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  • Eriksson, Alicia
    et al.
    Dalarna University, School of Health and Welfare.
    Magdic, Signe
    Dalarna University, School of Health and Welfare.
    Att förebygga ensamhet och social isolering inom äldreomsorgen: Enhetschefers perspektiv2026Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    New legislation requires social work to prioritise prevention. Loneliness and social isolation among older adults are growing problems, but how social workers work preventively in this area is under-researched. This study investigated how unit managers in care for older adults understand and organise prevention of loneliness and social isolation. This study consisted of qualitative semi-structures interviews with eight unit managers from three municipalities, recruited trough snowball sampling. Thematic analysis of the interviews produced one main theme, prevention of loneliness and social isolation as interpretative work in everyday practice, and three subthemes: prevention as part of existing practice; prevention as being one step ahead; and prevention as understanding the problem. Results indicate the implementation of preventive work is influenced by the unit managers’ interpretation, their understanding of the problem to be addressed, and by organizational conditions such as available resources. Research is needed to support more systematic and sustainable social work.

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  • Frost, Mathilda
    Dalarna University, School of Culture and Society.
    Att bemöta rasism i skolans vardag: Låg- och mellanstadielärares uppfattningar om rasistiska uttryck och antirasistiskt handlingsutrymme i SO-undervisningen2026Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Denna studie undersöker hur låg- och mellanstadielärare uppfattar rasism i skolmiljön samt hur de beskriver sitt arbete med att bemöta och undervisa om rasism i de samhällsorienterande ämnena. Studien syftar till att bidra med kunskap om hur rasism tar sig uttryck i skolans vardag och vilka antirasistiska handlingar lärare beskriver i sitt arbete. Studien har en kvalitativ ansats och bygger på semistrukturerade intervjuer med sex lärare verksamma i låg- och mellanstadiet. Intervjuerna analyserades tematiskt och tolkades med stöd i Arneback och Jämtes (2021) typologi över antirasistiska handlingar. Resultatet visar att rasism förekommer i skolans vardag i både öppna och subtila former, ofta genom språkbruk, sociala interaktioner och kategoriseringar mellan elever. Lärarna beskriver att de i stor utsträckning bemöter rasistiska uttryck genom att markera mot kränkande språkbruk, föra samtal med elever och arbeta med begrepps- och värdegrundsrelaterade frågor. Analysen visar att lärarnas arbete främst kan förstås som relationella och kunskapsfokuserade antirasistiska handlingar, medan mer strukturellt orienterade perspektiv förekommer mer sporadiskt. Studien visar också att antirasistiskt arbete i undervisningen ofta sker situationsbundet snarare än genom explicit planerad undervisning om rasism. Samtidigt framträder SO-undervisningen som en viktig arena för att diskutera frågor om demokrati, rättigheter och människovärde. Resultatet pekar på behovet av ökad kompetensutveckling, gemensamma strategier och organisatoriskt stöd för att stärka skolans arbete mot rasism.

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  • Mohapatra, Rupali
    et al.
    Dalarna University, School of Information and Engineering.
    Chandrasena, Kushmi Anuththara
    Dalarna University, School of Information and Engineering.
    From GPS Segments to Mobility Mode Identification: A Hybrid Approach Using SegmentBERT, Unsupervised Clustering, and Supervised Classification2026Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Transport Mode Detection (TMD) using GPS trajectories is a fundamental task in mobility analytics, covering transport planning and accessibility analysis to environmental assessment and public health analysis. But real-world GPS datasets are usually noisy, irregularly sampled, and largely unlabeled. It therefore presents a challenge when it comes to separating overlapping modes like cars, buses, and cycling, as well as scaling up supervised models. Previous work by Sadeghian et al. proposed a stepwise approach based on rule-based walk detection, clustering, and GIS validation to retrieve high-confidence labels from unlabeled GPS data. Though useful, this framework is based on hand-crafted features and is limited to classical clustering and thus does not leverage recent advancements in transformer-based sequence modelling. 

    As the stepwise approach proposed in this thesis is developed as a hybrid work, integrating transformer-based representation learning via a self-supervised SegmentBERT encoder for TMD on a Swedish GPS dataset. As a start, GPS points are cleaned, split into trips, and chunked into fixed-length segments. Speed and distance rules are used to identify walk and bike segments. Next, the SegmentBERT encoder is pretrained in a self-supervised manner on kinematic feature sequences (speed, acceleration, jerk, bearing dynamics, stop indicators), learning generic, non-discriminative segment-level embeddings without manual labels. The embeddings are clustered using multiple algorithms (HDBSCAN, Gaussian Mixture Models, Spectral, Agglomerative & Birch clustering), and silhouette scores and coverage are obtained. Then, use GIS layers in QGIS to validate high-confidence clusters for car, bus, and train modes, yielding a reference label set that balances quality and coverage of the labeled data. 

    For this GIS-validated subset, classical supervised models are compared with hybrid and transformer-based classifiers based on SegmentBERT embeddings. The results show that embedding-based clustering can achieve high coverage for non-walk segments, and hybrid models paired with the embeddings can achieve competitive accuracy and F1 score compared to classical baselines while improving performance for minority modes such as bus and train. 

    The combination of a modern representation-learning approach with a transparent, stepwise pipeline, as shown by this work, provides a scalable, interpretable solution for TMD from unlabeled GPS trajectories overall.

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  • Gyawali, Dhiraj
    et al.
    Dalarna University, School of Information and Engineering.
    Hettiarachchi, Amila
    Dalarna University, School of Information and Engineering.
    Multi-Agent Economic Simulations Using Large Language Models2026Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Large Language Models have demonstrated remarkable capabilities in language understanding and generation, yet their potential for autonomous economic behavior in multi-agent systems remains largely unexplored. While traditional agent-based economic models rely on predetermined rules and simple heuristics, LLM-powered agents could theoretically exhibit emergent economic behaviors through natural language communication and reasoning. However, whether such agents can form functioning markets, discover prices through decentralized negotiation, and respond to environmental conditions in ways consistent with traditional economic theory is unknown.

    This research investigates whether LLM agents can sustain artificial economies through autonomous resource management and trade. Using a systematic experimental design, agents operated in a resource-constrained environment where survival depended on collecting resources and trading with other agents. The study manipulated resource availability, trading accessibility, and agent specialization patterns to test whether LLM agents exhibit three fundamental economic capabilities: forming stable markets with persistent trading activity, discovering prices endogenously through bilateral negotiation, and responding systematically to environmental constraints.

    The findings demonstrate that LLM agents can sustain basic economic functions over extended periods. Agents formed functioning markets with stable behavioral patterns, generating substantial trading activity across all conditions. They discovered prices through decentralized negotiation without programmed exchange rates, with accepted trades clustering around consistent exchange rate corridors (approximately 1.0–1.5 units of A per B), though whether this convergence reflects true economic equilibrium remains an open question. However, price convergence remained incomplete, with relatively low acceptance rates and persistent price variance indicating coordination challenges. Environmental conditions dominated outcomes, with resource availability explaining the majority of variance in economic success and survival. Resource scarcity prevented market formation entirely in extreme conditions, while abundance enabled survival but reduced price discovery quality. Trading accessibility influenced activity levels but not survival outcomes. Specialization showed context-dependent effects, providing advantages under resource abundance that diminished under scarcity.

    These results establish that current LLM agents can perform autonomous economic coordination through natural language but face significant limitations. They can form markets and discover prices, yet struggle with efficient coordination. Environmental constraints matter more than strategic sophistication in determining economic success. The findings provide baseline evidence for LLM agent economic capabilities while identifying coordination challenges and environmental sensitivities that must inform future multi-agent AI system design.

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  • Okon, Charles Edward
    Dalarna University, School of Information and Engineering.
    Maximum Likelihood Estimation of Binary Regression Model Under Proxy Response Bias2026Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Proxy responses are commonly used in health and social care surveys when sampled individuals are unable to respond directly, but such responses are prone to outcome misclassification and selective missingness. When proxy use is non-random, these features can distort inference in binary regression models. This thesis develops and evaluates a Maximum Likelihood Estimator (MLE) for binary outcomes subject to proxy-induced misclassification under a Missing at Random (MAR) mechanism. The estimator is derived from a fully parametric likelihood and explicitly models both the self-response process and proxy reporting error. Using Monte Carlo simulations across varying sample sizes (n=50–10,000) and varying MAR response model parameters (0.2–0.8), the MLE is compared with Complete Case Analysis, Proxy Substitution, Multiple Imputation, and Inverse Probability of Treatment Weighting. A sensitivity analysis on proxy misclassification rates showed that while effect magnitudes varied moderately (up to 15%), the direction of all associations remained stable, indicating robust substantive conclusions. Furthermore, MLE consistently achieved lower bias and mean squared error than other competing methods in most cases. Application to real data from 2017 Swedish National Board of Health and Welfare home care survey (≈43% proxy responses) confirms these findings. Overall, the results demonstrate that explicitly modelling proxy misclassification is essential for valid inference in proxy-heavy survey data.

