervisningen. För att uppfylla syftet genomfördes kvalitativa intervjuer med sju matematiklärare i år 4–6. För att bearbeta svaren från intervjuerna och ta fram det väsentliga gjordes en innehållsanalys. En fördjupad analys gjordes sedan utifrån ett variationsteoretiskt perspektiv för att undersöka hur det matematiska innehållet behandlades. Studiens resultat visar att de intervjuade lärarna använder konkret laborativt material som ett verktyg för att förstärka det matematiska innehållet. Det finns även ett tema av konkretisering som är genomgående över alla kategorier med en tråd från konkret material, till konkretiserande syfte och arbetssätt samt vidare till variationsmönstret generaliseringar.

  • Lindén, Tove
    Stockholms universitet, Statsvetenskapliga institutionen.
    Explaining Civil Society Core Activism in Post-Soviet Latvia2008Doktoravhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    Civil society activism in traditional non-governmental organizations (NGOs) is seen as one of the cornerstones of a vibrant participatory liberal democracy in most Western democratic states. Whereas this issue has been explored from a variety of perspectives in a Western context, only limited research has been carried out in a post-Soviet context. This study presents unique survey data on civil society core activism in post-Soviet Latvia addressing the following two main questions: What are the characteristics and factors that influence a person to become a core activist in a civil society organization? How does the post-Soviet Latvian context influence civil society core activism?

    Two nationwide surveys were carried out among core activists in all sorts of NGOs and for a comparative purpose among the population at large, from which non-activists have been extracted. Through cross-tabulations based on the three comparative dimensions: a) activists in general vs. non-activists, b) fields of interest and c) position in organization, this study indicates that many of the factors proven to be important when explaining civil society core activism in Western contexts also have explanatory power in post-Soviet Latvia. Important factors are an individual’s educational level, empathic ability and level of civic literacy, as well as the presence of activist role models and positive support for the decision to become involved in civil society activism. Citizenship and gender are other important factors, but unlike Western countries women dominate the civil society sector in Latvia. Two new factors are also suggested and tested, showing that the perception that one has the ability to organize activity and prior leadership experience from a communist organization are important for Latvian core activists.

    Binary logistic regression analysis is further used to test the significance of each of the independent variables alone and in combination with each other, introducing different types of core activists based on gender, motives for activism, intensity of political, charity and recreational activity, as well as the positions they have in their organizations.

  • Lindén, Tove
    Södertörns högskola.
    Kulturmöten och kommunikation i svenskt-baltiskt utvecklingsarbete2004Inngår i: Nordisk øst-forum, ISSN 0801-7220, Vol. 18, nr 2, s. 235-248Artikkel i tidsskrift (Fagfellevurdert)
  • Brandt, Daniel
    et al.
    Högskolan Dalarna, Akademin Industri och samhälle, Kulturgeografi.
    Heldt, Tobias
    Högskolan Dalarna, Akademin Industri och samhälle, Nationalekonomi.
    Alnyme, Omar
    Högskolan Dalarna, Akademin Industri och samhälle, Turismvetenskap.
    Sabah, Azhar
    Högskolan Dalarna, Akademin Industri och samhälle, Turismvetenskap.
    Turism och besöksnäring i Dalarna: Storlek, struktur och lokalisering2019Rapport (Annet vitenskapelig)
  • Tandberg, Bente Silnes
    et al.
    Flacking, Renée
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Markestad, Trond
    Grundt, Hege
    Moen, Atle
    Parent psychological wellbeing in a single-family room versus an open bay neonatal intensive care unit.2019Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, nr 11, artikkel-id e0224488Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Studies of parents' psychological well-being in single-family rooms in neonatal intensive care units have shown conflicting results.

    AIMS: To compare emotional distress in the form of depression, anxiety, stress and attachment scores among parents of very preterm infants cared for in a single-family rooms unit vs an open bay unit.

    STUDY DESIGN: Prospective survey design.

    SUBJECT: Parents (132) of 77 infants born at 28 0/7-32 0/7 weeks of gestation in the two units.

    OUTCOME MEASURES: Duration of parental presence was recorded. Scores for depression (The Edinburgh Postnatal Depression Scale), anxiety (The State-Trait-Anxiety Inventory, Short Form Y), stress (The Parent Stressor Scale: neonatal intensive care unit questionnaire and The Parenting Stress Index-short form) and attachment (Maternal Postnatal Attachment Scale) measured 14 days after delivery, at discharge, expected term date and four months post-term.