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  • Epasinghe, Maduka
    et al.
    Dalarna University, School of Information and Engineering.
    Koththagoda, Shanka
    Dalarna University, School of Information and Engineering.
    Beyond the Checklist: Assessing the Accuracy of Large Language Models in Quantifying Mental Health Severity from Naturalistic Dialogue2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Large Language Models (LLMs) are increasingly explored for use in mental health assessment and support. While prior research has shown that LLMs can generate human-like dialogue, less is known about their ability to estimate clinically meaningful levels of mental health severity from natural, non-clinical conversations. One of the research problems of this study is to investigate whether LLM-based simulated clients can express symptoms of depression, anxiety, and mania in a way that aligns with standardized clinical questionnaires. Using structured persona-generation prompts grounded in cognitive and clinical theory, simulated clients were generated and evaluated using PHQ-9, GAD-7, and ASRM scales. 

    The main research problem of the study is to evaluate an LLM's ability to estimate mental health severity by analyzing a non-clinical natural dialog. Simulated clients were employed to make a natural conversation with an LLM roleplaying a friend of the client and these conversations were used to estimate the mental health conditions of the simulated clients. These estimates were cross checked with the standard clinical questionnaire results. 

    The study examines relationships between three mental disorder symptoms to assess construct validity and potential model biases. The results show a strong positive association between depression and anxiety, consistent with clinical literature. In contrast, the relationship between depression and mania appears negative. However, the results also show reduced sensitivity in estimating manic symptoms, particularly at lower and higher severity levels, which reflects limitations discussed in the results and discussion sections. 

    Overall, the findings suggest that LLMs can approximate meaningful patterns of mental health severity using simulated nonclinical dialogues. At the same time, the results highlight important limitations, especially in estimating extreme severity. This work supports the feasibility of LLM-based conversational severity estimation within a controlled simulation framework and motivates future validation in real-world first-contact screening contexts involving human participants.

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  • Bagheri, Oveis
    Dalarna University, School of Information and Engineering.
    How Persona Prompts Shape Outcomes in LLM-Controlled Buyer–Seller Price Negotiations2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This dissertation explores how personality conditioning in large language models (LLMs) affects the dynamics and outcomes of autonomous trade negotiations. 

    Building on behavioral economics and computational psychology, the study investigates whether persona prompts can alter negotiation behavior among simulated buyer and seller agents. A controlled multi-agent simulation framework was developed, conducting 15,000 negotiation sessions in Python using LLM-based agents conditioned by personality-specific prompts. Each interaction produced quantitative data on three outcome variables: (1) agreement rate, (2) final negotiated price difference (ΔPrice), and (3) number of negotiation rounds. Statistical analyses, including two-proportion z-tests and Welch’s t-tests, were applied to assess three hypotheses regarding behavioral variation. 

    Results showed that persona conditioning significantly influenced negotiation style and process variables. Agents with an Agreeable persona achieved higher agreement rates, supporting the trait’s cooperative nature. Machiavellian agents engaged in longer, more complex negotiations but did not secure higher economic advantage, indicating diminishing returns of manipulative strategy. Rational personas negotiated more efficiently, reaching agreements faster with consistent outcomes. 

    These findings confirm that linguistic personality conditioning can reliably produce distinct, trait-aligned behaviors in LLM-controlled negotiation agents. The study contributes to the emerging field of AI behavioral modeling by demonstrating that LLMs can serve as psychologically interpretable agents capable of simulating human-like decision dynamics in economic contexts. Beyond theoretical insights, the work highlights practical implications for designing adaptive negotiation systems, personality-aware trading agents, and virtual markets governed by AI-driven social interaction principles.

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  • Ortiz, Abigail
    et al.
    Department of Psychiatry, Faculty of Medicine, UT Southwestern Medical Center, Dallas, Texas, USA, US.; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada, CA.; Centre for Addiction and Mental Health (CAMH), Campbell Family Research Institute, Toronto, Ontario, Canada, CA.
    Halabi, Ramzi
    Department of Psychiatry, Faculty of Medicine, UT Southwestern Medical Center, Dallas, Texas, USA, US.
    Blumberger, Daniel
    Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada, CA.; Centre for Addiction and Mental Health (CAMH), Campbell Family Research Institute, Toronto, Ontario, Canada, CA.
    Gonzalez-Torres, Christina
    Department of Psychiatry, Western University Schulich School of Medicine & Dentistry, London, Ontario, Canada, CA.
    Hintze, Arend
    Dalarna University, School of Information and Engineering, Computing.
    Husain, Muhammad I
    Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada, CA.; Centre for Addiction and Mental Health (CAMH), Campbell Family Research Institute, Toronto, Ontario, Canada, CA.
    Tolend, Mirkamal
    Centre for Addiction and Mental Health (CAMH), Campbell Family Research Institute, Toronto, Ontario, Canada, CA.
    Zaheer, Juveria
    Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada, CA.; Centre for Addiction and Mental Health (CAMH), Campbell Family Research Institute, Toronto, Ontario, Canada, CA.
    Alda, Martin
    National Institute of Mental Health, Klecany, Czech Republic, CZ.; Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada, CA.
    Mulsant, Benoit H
    Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada, CA.; Centre for Addiction and Mental Health (CAMH), Campbell Family Research Institute, Toronto, Ontario, Canada, CA.; The Royal Ottawa Hospital, Ottawa, Ontario, Canada, CA.
    Trajectories of Suicidal Risk Impact Mood Regulation Differently in Patients With a Diagnosis of Bipolar Disorder2026In: Acta Psychiatrica Scandinavica, ISSN 0001-690X, E-ISSN 1600-0447Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Bipolar disorder (BD) carries a suicide risk 20 times higher than the general population, with up to 60% of patients attempting suicide. Current interventions have failed to reduce its incidence; static factors have shown limited predictive utility. Emerging evidence suggests dynamic monitoring approaches may offer complementary value. This study examined whether quantifiable differences in mood regulation patterns exist across the suicidality continuum among patients diagnosed with BD.

    METHOD: We analyzed daily self-reported mood, anxiety, and energy levels from 164 participants recruited from two Canadian academic hospitals (April 2021-August 2024). Participants were stratified into six groups based on suicide attempt history, current polarity, and active suicidality status. Using time-series analysis, we computed autocorrelation and cross-correlation functions to examine temporal relationships within and between variables across 1-7 day lags. Data comprised 64,351 valid observations over 461.5 ± 236.6 days of follow-up.

    RESULTS: Participants with the highest suicide risk (previous attempt, in a current depressive episode with active suicidality) demonstrated significantly higher day-to-day autocorrelation compared to the lowest-risk participants (no prior attempts and currently euthymic) for mood (0.53 vs. 0.29, p = 0.01), energy (0.52 vs. 0.23, p = 0.02), and anxiety series (0.55 vs. 0.32, p = 0.04). Cross-correlation analysis revealed mood-energy decoupling during active suicidality; as well as a stronger negative mood-anxiety correlation in those with a prior attempt, even during euthymia.

    CONCLUSION: Higher autocorrelation patterns are indicative of a pathologically stable mood regulation in high-risk individuals, potentially serving as dynamic biomarkers for suicide risk stratification and targeted intervention development. Our findings demonstrate that a more aggressive approach to treating comorbid anxiety may be essential for reducing the risk of future attempts. They also challenge traditional conceptualizations equating euthymia with the absence of suicide risk, suggesting neurobiological vulnerability despite symptomatic remission.

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  • Holmlund, Tobias
    et al.
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Huddinge; .
    Grooten, Wim
    Dalarna University, School of Health and Welfare, Physiotherapy. Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Huddinge; .
    Validation of the Holmlund-Grooten sub-maximal arm crank ergometer-test for estimating peak oxygen uptake in wheelchair users with Spinal Cord Injury2026In: PLOS ONE, E-ISSN 1932-6203, Vol. 21, no 4, article id e0344188Article in journal (Refereed)
    Abstract [en]

    STUDY DESIGN: Cross-sectional validity study.

    OBJECTIVES: To determine the criterion validity, Standard Error of the Measurement (SEM) and Minimal Detectable Change (MDC), of a newly developed submaximal test (Holmlund-Grooten test) for estimating the peak oxygen consumption in wheelchair users with motor-complete Spinal Cord Injury (mcSCI).

    SETTINGS: Outpatient rehabilitation centre in Stockholm, Sweden.

    METHODS: Peak and submaximal oxygen uptake (VO2) was measured using indirect calorimetry. A backward linear regression model, including heart rate, power output, and several demographic variables, was used to predict absolute VO2peak.

    RESULTS: In total, 63 individuals (16 females) with mcSCI were included. The final prediction model included four significant (p < 0.05) variables (sex, injury level, heart rate, power output) that were able to predict absolute VO2peak (adjusted R2 = 0.77). The Holmlund-Grooten test showed excellent criterion validity (ICC = 0.88; 95%CI 0.83-0.94), SEM = 0.05 L·min-1 and MDC = 0.13 L·min-1. No adverse events were reported. We provide an Excel file that calculates VO2peak based on the Holmlund-Grooten model for males and females and tetra- and paraplegia for clinical use.