    RESULTS: Parents were present 21 hours/day in the single-family room unit vs 7 hours/day in the Open bay unit. Ninety-three percent of the fathers in the single-family rooms unit were present more than 12 hours per day during the first week. Mothers in the single-family rooms had a significantly lower depression score -1.9 (95% CI: -3.6, -0.1) points from birth to four months corrected age compared to mothers in the Open bay unit, and 14% vs 52% scored above a cut-off point considered being at high risk for depression (p<0.005). Both mothers and fathers in the single-family rooms reported significantly lower stress levels during hospitalization. There were no differences between the groups for anxiety, stress or attachment scores after discharge.

    CONCLUSION: The lower depression scores by the mothers and lower parental stress scores during hospitalization for both parents supports that single-family rooms care contribute to parents' psychological wellbeing.

  • Warner, Georgina
    et al.
    Baghdasaryan, Zaruhi
    Osman, Fatumo
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Uppsala University.
    Lampa, Elin
    Sarkadi, Anna
    'I felt like a human being'-An exploratory, multi-method study of refugee involvement in the development of mental health intervention research.2019Inngår i: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Great advancements have been made in patient and public involvement (PPI), including the development of guidance on how to conduct, report and evaluate PPI. Despite these efforts, the evidence base remains relatively weak. A substantive methodological development is required. This is particularly important for vulnerable groups within society, for whom PPI can be challenging but has the potential to play a transformative role in shaping research.

    OBJECTIVES: To describe the group dynamic characteristics and immediate impact of PPI from the user representatives' perspective in a case study of refugee involvement in the development of mental health intervention research. To pilot and methodologically appraise the Active Involvement of Users in Research Observation Schedule and Questionnaire.

    DESIGN: The Active Involvement of Users in Research Observation Schedule and Questionnaire were administered together with a focus group discussion.

    SETTING: 'Refugee Advisors' were involved in the development of a randomized controlled trial protocol evaluating a brief group intervention for refugee children experiencing symptoms of post-traumatic stress in Sweden.

    RESULTS: The multi-method approach demonstrated good feasibility. There were clear examples of how the advisors influenced research development. The advisors described a perceived impact on the research, equality and acceptance, and knowledge gain. A sense of appreciation and empowerment was also interpreted. However, potential issues relating to the relevance of contributions and use of an interpreter were identified.

    DISCUSSION AND CONCLUSION: The methodological approach piloted in this study offers a promising, rigorous way to evaluate PPI. The research tools require further refinement and validation.

  • Fritz, Johanna
    et al.
    Wallin, Lars
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Karolinska Institutet, Stockholm / Sahlgrenska Academy, University of Gothenburg.
    Söderlund, Anne
    Almqvist, Lena
    Sandborgh, Maria
    Implementation of a behavioral medicine approach in physiotherapy: a process evaluation of facilitation methods.2019Inngår i: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 14, nr 1, artikkel-id 94Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: In a quasi-experimental study, facilitation was used to support implementation of the behavioral medicine approach in physiotherapy. The facilitation consisted of an individually tailored multifaceted intervention including outreach visits, peer coaching, educational materials, individual goal-setting, video feedback, self-monitoring in a diary, manager support, and information leaflets to patients. A behavioral medicine approach implies a focus on health related behavior change. Clinical behavioral change was initiated but not maintained among the participating physiotherapists. To explain these findings, a deeper understanding of the implementation process is necessary. The aim was therefore to explore the impact mechanisms in the implementation of a behavioral medicine approach in physiotherapy by examining dose, reach, and participant experiences.

    METHODS: An explorative mixed-methods design was used as a part of a quasi-experimental trial. Twenty four physiotherapists working in primary health care were included in the quasi-experimental trial, and all physiotherapists in the experimental group (n = 15) were included in the current study. A facilitation intervention based mainly on social cognitive theory was tested during a 6-month period. Data were collected during and after the implementation period by self-reports of time allocation regarding participation in different implementation methods, documentation of individual goals, ranking of the most important implementation methods, and semi-structured interviews. Descriptive statistical methods and inductive content analysis were used.

    RESULTS: The physiotherapists participated most frequently in the following implementation methods: outreach visits, peer coaching, educational materials, and individual goal-setting. They also considered these methods to be the most important for implementation, contributing to support for learning, practice, memory, emotions, self-management, and time management. However, time management support from the manager was lacking.