    CONCLUSION: The Holmlund-Grooten test is a valid submaximal test for estimating VO₂peak in wheelchair users with SCI and can be easily implemented in clinical settings.

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  • Aman, Abeer
    et al.
    Dalarna University, School of Information and Engineering.
    Kumari, Rashmi
    Dalarna University, School of Information and Engineering.
    IoT Sensor Data Collection and Visualization for Homecare Support of Older Adults2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The growing ageing population has increased the need for scalable and non-intrusive approaches to homecare monitoring that preserve privacy and autonomy. Smart-home environments equipped with Internet of Things (IoT) sensors provide continuous behavioral data; however, real-world sensor streams are typically event-based, irregularly sampled, unlabeled, and subject to strict privacy and data governance requirements. These characteristics limit the applicability of supervised activity recognition methods and motivate the use of unsupervised, privacy-preserving approaches. 

    This thesis proposes an end-to-end, label-free framework for collecting, processing, modeling, and visualizing daily behavioral patterns from raw ambient IoT sensor data collected in real residential environments. Data were obtained from five individuals living independently over a four-week period using motion and contact sensors. Raw sensor streams were temporally aligned onto a uniform two-second grid, encoded using feature-engineering-light preprocessing, and segmented into fixed-length, non-overlapping windows. Long Short-Term Memory (LSTM), Gated Recurrent Unit (GRU), and Transformer-based autoencoder models were trained independently for each user to learn personalized baseline routines. Behavioral deviations were quantified using reconstruction-error–based daily deviation ratios derived from training-period thresholds and visualized to support interpretable inspection of routine changes without clinical or diagnostic assumptions. 

    Results show that unsupervised sequence reconstruction captures individual routine structure and highlights short-term deviations from learned baselines. Transformer models achieved superior reconstruction accuracy and deviation separation for most users, while recurrent architectures provided clearer deviation contrast for specific individuals, emphasizing the need for per-user model selection. Overall, the study demonstrates that raw, unlabeled IoT sensor data can be ethically structured and analyzed using unsupervised methods to support interpretable, privacy-aware monitoring of routine behavior in home environments.

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  • Srinivasareddy, Rajupriya
    et al.
    Dalarna University, School of Information and Engineering.
    Rajila Beevi, Jasmine
    Dalarna University, School of Information and Engineering.
    Digital Twin for Person-Centred Homecare: Usability and Interface Design for Caregiver Support2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Digital twin technology is increasingly recognized for its potential to support continuous monitoring, early risk detection, and informed decision-making in healthcare. In homecare settings, caregivers and care managers must monitor multiple older adults while ensuring safety, well-being, and timely interventions. However, many existing digital twin systems primarily emphasize technical functionality and data accuracy, with limited attention to usability and interface design. This thesis addresses this gap by designing and evaluating a user-centred digital twin dashboard prototype for person-centred homecare, focusing on caregivers and care managers as primary users. The study investigates how interface design principles can enhance usability, minimize cognitive load, and effectively communicate deviations from daily routines, including sleep patterns, vital signs, and environmental conditions.

    A high-fidelity interactive prototype was developed using Figma, incorporating a login screen, an overview dashboard with alert filtering, and detailed customer views. Usability testing was conducted with six homecare professionals from Falun municipality. Participants completed predefined tasks and provided feedback using the System Usability Scale (SUS) and the NASA Task Load Index (NASA-TLX). The results indicate good overall usability and low perceived cognitive load. All participants completed the assigned tasks successfully without assistance. Participants highlighted the clear presentation of alerts, intuitive navigation, and effective visual hierarchy supported by colour-coded information. Overall, the proposed digital-twin dashboard prototype supports caregivers’ monitoring and prioritization tasks in homecare settings, with good usability and low perceived cognitive load.

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  • Giovannini, Omar
    Dalarna University, School of Information and Engineering.
    Forecasting European Interest Rates: A Comparative Study of Econometric and Machine Learning Models2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Accurate forecasting of short-term interest rates is crucial for monetary policy analysis, financial stability, and investment decision-making. This thesis investigates the predictive performance of traditional econometric models and modern machine learning approaches in forecasting the European short-term rate (€STR) and the Swedish short-term rate (SWESTR). Using monthly data from January 2002 to February 2025, the study compares parametric models such as ARIMA, Random Walk and Diebold–Li hybrid specifications with non-parametric and semi-parametric machine learning methods, including Support Vector Regression, Random Forests and Bayesian Additive Regression Trees. Forecasts are evaluated across multiple horizons (1, 3, 6, and 12 months) using an expanding window framework that replicates real-time forecasting conditions. 

    The analysis tests two core hypotheses: whether machine learning models outperform traditional approaches at longer horizons, and whether forecasting accuracy is higher for a sovereign central bank than for a supranational institution. The results reject the first hypothesis: Diebold-Mariano tests reveal that no model significantly outperforms the Random Walk for €STR at any horizon, while for SWESTR, ML models only achieve significant gains at the 12-month horizon (and only for point forecasts). McNemar tests show the Random Walk maintains decisive directional superiority across all horizons and both institutions (p < 0.001). The second hypothesis receives strong support: ablation studies confirm macroeconomic fundamentals contain systematically more predictive information for the sovereign Riksbank than for the supranational ECB 

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  • Laukka, Minni Helena
    et al.
    Dalarna University, School of Information and Engineering.
    Ndow, Musa
    Dalarna University, School of Information and Engineering.
    Training Volume and Mental Health Outcomes in U.S. Collegiate Student-Athletes: Testing Linear and Non-Linear Risk Patterns2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Collegiate student-athletes navigate a demanding landscape of unique stressors, balancing academic eligibility and financial obligations against rigorous performance expectations. Using a large-scale, multi-division U.S. sample from the Healthy Minds Study (2019–2025; N > 9,000), this thesis examines how weekly training volume relates to mental health outcomes and how these associations compare with key psychosocial stressors (gender, sexual orientation, and financial stress). 

    Kruskal–Wallis tests and OLS regression models show that psychosocial factors, particularly financial stress, explain substantially more variance across anxiety (GAD-7), depression (PHQ-9), eating disorder symptoms (SCOFF), and athlete psychological strain (APSQ) than training environment and volume variables. Functional-form tests indicate a robust U-shaped relationship between training volume and SCOFF that remains significant after adjusting for psychosocial covariates, whereas the apparent U-shape for depression weakens and becomes non-significant once covariates are included. APSQ scores increase in a predominantly linear fashion with training volume and do not mirror the non-linear SCOFF pattern at extreme volumes. 

    Overall, training volume shows negligible-to-small effect sizes across outcomes, and these data do not support recommending a single “optimal” weekly training-volume threshold. The findings instead support a load-aware and context-aware screening approach that integrates athlete-specific distress measures with validated clinical tools and prioritizes psychosocial vulnerability factors in prevention and early intervention strategies.

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  • Unbeck, Maria
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm.
    Dahlgren, Anna
    Department of Clinical Neuroscience, Karolinska Institute, Stockholm; Department of Psychology, Stockholm University, Stockholm.
    Danielsson, Christian
    National Board of Health and Welfare, Stockholm.
    Pukk Harenstam, Karin
    Astrid Lindgren's Children's Hospital, Karolinska Universitetssjukhuset, Stockholm; Medical Management Centre, Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet, Stockholm.
    Walfridsson, Helena
    National Board of Health and Welfare, Stockholm.
    Ekstedt, Mirjam
    Faculty of Life and Health Sciences, Linnaeus University, Kalmar; Department of Learning Informatics Management and Ethics, Karolinska Institute, Stockholm.
    Ros, Axel
    School of Health and Welfare, Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping; Futurum - Academy for Health and Care, Region Jönköping County, Jönköping.
    Development of national competence areas and competence goals for patient safety using a modified Delphi method2026In: BMJ Open Quality, E-ISSN 2399-6641, Vol. 15, no 1, article id e003887Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The WHO calls for integrating patient safety curricula in healthcare education globally, but the limited contextual applicability of existing frameworks constrains national implementation. This work aims to describe the development of Swedish national competence goals in patient safety to establish patient safety as a distinct field summarised within a comprehensive framework of competency areas.

    METHOD: The national competence goals were developed in a project initiated by the Swedish National Board of Health and Welfare that commissioned a group of academics with expertise in patient safety to work on the project. The development entailed an iterative process involving both physical and digital meetings, individual work and two rounds of questionnaires. Initially, drawing on expert knowledge and international literature, a set of competence areas based on key concepts in patient safety was proposed and defined. Within each competence area, several competence goals were developed. A modified Delphi process was then employed to collect insights from two multidisciplinary panels of experts (n=23). Finally, competence areas, key concepts and competence goals were refined based on feedback from the two Delphi panels.

    RESULTS: The project resulted in a national framework comprising 15 competence areas and 113 competence goals, highlighting key dimensions of patient safety such as foundational concepts, professional roles, systems thinking, patient involvement, human factors, communication and teamwork, organisational culture, risk awareness, learning from adverse events, evaluation, safe practices, technology, leadership, emergency preparedness and high-risk care situations.