    CONCLUSIONS: The findings indicate that different mechanisms govern the initiation and maintenance of clinical behavior change. The impact mechanisms for initiation of clinical behavior change refers to the use of externally initiated multiple methods, such as feedback on practice, time management, and extrinsic motivation. The lack of self-regulation capability, intrinsic motivation, and continued support after the implementation intervention period were interpreted as possible mechanisms for the failure of maintaining the behavioral change over time.

  • Påfs, J.
    et al.
    Rulisa, S.
    Klingberg-Allvin, Marie
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Binder-Finnema, P.
    Musafili, A.
    Essén, B.
    Implementing the liberalized abortion law in Kigali, Rwanda: Ambiguities of rights and responsibilities among health care providers2020Inngår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 80, artikkel-id 102568Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Rwanda amended its abortions law in 2012 to allow for induced abortion under certain circumstances. We explore how Rwandan health care providers (HCP) understand the law and implement it in their clinical practice. Design: Fifty-two HCPs involved in post-abortion care in Kigali were interviewed by qualitative individual in-depth interviews (n =32) and in focus group discussions (n =5) in year 2013, 2014, and 2016. All data were analyzed using thematic analysis. Findings: HCPs express ambiguities on their rights and responsibilities when providing abortion care. A prominent finding was the uncertainties about the legal status of abortion, indicating that HCPs may rely on outdated regulations. A reluctance to be identified as an abortion provider was noticeable due to fear of occupational stigma. The dilemma of liability and litigation was present, and particularly care providers’ legal responsibility on whether to report a woman who discloses an illegal abortion. Conclusion: The lack of professional consensus is creating barriers to the realization of safe abortion care within the legal framework, and challenge patients right for confidentiality. This bring consequences on girl's and women's reproductive health in the setting. Implications for practice: To implement the amended abortion law and to provide equitable maternal care, the clinical and ethical guidelines for HCPs need to be revisited. © 2019

  • Bartholdsson, Åsa
    et al.
    Barn- och ungdomsvetenskapliga institutionen, Stockholms Universitet.
    Vixner, Linda
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap.
    När kvinnor lyfter: Flickors och kvinnors föreställningar om, och erfarenheter av att utöva styrkeidrott2019Rapport (Annet vitenskapelig)
  • La Torre, Esperanza
    Högskolan Dalarna, Akademin Humaniora och medier, Franska.
    Gustave Flaubert: Un philosophe ou un romancier dans son temps?2014Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
  • La Torre, Esperanza
    Högskolan Dalarna, Akademin Humaniora och medier, Franska.
    L’esprit féminin chez Flaubert: Un retour aux tragédies grecques d’Euripide2013Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • Al-Nuaimi, Haneen
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Pedagogiskt arbete.
    Applikationer och spel i matematikundervisning: En fenomenografisk studie om digitala applikationer och spel i matematikundervisning2019Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med den här studien är att utifrån lärares svar i intervjuer undersöka lärares uppfattningar av användandet av digitala spel och applikationer samt på vilket sätt digitala spel och applikationer används i matematikundervisning. För att kunna svara på studiens syfte intervjuades några utbildade lärare som undervisar i olika åldersgrupper. Studien utgår från en fenomenografisk ansats. Studiens resultat visade att lärarna gav uttryck för varierande uppfattningar av digitala spel och applikationer. Lärarna gav uttryck för uppfattningar av digitala spel och applikationer som färdighetsträning, som läxa, som motiverande och engagerande samt som varierad undervisning. Lärarna säger att de i undervisning använder följande digitala spel och applikationer; Bingel, Kahoot, King of math samt Skolplus en eller två gånger per vecka.

  • Naseer, Mahwish
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Socialt arbete. Karolinska Institutet; Stockholm University.
    Agerholm, Janne
    Fastbom, Johan
    Schön, Pär
    Ehrenberg, Anna
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Dahlberg, Lena
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Socialt arbete. Karolinska Institutet; Stockholm University.
    Factors associated with emergency department revisits among older adults in two Swedish regions: A prospective cohort study2020Inngår i: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 86, artikkel-id 103960Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]


    To assess the association between baseline characteristics at an index ED visit and ED revisit within 30 days among adults aged ≥ 65 years in two Swedish regions.