    CONCLUSIONS: The development of national competence areas and goals marks an advancement in establishing patient safety as a distinct scientific discipline, where they collectively provide a broad and structured set of educational goals and standards. This initiative provides a foundation for integrating patient safety curricula into national healthcare education and strengthening patient safety practices, which can serve as an inspiration to others.

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  • Omran, Omar
    Dalarna University, School of Information and Engineering.
    Structural Anomalies in Precision Sports: A Microdata Analysis of Performance Slumps in Professional and Amateur Darts2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This thesis empirically investigates performance slumps in professional (PDC), semi-professional (UKDA), and amateur darts, analyzing over 128,000 matches. Addressing the lack of quantitative definitions for "loss of form" in precision sports, the study implements a Lakehouse Architecture to integrate heterogeneous telemetry data. Slumps are operationalized using a Rolling Z-Score (𝑍 ≤ −1.5) with a 20-match window. Results reveal a "Universal Temporal Cost," where recovery takes ~2.7 matches across all skill levels, contradicting the assumption of elite recovery superiority. However, a "Fragility Gap" exists: amateurs relapse twice as frequently as professionals. A key finding is the "Resilience Paradox": while professionals maintain higher physiological baselines during slumps, they suffer greater "Environmental Punishment" (14.7% win-rate drop) compared to amateurs (9.1% drop), who benefit from a competitive safety buffer. Methodologically, the study demonstrates that transparent statistical models offer superior normative decision support compared to opaque machine learning algorithms. The thesis concludes with actionable protocols for coaches, utilizing a "Dual-Clock" diagnostic tool to differentiate between acute volatility and chronic system failure. 

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  • Phatak, Medha
    Dalarna University, School of Information and Engineering.
    Information extraction for constructing a knowledge graph of Positive Energy District2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Positive Energy Districts (PEDs) are described across diverse literature, and their conceptual structure varies. This study examines how ontology engineering and Knowledge-Graph (KG) methods can be applied to organise PED-related information. An initial PED ontology, specific to this study, was developed to represent core concepts identified in the literature, and the ontology was extended with SAREF4City to incorporate relevant smart-city concepts. A corpus-derived KG was then constructed using documents, sentences, and semantic triples extracted from PED sources. Queries were designed to retrieve information related to tools, data, engagement, planning, and gap-related terminology. The KG generated recurring relationships across the corpus and enabled extraction of sentences containing gap-related terms. The combined ontology-KG approach provides a structured representation of PED-related concepts and offers a basis for further development as additional corpora and modelling resources become available.

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  • Owusu-Ansah, Priscilla
    et al.
    Dalarna University, School of Information and Engineering.
    Lloyd, Christopher
    Dalarna University, School of Information and Engineering.
    Using Large Language Models (LLMs) to extract key information from Corporate Social Disclosure reports2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Corporate sustainability reporting has expanded in response to regulatory developments such as the European Union’s Corporate Sustainability Reporting Directive (CSRD), yet sustainability reports remain largely unstructured and difficult to analyse at scale. This thesis evaluates the use of large language models (LLMs) for extracting environmental key performance indicators (KPIs) from corporate sustainability reports and examines whether the introduction of the CSRD coincides with broader environmental KPI disclosure coverage. A retrieval-augmented generation (RAG) pipeline grounded in the GRI G4 framework is applied to compare the extraction performance of GPT-4o and Qwen2.5-3B-Instruct against manually annotated gold labels. The results show that GPT-4o achieves higher precision, recall, and overall accuracy, while retrieval depth entails a trade-off between coverage and selectivity. Applying the validated extraction pipeline to a large corpus of reports reveals that environmental KPI disclosure is substantially higher in the post-CSRD period than in the pre-CSRD baseline. Statistically significant increases are observed for energy use and greenhouse gas emissions, particularly Scope 3 emissions, while waste-related disclosure remains largely unchanged. Overall, the findings demonstrate that LLM-based extraction enables scalable environmental disclosure analysis and provide early evidence that the CSRD coincides with broader, though uneven, environmental KPI coverage.

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  • Reuter, Arlind
    et al.
    Uppsala Univ, Ctr Clin Res Dalarna, Falun ; Lund Univ, Dept Hlth Sci, Lund.
    Gustavsson, Catharina
    Dalarna University, School of Health and Welfare, Medical Science. Uppsala Univ, Ctr Clin Res Dalarna, Falun; Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala.
    Johansson, Stefan
    KTH Royal Inst Technol, Sch Elect Engn & Comp Sci,Stockholm; Lund Univ, Dept Design Sci, Certec, Lund.
    How do older adults with impairment participate in a digital society?: Insights from the 2023 survey 'Swedes with impairment and the internet'2026In: Universal Access in the Information Society, ISSN 1615-5289, E-ISSN 1615-5297, Vol. 25, no 2, article id 55Article in journal (Refereed)
    Abstract [en]

    The rapid digitalisation has transformed how individuals participate in society. In Sweden, one of Europe's most digitalised nations, being able to participate digitally is essential for societal integration. The aim of this study was to explore the experiences of older adults with impairment in Sweden with regard to their participation in the digital society. This study draws on data from the cross-sectional survey Swedes with impairment and the internet (SMFOI) undertaken in 2023. Using an explorative study design, responses from older adults (aged >= 65 years) with impairments were collected regarding perceived participation in the digital society. Data were analysed using mixed methods: descriptive statistics of questions with fixed response options and qualitative thematic analysis of free-text responses.Our findings highlight narratives of exclusion and opportunities, which older adults with impairment encounter as part of their digital participation in society. Our findings challenge binary perspectives of digital participation as being either included or excluded. Instead, our results show a more flexible and individualised approach to digital participation. We propose a four-quadrant framework that captures unique and multi-directional digital participation trajectories, showing that participation in a digital society is not binary but may be experienced as a complex and dynamic process with underlying tensions. Understanding individualised trajectories of digital participation, helps to unravel the complex interplay between age, impairment, and digitalisation, thus contributing to a more nuanced understanding of digital participation and exclusion dynamics.

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  • Malak, Heya
    et al.
    Dalarna University, School of Health and Welfare.
    Mirovic, Ajsa
    Dalarna University, School of Health and Welfare.
    Äldre kvinnors utsatthet för anhörigrelaterat våld: En scoping review över europeisk forskning2026Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to explore how violence against older women in Europe is described in previous research, focusing on the different types of violence, who commits violence, and why it can be hard to detect. The study was conducted as a scoping review with narrative synthesis and includes 18 peer-reviewed articles that were synthesized using narrative synthesis. 

    The results show that violence against older women mainly happens in close relationships, where the perpetrator is often a partner or an adult child. The violence can take different forms such as psychological, physical, economic and sexual violence, as well as neglect and multiple forms often occur at the same time. The results also show that the violence is often long-lasting and difficult to detect. Factors such as dependency, social isolation, shame and norms about gender and age make the violence harder to detect.

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  • Råhlander, Moa
    Dalarna University, School of Culture and Society.
    Jarlabankes Bro: En beskrivning av representation från 1684 till 20212026Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this paper is to provide an overview to the ways Jarlabanke, and his bridge have been portrayed in different media, textbooks, historical literature and newspapers, throughout different epochs. The place is absent from schoolbooks but depicted and translated in archaeological texts as early as the 17th century. In newspapers, the place is generally presented along concerns for its preservation. In early interpretations Jarlabanke was perceived as something unique. A good Christian who erected runestones and built monuments. Today we know that most runestones were created during the Christian era and there are more examples of people who erected runestones for themselves. 

    Since the Jarlabanke stones were first discussed in the 17th century, theories about rune stones have changed. Translations of the inscriptions at Jarlabanke's bridge has not varied in meaning but in wording.

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  • Högsnes, Monika
    et al.
    Karlstad universitet; Region Värmland.
    Grim, Katarina
    Karlstad universitet.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work.
    Landstedt, Evelina
    Karlstad universitet.
    Ullsten, Alexandra
    Region Värmland.
    Hospital social work in acquired brain injury care: patients' and kin' experiences and perspectives on psychosocial support2026In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 21, no 1, article id 2654063Article in journal (Refereed)
    Abstract [en]

    Purpose

    Acquired brain injuries (ABI) have a profound impact on both individuals and their families, making psychosocial support a crucial component of neurorehabilitation. Understanding this support is essential for enhancing the services provided by healthcare social workers (HSWs). This study aimed to explore the experiences of individuals with ABI and their next of kin regarding psychosocial support, with a particular focus on the support received from HSWs.

    Method

    A total of 33 interviews were conducted, 23 with individuals with ABI and 10 with next of kin. Data were analyzed using qualitative content analysis.

    Results

    Participants with ABI and their next of kin valued the support provided by HSWs in addressing challenges related to medical, emotional, financial, and social needs. The importance of informational support—such as explanations of the medical condition and treatment options—was emphasized, alongside instrumental support that helped individuals navigate complex welfare systems.

    Conclusions

    While counselling and crisis management are essential, the informational and practical support provided by HSWs should not be regarded as secondary. The need for support varies significantly—both between individuals and over time—highlighting the importance of tailoring interventions to each person's unique circumstances in order to achieve truly person-centered care.

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  • Nylander, Elin
    et al.
    Eslövs Folkhögskola.
    Bergström, Denise
    Luleå University of Technology.
    Bergström, Jenny
    Umeå University.
    Dodou, Katherina
    Dalarna University, School of Language, Literatures and Learning, English.
    Källkvist, Marie
    Linnaeus University.
    Sundqvist, Pia
    University of Oslo.
    Wennlund, Per
    Stockholm University.
    English Education Scholars Sweden: EESS - A platform for sharing research and discussing its implications2025In: Lingua: medlemstidning för Språklärarnas riksförbund, E-ISSN 2004-6448, no 4, p. 2p. 20-21Article in journal (Other (popular science, discussion, etc.))
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  • Dodou, Katherina
    et al.
    University of Oslo.
    Brevik, Lisbeth
    University of Oslo.
    Blikstad-Balas, Marte
    University of Oslo.
    Opportunities to develop literary competences: A decade of creative response approaches in L1 and L2 in lower secondary schools in Norway2026In: L1-Educational Studies in Language and Literature, ISSN 1567-6617, E-ISSN 1573-1731, Vol. 26, no 1, p. 1-29Article in journal (Refereed)
    Abstract [en]

    Creative approaches to literary texts may develop students’ literary competences, but little is known about how prevalent such approaches are and how they are implemented. This study explored naturally occurring, that is non-interventionist, literature instruction in the subjects L1 Norwegian and L2 English, based on the quantitative and qualitative analysis of 301 video-recorded lower secondary lessons from 73 classrooms in Norway in 2015–24. By juxtaposing L1 and L2, the study recognises the importance of literature instruction across school subjects, and it advances the understanding of how literary texts are taught in L1 relating to L2. The findings indicate that creative response activities were a recurring feature in both subjects across the studied decade, although they occurred more frequently in L2 lessons. In both subjects, teachers provided opportunities for students to exercise various literary competences when responding creatively to literary texts. However, they offered little guidance on how students could undertake these activities and rarely combined them with analytical reflection that could support students’ developing literary competences. The study discusses implications for teaching and research.

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  • Domingos, Araujo
    et al.
    KTH; Super Inst Arts & Culture ISArC, Fac Cultural Studies, Maputo, Mozambique.
    Lundberg, Urban
    Dalarna University, School of Culture and Society, History.
    Manuel, Sandra
    Univ Eduardo Mondlane, Dept Archaeol & Anthropol, Maputo, Mozambique.
    Global and national frictions: HIV/AIDS policies in Mozambique, 1986-20202026In: Journal for Contemporary African Studies, ISSN 0258-9001, E-ISSN 1469-9397Article in journal (Refereed)
    Abstract [en]

    Despite global HIV/AIDS policies and the power of global multilateral and bilateral actors, HIV/AIDS responses and impacts have varied across countries in the Global South. Focusing on Mozambique, this case study aims at analysing the relationships between HIV/AIDS global policies and the Mozambique's successive governments' policies on health from the late 1980s to 2020. Using documents and semi-structured interviews, the findings of the study show that despite the power of multilateral and bilateral actors, there has been a permanent tension between global HIV/AIDS policies and Mozambique's former post-independence leftist tradition of decentralisation, socialisation and integration of health services into primary health care. This tension, it is argued, has been hugely influenced by the persistence of Mozambique's colonial and post-colonial initial conditions, largely the fact that most of the population still lives in poor rural areas with low levels of health coverage.

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  • Blohm, My
    et al.
    Department of Clinical Science and Education, South General Hospital, Karolinska Institutet, Stockholm; Department of Surgery, Mora Hospital, Mora; Centre for Clinical Research Dalarna, Uppsala University, Falun.
    Lo Martire, Riccardo
    Dalarna University, School of Health and Welfare, Medical Science. Centre for Clinical Research Dalarna, Uppsala University, Falun.
    Sandblom, Gabriel
    Department of Clinical Science and Education, South General Hospital, Karolinska Institutet, Stockholm.
    Enochsson, Lars
    Department of Diagnostics and Intervention, Surgery, Umeå University, Umeå; Department of Clinical Science, Intervention and Technology, Division of Orthopaedics and Biotechnology, Karolinska Institutet, Stockholm.
    Österberg, Johanna
    Department of Clinical Science and Education, South General Hospital, Karolinska Institutet, Stockholm; Department of Surgery, Mora Hospital, Mora; Centre for Clinical Research Dalarna, Uppsala University, Falun.
    Impact of surgeon caseload, case mix, and team composition on gender disparities in cholecystectomy outcomes2025In: BJS Open, E-ISSN 2474-9842, Vol. 10, no 2, article id zraf179Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Previous research has suggested that female surgeons achieve better outcomes in various procedures, but the underlying reasons remain unclear. This study aimed to explore potential explanations for observed gender disparities in cholecystectomy outcomes.

    METHODS: A follow-up analysis was conducted using a previously reported population-based cohort from the Swedish Registry of Gallstone Surgery. All patients who underwent cholecystectomy in Sweden between 2007 and 2019 were included, with a subgroup (2017-2019) analysed for case mix. The association between surgeon gender and outcomes was assessed, considering caseload, case mix, team composition, and surgeon-patient gender dynamics.

    RESULTS: The analysis included 150 509 cholecystectomies performed by 2555 surgeons (849 women, 1706 men). Female surgeons had fewer complications across all experience categories. The gender disparity in bile duct injuries was most notable among male surgeons with < 3 years of experience (risk ratio 1.77, 95% confidence interval 1.30 to 2.40). After adjusting for case mix, male surgeons had higher risks of surgical complications (risk ratio 1.28, 95% confidence interval 1.12 to 1.45), bile duct injuries (risk ratio 1.63, 95% confidence interval 1.01 to 2.62), and total complications (risk ratio 1.10, 95% confidence interval 1.03 to 1.19), but shorter operating times. Teams with only male surgeons had the highest complication rates. Women experienced the best outcomes when treated by female surgeons.

    CONCLUSION: Female surgeons were associated with more favourable cholecystectomy outcomes. These differences persisted after accounting for caseload, case mix, and team composition. Inexperienced male surgeons had a higher risk of bile duct injury, underscoring the importance of rigorous mentorship during the early years of practice.

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  • McTaggart, Julia
    et al.
    Danderyd Hospital, Stockholm; Karolinska Institutet, Stockholm.
    Thorell, Lisa B
    Karolinska Institutet, Stockholm.
    Borg Skoglund, Charlotte
    Smart Psykiatri AB, Stockholm; Uppsala University.
    Envall, Niklas
    Dalarna University, School of Health and Welfare, Sexual Reproductive Perinatal Health. Karolinska Institutet, Stockholm.
    Kopp Kallner, Helena
    Danderyd Hospital, Stockholm; Karolinska Institutet, Stockholm.
    "Controlled by Female Hormones": A Qualitative Interview Study of Swedish Women's Experiences of Gender-Specific Aspects of Life With ADHD2026In: Journal of Attention Disorders, ISSN 1087-0547, E-ISSN 1557-1246, article id 10870547261427555Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: There is limited knowledge about how female specific factors such as fluctuating sex hormones influence symptom display and health-related conditions that are unique to, or more prevalent in females with ADHD. This study aims to investigate how women of reproductive age with ADHD experience their ADHD symptoms and well-being in relation to hormonal fluctuations, and secondly, how they perceive hormonal and reproductive counseling in healthcare.

    METHOD: Semi-structured interviews were conducted with 14 women with ADHD and analyzed using inductive thematic analysis.

    RESULTS: Three main themes emerged from the analysis; (1) Controlled by female hormones, (2) Frustration with lack of knowledge/understanding, and (3) Living with ADHD and comorbidities. Many women have experienced challenges and fluctuations related to hormonal changes during their menstrual cycles and in different stages of life. Using hormones to stabilize mood and impulsivity and adjusting stimulant doses were suggested as potential solutions. Participants expressed frustration about the lack of knowledge, interest, and understanding from healthcare professionals regarding ADHD and how hormones influenced symptoms of ADHD and comorbidities in women.

    CONCLUSION: This qualitative study highlights the impact of cyclical hormonal fluctuations on daily functioning across the menstrual cycle. Specifically, participants reported cyclic patterns of high energy and productivity related to ovulation followed by low energy and difficulty managing tasks in the premenstrual week. This aligns with clinical experience, anecdotal evidence, and limited literature that suggest that women with ADHD may be particularly vulnerable to hormonal fluctuations. Our findings suggest that especially the premenstrual phase is a challenging time for women with ADHD. Our results emphasize the need for healthcare professionals to improve their understanding of the role sex hormones and the menstrual cycle play in female ADHD. The potential effect of adjusting ADHD medication dosage and introducing hormonal treatment for premenstrual dysphoric disorder (PMDD) in women with ADHD should be further explored.