    This was a register-based prospective cohort study. The sample included (N=16 688; N=101 017) older adults who have had an index ED visit in 2014 at hospital based EDs in the regions of Dalarna and Stockholm, Sweden. Several registers were linked to obtain information on sociodemographic factors, living conditions, social care, polypharmacy and health care use. Multivariate logistic regression was used to analyse the data.


    Seventeen percent of the study sample in Dalarna and 20.1% in Stockholm revisited ED within 30 days after an index ED visit. In both regions, male gender, being in the last year of life, excessive polypharmacy (≥ 10 drugs), ≥11 primary care visits and ED care utilization were positively associated with ED revisits. In Stockholm, but not in Dalarna, low level of education, polypharmacy, and institutional care was also associated with ED revisits. In contrast, home help was associated with ED revisits in Dalarna but not in Stockholm.


    These findings call for further in-depth examinations of variations within single countries. ED revisits among older adults are driven by need of care but also by the social and care situation.

  • Larsson, Lina
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Sexuell, reproduktiv och perinatal hälsa.
    Tomtlund, Pernilla
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Sexuell, reproduktiv och perinatal hälsa.
    Barnmorskans stöd till kvinnor i förlossningsarbete: En begreppsanalys2019Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Kvinnan i förlossningsarbete har haft stöd vid sin sida genom alla tider. För att få en så omfattande förståelse som möjligt av begreppet ”stöd till kvinnor i förlossningsarbete” genomfördes en begreppsanalys.

    Syfte: Syftet med begreppsanalysen var att definiera begreppet ”barnmorskans stöd till kvinnor i förlossningsarbete” genom syntes av texter hämtat från litteratur och intervjuer med svenska barnmorskor.

    Metod: En begreppsanalys med hybridmodell. Först en teoretisk fas med litteratursökning, därefter en fältstudiefas där fem barnmorskor intervjuades följt av en syntes med identifikation av begreppets kännetecken utifrån den teoretiska fasen och fältstudiefasen. Resultatdelen avslutas med fallbeskrivningar.

    Resultat: Barnmorskor ser hög närvaro och lyhördhet tillsammans med information och individualisering som viktiga delar av stödet till kvinnor i förlossningsarbete. Detta skapar tillsammans trygghet och tillit i relationen mellan barnmorskan och kvinnan.

    Slutsats: I detta examensarbete framkom fem empiriska kännetecken på stöd till kvinnor i förlossningsarbete. Utan de empiriska kännetecken, Trygghet, Information, Lyhördhet, Närvaro, Individualisering, kan inte känslan av stöd uppstå hos kvinnan i relationen mellan kvinnan och partnern/närstående och barnmorskan och kvinnan i förlossningsarbete.

    Klinisk tillämpbarhet: Barnmorskelitteraturen bör revideras så att närvaron i rummet av barnmorskan lyfts som ett kännetecken på stöd i samma grad som information och övriga kännetecken på stöd. Kunskap kring stöd kan utvecklas kliniskt genom exempelvis workshops på arbetsplatsen.

  • Randerson, Therése
    Högskolan Dalarna, Akademin Humaniora och medier, Engelska.
    “Why Don’t Teachers Always Work with Reading Strategies?”: A study of preferred reading strategies among students and teachers of English in Swedish lower secondary school.2019Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    The questions asked in this empirical study is how teachers and students prefer to work with reading projects. It is asked which method they prefer to work with. 28 student informants have participated in the study that contained two questionnaires and a smaller reading project. They read two texts using two different approaches: one reading with no instructions other than to read the text and another reading with more thorough pre-, during, and post-reading assignments, such as discussions before and during the reading and a final individual written summary after the text was read. The results of the study showed that the majority of informants stated that they prefer more thorough pre-, during- and post-reading work in order to feel confident about their comprehension of what they have read. In addition, four teachers were interviewed for this study, and they all agree that literature in their classroom is important from several aspects. For example, they see greater vocabulary growth and more relaxed students when the students are reading. All four teachers use different strategies. Two of them focus on the pre-reading, one on the during-reading strategy while one works more with the post-reading strategy. What they all have in common is that they work regularly with reading and it is a big part of their lives outside of work as well and that is something they hope to pass on to their students, the freedom and joy of reading. This study discovered that a teacher must be willing to create reading projects that involve a lot of preparation and student discussions in order to increase their students’ reading comprehension.