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  • Nordgren, Lena
    et al.
    Uppsala universitet Disciplinary Domain of Medicine and Pharmacy, Uppsala; Uppsala universitet Disciplinary Domain of Medicine and Pharmacy, Uppsala.
    Lohela Karlsson, Malin
    Department of Public Health and Caring Sciences, Uppsala Universitet, Uppsala; Centre for Clinical Research, Region Västmanland, Västmanland Hospital Västerås, Uppsala universitet Medicinska fakulteten, Västerås.
    Condén Mellgren, Emelie
    Centre for Clinical Research, Uppsala Universitet, Västerås.
    Göras, Camilla
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Department of Caring Sciences, University of Gavle Department of Occupational Health and Psychology, Gavle.
    Bjurling-Sjöberg, Petronella
    Public Health and Caring Sciences, Health Service Research, Uppsala University Faculty of Medicine, Uppsala; Department of Patient Safety, Region Sörmland, Eskilstuna.
    Struggling to cope in an unknown realm: a qualitative study of moral resilience in frontline healthcare professionals in Swedish hospital wards during a pandemic crisis2026In: BMJ Open, E-ISSN 2044-6055, Vol. 16, no 3, article id e104065Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: This study aimed to explore the process of moral resilience among frontline healthcare professionals. By delving into experiences of handling moral challenges during a pandemic crisis, we aimed to understand dimensions of moral resilience, affecting factors and consequences. This understanding can inform the implementation of interventions to support healthcare professionals' well-being and ability to deliver high-quality care, under both routine and extreme conditions.

    DESIGN: A qualitative exploratory study was conducted using grounded theory methodology. Data were collected retrospectively through written narratives and individual interviews (September to November 2020).

    SETTING: General hospital wards allocated for patients with COVID-19 in two Swedish healthcare regions.

    PARTICIPANTS: 46 informants, comprising registered nurses, nursing assistants, physicians, managers and allied health professionals.

    RESULTS: A conceptual model is presented that describes and explains the process of moral resilience among frontline healthcare professionals working in general hospital wards during a pandemic crisis. The model reveals a complex and dynamic iterative process, with components at both the individual and system levels being inevitably inter-related.

    CONCLUSIONS: The findings emphasise that moral resilience within healthcare organisations is not solely dependent on individual qualities but also influenced by the working groups or teams, leadership and prevailing organisational structures. Supportive interventions should target workgroup dynamics and organisational culture while providing tailored support for individuals.

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  • Elgen, Annie Karoline
    et al.
    Department of Teacher Education and School Research, University of Oslo, Norway.
    Dodou, Katherina
    Department of Teacher Education and School Research, University of Oslo, Norway.
    Brevik, Lisbeth M.
    Department of Teacher Education and School Research, University of Oslo, Norway.
    Teaching with and about GenAI: A video study of English and Norwegian lessons in secondary classrooms in Norway2026In: Teaching and Teacher Education: An International Journal of Research and Studies, ISSN 0742-051X, E-ISSN 1879-2480, Vol. 176, article id 105517Article in journal (Refereed)
    Abstract [en]

    As generative artificial intelligence (GenAI) technologies develop, secondary teachers face the challenge of helping students use GenAI effectively and responsibly for learning. Based on the large-scale EDUCATE project's video recordings of naturally occurring teaching (i.e., without teacher–researcher collaboration), this study examined authentic GenAI practices in highly digitalized language classrooms. Shortly after GenAI became mainstream, we screened 75 English and Norwegian lessons across 20 classrooms in five secondary schools during 2023–24 to identify lessons with GenAI. We identified GenAI practices in 14 lessons across 10 classrooms in 4 schools, and we analyzed these lessons using reflexive thematic analysis. The findings showed that the GenAI-integrated teaching required teachers' use of professional digital competence and targeted both students' subject-specific competences and their AI literacy. The study highlights important implications for secondary teaching when combining GenAI with subject-specific teaching, emphasizing the need to support students' responsible GenAI use.

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  • Emanuel, M.
    et al.
    Karimzadeh, N.
    Hilliard, W.
    Karvonen, A.
    Normark, Daniel
    Dalarna University, School of Culture and Society, Sociology. Department of Economic History, Uppsala University.
    Experimental Logics of Street Transformations2026In: Urban Planning, E-ISSN 2183-7635, Vol. 11, article id 11313Article in journal (Refereed)
    Abstract [en]

    Street experiments are proliferating in cities worldwide and have emerged as an approach to transform urban mobility and public space. Previous research attests to the broad spectrum of street experimentation and its variety of stakeholders, aims, methods, and impacts. In this article, we probe this multi‐faceted nature through a study of the landscape of street experimentation as it evolved in one city—Stockholm, Sweden— over a 10‐year period (2014–2023). Through document analysis and 19 semi‐structured interviews, we analysed stakeholder involvement, motives, and interactions related to four different platforms of street experimentation. Our temporal, evolutionary perspective moves beyond isolated case studies to show how experimental logics emerged over time in Stockholm via shifting ambitions, foci, and stakeholder constellations. The city‐specific perspective allowed us to analyse how experimentation develops and transforms as actors change, thus revealing dynamics of complementarity and competition, the addition or subtraction of layers, and successful as well as missed opportunities for between‐experiment learning. The article highlights the crucial role of municipal actors for implementation and scaling, but also their limited capacity to effect transformative change. © 2026 by the author(s)

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  • Pettersson, Malin
    Dalarna University, School of Culture and Society.
    Tillgänglig lärmiljö i spanskundervisningen på gymnasiet: En studie om lärares uppfattningar, attityder och pedagogiska arbetssätt2026Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to examine how teachers of Spanish in Swedish upper secondary schools understand and interpret the term accessible learning environment (tillgänglig lärmiljö). Furthermore, the purpose is to examine how they implement aspects of accessible learning environments in their lessons in order to meet the needs of all students.

    This study also makes use of theoretical frameworks such as pragmatism and the sociocultural perspective. The study is based on a quantitative digital survey conducted online during a four-week period, with 26 Spanish teachers participating. The survey was anonymous and the only information collected was the teachers’ qualifications and experience. The survey was published in three forums on a social media platform and was also sent to administrative personnel at different upper secondary schools in nine municipalities.

    The results show that Spanish teachers understand and interpret the concept of an accessible learning environment from a pedagogical perspective rather than from the concept’s entirety. Furthermore, the results showed that Spanish teachers were motivated to base their lessons on accessible learning environments and were capable of using differentiating strategies and methods in order to accommodate diverse student needs.

    Despite increasing attention to accessible learning environments in Swedish education policy, little research has examined how foreign language teachers interpret and implement the concept. The findings highlight the importance of professional development in promoting a holistic understanding of accessible learning environments.

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  • Ivéus, Kerstin
    et al.
    Marie Cederschiöld högskola.
    Holm, Maja
    Sophiahemmet högskola.
    Årestedt, Kristofer
    Linnéuniversitet.
    Kreicbergs, Ulrika
    Louis Dundas Centre, Great Ormond Street Institute of Child Health, University College London, UK..
    Anmyr, Lena
    Social Work in Health, Department of Health Professionals, Karolinska University Hospital.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work.
    Lövgren, Malin
    Marie Cederschiöld högskola.
    The Family Talk Intervention Improves Family Communication and Psychosocial Health Among Families in Pediatric Palliative Care: A Pre-Post Evaluation Study2026In: Children, ISSN 2227-9067, Vol. 13, no 4, article id 471Article in journal (Refereed)
    Abstract [en]

    Background: The psychosocial needs of families involving a child with a life-limiting or life-threatening condition are well recognized. However, evidence-based interventions that address the needs of the entire family remain scarce, even though family health can be maintained and supported if interventions encompass each individual family member, as well as the family as a unit. The aim was to evaluate the family talk intervention (FTI), regarding family communication, and psychosocial health, for families involving a child with a life-limiting or life-threatening condition. Methods: This pre-post study without a control group involved families of children with a life-limiting or life-threatening condition receiving FTI at a pediatric hospital and a hospice in Sweden. The study is registered at clinicaltrials.gov (ID NCT05020158, date of registration: 23 August 2021). FTI is a family-based intervention with the goal of facilitating family communication about illness-related topics, e.g., prognosis, support parenting, and making all children’s needs visible. In total, 105 participants from 29 families were included. Surveys measuring self-assessed family communication and satisfaction, anxiety, resilience, parenting skills, and children’s mental problems were answered at three time points: baseline (before intervention), at the end of the intervention, and six months later. Changes over time were analyzed using linear mixed-effects models. Results: Significant improvements were reported in family communication, family satisfaction, parenting skills, and levels of anxiety over time. Children’s mental health problems were reduced over time regarding emotional symptoms, conduct problems, peer relationship difficulties, and hyperactivity. No changes were found regarding resilience. Conclusion: The results suggest that FTI contributes to improved family communication and psychosocial health for families involving a child with a life-limiting or life-threatening condition. This highlights the value of a systemic approach that actively involves all family members.

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  • Larneby, Marie
    et al.
    Svensson, Daniel
    Backman, Erik
    Dalarna University, School of Health and Welfare, Sport and Health Science. Gymnastik- och idrottshögskolan, Stockholm.
    Isgren Karlsson, Andreas
    Dalarna University, School of Culture and Society, Educational Work.
    Carlsson, Johan C
    Berg, John
    Hedenborg, Susanna
    Kunskap och omvandling2026In: Idrott och friluftsliv: utmaningar, kunskap och handlingsförmåga kring hållbar utveckling och miljö / [ed] Susanna Hedenborg, Peter Fredman & Aurélien Daudi, Malmö: Idrottsforum.org , 2026, Första upplagan, p. 17-35Chapter in book (Other academic)
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  • Sadeghian, Paria
    et al.
    Dalarna University, School of Information and Engineering, Computing.
    Håkansson, Johan
    Dalarna University, School of Information and Engineering, Computing.
    A novel ANP-PSO framework for clustering transportation modes from GPS tracking data2026In: Transportation, ISSN 0049-4488, E-ISSN 1572-9435Article in journal (Refereed)
    Abstract [en]

    The widespread adoption of Global Positioning Systems (GPS) in transportation has significantly contributed to the understanding of human behavior, enabling the extraction of valuable travel information. However, identifying transportation modes from GPS data remains a complex and under-researched area due to the analytical challenges it presents. While various methods, ranging from rule-based approaches to advanced machine learning algorithms, have been employed to identify transportation modes from GPS data, most have been tested on limited labelled datasets. This study introduces a novel clustering method that combines multi-criteria decision-making, network analysis, and the meta-heuristic algorithm of particle swarm optimization to effectively cluster transportation modes on large dataset. To show the practicality and robustness of this method, we applied it to the MOBIS dataset, which is a large GPS tracking dataset with more than one million trips. By adopting a hybrid approach, the study combines elements from the Analytic Network Process (ANP) super matrix with Particle Swarm Optimization (PSO), using transportation modes as variables and working with fully unlabeled data. The results underscore the model's effectiveness, achieving a high accuracy rate exceeding 92% in transportation mode classification. Moreover, achieving a 10% improvement compared to other studies, this study integrates clustering with the ANP-PSO hybrid method, offering a more promising approach for transportation mode detection, mainly when dealing with large raw GPS data.

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  • Salin, Hannes
    et al.
    Dalarna University, School of Information and Engineering, Microdata Analysis.
    Rybarczyk, Yves
    Dalarna University, School of Information and Engineering, Computing.
    Nyberg, Roger G.
    Dalarna University, School of Information and Engineering, Computing.
    Han, Mengjie
    Dalarna University, School of Information and Engineering, Computing.
    Optimizing Managerial Decision-Making Through Agile Practices: A Software Engineering Management Team Perspective2026In: Journal of Software: Evolution and Process, ISSN 2047-7473, E-ISSN 2047-7481, Vol. 38, no 3, article id e70095Article in journal (Refereed)
    Abstract [en]

    In today's landscape of rapidly evolving software engineering, managers face a multitude of challenges and complex decision-making scenarios. Within the Swedish Transport Administration (STA), software engineering managers take on dual roles as both strategists and traditional managers, increasing the complexity of their decision-making environment. We investigate how management teams in this context can use and adopt agile practices for better decision-making. The aim is to explore if agile software development team practices can be used for software engineering management teams, with the goal of identifying agile success factors that can be mapped to management success. We employ an industrial case study with a mixed-method research approach, combining quantitative agile data using project tracking software, and qualitative data using structured interviews with the management teams. Unlike previous research that has primarily examined agile adoption within software development teams or emphasized the manager's supportive role, this work investigates management teams themselves as adopters of agile practices and metrics. To our knowledge, this is the first study to develop a mapping model that systematically connects Scrum-based practices, roles, and metrics to the context of software engineering management teams. Our study showed that Scrum-based agile practices, such as stand-ups and retrospectives, can be adapted to software engineering management teams, and that certain agile software development metrics can be transformed into a managerial setting using our proposed model. © 2026 The Author(s). Journal of Software: Evolution and Process published by John Wiley & Sons Ltd.

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  • Högström, Ebba
    et al.
    Fjellfeldt, Maria
    Dalarna University, School of Health and Welfare, Social Work.
    Markström, Urban
    Exploring socio-spatial encounters of people experiencing mental ill-health: A photovoice study2026In: Wellbeing, Space and Society, ISSN 2666-5581, Vol. 10, article id 100364Article in journal (Refereed)
    Abstract [en]

    With the deinstitutionalisation of mental health care, individuals experiencing mental ill-health are increasingly expected to live as integrated members of the community. Yet, little is known about how they experience their everyday living environments. Situated within the post-deinstitutional paradigm, this article explores how individuals with mental ill-health navigate and make sense of their socio-spatial contexts in relation to ‘doing’ wellbeing. A Photovoice study was conducted with 12 participants (aged 26–66), recruited from three member-based Fountain Houses in Sweden. The study draws on a relational space perspective on wellbeing. Findings reveal that experiences of space and place are deeply relational, embodied, and situated—shaped by events and social interactions. These experiences cut across four categories of place: (i) enabling, (ii) troublesome, (iii) ambiguous, and (iv) places entangled with memories. We discuss how varying degrees of agency influence the emergence of wellbeing, particularly in the face of structural constraints such as poverty and regulation. Participants’ accounts also suggest that their environments resemble an “inverted city” rather than the prevailing urban planning ideal of a dense, vibrant, and inclusive city life. We conclude by emphasising the need to recognise how people, places, and policies are entangled in the practice of ‘doing’ wellbeing. to equally acknowledge how individuals’ realisation of a ‘livable life’ is supported by these spatial, material, social, and affective relations. Finally, we urge professionals in social and spatial fields to apply spatio-temporal insights in the pursuit of social inclusion - or wellbeing as a commons - not only for the group discussed here but for society as a whole. © 2026 The Authors.

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  • Normark, Daniel
    Dalarna University, School of Culture and Society, Sociology. STS, Department of Economic History, Uppsala University.
    Children of the Underground: The Rise and Fall of Pedestrian Underpasses in Copenhagen 1966–19772026In: Scandinavian Journal of History, ISSN 0346-8755, E-ISSN 1502-7716Article in journal (Refereed)
    Abstract [en]

    During the late 1960s and 1970s, traffic-planners across Europe adopted an ideology of traffic separation–as the optimal way to address traffic hazards and risks. According to this ideology, pedestrian underpasses allowed cars to cross paths with pedestrians without conflict or interruption. Around 1970, the City of Copenhagen made large investments but these investments dwindled towards the end of the 1970s and underpasses diminished. This paper examines the rise and fall of pedestrian underpasses as a solution to perceived and real challenges in urban mobility. Using Actor-Network Theory (ANT) approach, the paper follows the interessement that traffic planners, politicians, and the press engaged in as well as the degree of pre-inscription of children, the elderly, and other imagined users during the construction of pedestrian underpasses. It shows how children were put forward as the main argument for these infrastructural investments. Vulnerable children were framed as the problem that the underpasses were meant to solve. However, as the underpasses became a fixture in the city, the public, politicians, and planners realized that children did not subscribe to this problematization, and Copenhagen-planners gradually abandoned the technology. The article reveals the ambiguous potency-yet-fragility of using children as a rhetorical tool in urban planning. © 2026 The Authors. Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of the Historical Associations of Denmark, Finland, Iceland, Norway and Sweden.

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  • Holm, Maja
    et al.
    Department of Nursing Sciences, Sophiahemmet University, Stockholm; Department of Health Care Sciences, Palliative Research Centre, Marie Cederschiöld University, Stockholm.
    Årestedt, Kristofer
    Department of Health and Caring Sciences, Linnaeus University, Växjö.
    Lundberg, Tina
    Department of Health Care Sciences, Palliative Research Centre, Marie Cederschiöld University, Stockholm.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work.
    Lövgren, Malin
    Department of Health Care Sciences, Palliative Research Centre, Marie Cederschiöld University, Stockholm; Advanced Pediatric Home Care, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm.
    Implementation of a Family Centered Intervention Among Families with a Parent or Child Who Is Severely Ill - Associations with Organizational Context2026In: Journal of Social Work in End-of-Life & Palliative Care, ISSN 1552-4256, E-ISSN 1552-4264Article in journal (Refereed)
    Abstract [en]

    The Family Talk Intervention is a family-centered intervention in six sessions, which can be a tool to help health care social workers support families with dependent children when someone in the family has a severe illness. However, the influence of contextual factors on the implementation of Family Talk Intervention warrants further investigation. The purpose of this study was to examine the organizational context of social workers and its association with the implementation of Family Talk Intervention among families in which a parent or child is severely ill with identified palliative care needs. The study was part of a larger intervention project where Family Talk Intervention was implemented through a structured program in three different clinical care contexts: advanced palliative care, adult cancer care, and advanced pediatric care. Two validated instruments were used to measure social workers' ratings of their organizational context and the implementation of Family Talk Intervention. Results showed that higher ratings on certain organizational aspects were significantly associated with higher implementation ratings. These aspects, namely informal interactions, social capital and culture of the workplace, should be studied further. These may serve as facilitators for the implementation of family-centered interventions like Family Talk Intervention, by social workers and should be observed and promoted during the implementation of interventive processes.

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  • Mårtenson, Elizabeth
    et al.
    Department of Medicine Solna, Karolinska Institutet, Stockholm; Department of Trauma, Acute Surgery and Orthopaedics, Karolinska University Hospital, Stockholm.
    Kullberg, Anna
    Department of Oncology-Pathology, Karolinska Institutet, Stockholm.
    Enocson, Anders
    Department of Trauma, Acute Surgery and Orthopaedics, Karolinska University Hospital, Stockholm; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm.
    Göransson, Katarina
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Department of Medicine Solna, Karolinska Institutet, Stockholm; Emergency and Reparative Medicine Theme, Karolinska University Hospital, Stockholm.
    Translation, cultural adaptation and psychometric testing of short form quality of trauma patient experience measure (SF-QTAC-PREM) to a Swedish context2026In: PLOS ONE, E-ISSN 1932-6203, Vol. 21, no 3, article id e0342088Article in journal (Refereed)
    Abstract [en]

    Patients admitted to hospital due to trauma present with a multifaceted constellation of injuries, severity of injuries and comorbidities that require a complex and specialised somatic and psychological care system. Good care processes have been linked to better recovery and improved long-term health and health-related quality of life. There is both a knowledge gap around quality and safety of patient's care following injury, as well as a lack of a validated questionnaire to systematically collect trauma patients' experiences. The aim of this study was to translate, culturally adapt and determine the psychometric properties of the SF-QTAC-PREM acute care for use in a Swedish population of trauma patients. A prospective, cross-sectional study was performed in which patients at a Level 1 trauma centre in Sweden participated. Translation and adaptation was performed in accordance with the ISPOR and WHO guidelines, which generated a 22-item questionnaire. Thirty patients completed the test-retest, and a further 150 patients the psychometric testing. Reliability was established using Intraclass Correlation Coefficient (ICC), and weighted Cohen's Kappa coefficient, which showed a moderate to substantial agreement, and good reliability. The psychometric properties of the questionnaire using Exploratory Factor Analysis identified a two-factor solution with two stand-alone items. A good internal consistency was shown between factors using Cronbach's alpha (0.85 Information and care, 0.84 Patient safety), concluding that the factors were not able to be combined. Spearman's R correlation showed weak (0.31) and moderate (0.58) positive relationships between the items and global rating scale contributing to a good overall construct validity. The new Swedish SF-QTAC-PREM acute care exhibited above acceptable external reliability, good overall internal consistency and construct validity.

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  • Thunell, Anna
    Dalarna University, School of Culture and Society.
    Spelandet av historiska dataspel och dess påverkan på det historiska medvetandet hos högstadieelever2026Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    This study examines how historical video games influence historical consciousness and historical thinking among Swedish lower secondary students. Using survey data from two schools, the study identifies students’ gaming habits and analyses whether the games they play contain historical elements. The theoretical framework draws on research about historical thinking, historical consciousness, and digital games as secondary learning resources. Results show that while students play a wide range of games, relatively few regularly engage with explicitly historical titles. Among those who do, many report increased curiosity about historical topics and an improved ability to recognize historical environments. However, students’ critical evaluation of historical representations remains limited. The study concludes that video games can support the development of historical thinking, but meaningful learning requires pedagogical guidance to help students interpret and question historical narratives in games.

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  • Lamzoughi, Abdel Fettah
    Dalarna University, School of Language, Literatures and Learning.
    Att analysera och bedöma andraspråkselevers texter utifrån analysmodeller: Performansanalys, CAF-modell2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This thesis investigates structural and functional–pragmatic aspects of adult second‑language learners’ written production in Swedish. Using a performance‑analysis approach that targets grammar, vocabulary, text organization, and communication strategies, the study identifies recurrent strengths and weaknesses in learner texts. While advanced grammatical forms are frequently emphasized in instruction, the present analysis focuses on how such forms and related functional choices are realized within the collected written assignments, without making claims beyond the study’s empirical scope. Performance analysis, combined with systematically framed formative feedback within the dataset, is used to locate specific areas for development and to describe the functional language capacities observable in formal academic and vocational writing tasks. Data were drawn from participants in a nursing assistant training program with diverse linguistic and educational backgrounds; their written assignments (and selected transcribed interactions linked to those tasks) were analyzed to map patterns of language use. The findings show substantial variation in structural competence particularly in grammatical accuracy and textual cohesion — as well as in pragmatic efficiency at the level of audience orientation and purpose fulfillment. By examining associations between learners’ backgrounds, prior education, and the linguistic features attested in their texts, the thesis argues for pedagogical designs that balance structural accuracy with functional adaptability, thereby providing an empirically grounded account of second‑language writing development in this vocational education context.

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  • Amritzer, Maria A
    et al.
    KarolinskaInstitutet, Department of Medicine Solna; Karolinska University Hospital, OO H, Emergency and Reparative Medicine Theme, Huddinge.
    Göransson, Katarina
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. KarolinskaInstitutet, Department of Medicine Solna, Stockholm; Karolinska University Hospital, Emergency and Reparative Medicine Theme, Stockholm.
    Nymark, Carolin
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Stockholm; Karolinska University Hospital, Heart and Vascular Center, Stockholm.
    Berg, Lena M
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. KarolinskaInstitutet, Department of Medicine Solna, Stockholm.
    Experienced nurses' perceptions of essential nursing care in the emergency department - A focus group study2026In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 86, article id 101795Article in journal (Refereed)
    Abstract [en]

    AIM: To explore experienced nursing staff's perceptions of essential nursing care in the emergency department (ED).

    BACKGROUND: Nurse staffing levels in the ED are known to influence a variety of patient outcomes, such as time to medication, incidence of unexpected cardiac arrest, and flow indications such as length of stay. In addition, studies highlight an issue with missed nursing care in the ED setting, particularly for basic care needs. This suggests a need for deeper understanding of the content of ED nursing, and nursing staff's perceptions of their responsibilities towards ED patients' needs.

    METHODS: A qualitative focus group interview study with an exploratory design, interviewing experienced nursing staff at four Swedish EDs of various sizes and locations. Data were analysed through inductive, reflexive thematic analysis.

    RESULTS: Three main themes of essential ED nursing emerged, which were for nursing staff to Create control, Take Action and Be a safety net. The themes were united by the overarching theme of Making knowledge-based priorities in an ever-changing environment.

    CONCLUSION: ED nursing is complex and requires skill to prioritise among multiple essential nursing tasks constantly in an environment that itself is constantly changing. A priority is to identify warning signs quickly, ensure patient safety and keep length of stay as short as possible. Due to variation in patients' symptoms, almost all nursing tasks, such as performing various medical interventions and meeting physical and psychosocial needs, were considered to be essential nursing. However, the need to prioritise among essential tasks may lead to less urgent tasks being postponed or missed.

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  • Rydgren, Melanie
    et al.
    Department of Natural and Health Sciences, Åbo Akademi University, Vaasa, Finland, FI.
    Anåker, Anna
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Estman, Linda
    Department of Caring and Ethics, University of Stavanger, Stavanger, Norway, NO.
    Andtfolk, Malin
    Department of Natural and Health Sciences, Åbo Akademi University, Vaasa, Finland, FI.
    Fagerström, Lisbeth
    Department of Natural and Health Sciences, Åbo Akademi University, Vaasa, Finland, FI.
    Sustainability in Telehomecare: Exploring Practical Nurses' Perceptions, Engagement, and Leadership Implications2026In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 2026, no 1, article id e5772385Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Healthcare systems are adapting to environmental challenges and digital transformations. Practical nurses' perceptions and engagement are key to advancing sustainability in everyday care in a digital setting. Hence, it is essential to explore whether practical nurses within telehomecare settings are prepared for the adoption of sustainable practices and the implications of their perceptions of sustainability within nursing practice for nursing leadership.

    AIM: To explore how practical nurses perceive and engage with sustainability within telehomecare.

    DESIGN: This study had a qualitative exploratory design.

    METHODS: Ten practical nurses working in telehomecare were interviewed between February and April 2024 in Finland. The interviews were individual and semistructured. Data were analyzed through reflexive thematic analysis.

    RESULTS: The main themes identified in this study, Emerging Eco-Consciousness in Telehomecare and Constrained Eco-Engagement in Telehomecare, encapsulate the tension between emerging environmental awareness and the limitations of telehomecare settings. The participants demonstrated limited awareness of and engagement with sustainability in their professional roles. Moreover, they regarded the concept of sustainability as ambiguous and had a fragmented understanding of what it entails in the context of healthcare. Their capacity to actively engage in sustainable practices was shaped by challenges related to assuming responsibility, the need to balance professional values with the potential negative outcomes of sustainable digital practices, and limited opportunities for involvement in key organizational decision-making processes.

    CONCLUSION: This study highlights a need to cultivate greater consciousness among healthcare professionals and leaders of the critical role of sustainability in healthcare delivery. The results highlight the importance of integrating targeted education and training on environmental issues and sustainable practices to foster climate-health literacy and deepen engagement and of equipping leaders to champion green transitions. Enhancing knowledge and competence in sustainability can, in combination with an ethical, green, transformational leadership style, support organizational shifts toward more environmentally sustainable healthcare systems.

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  • Baldanzi, Gabriel
    et al.
    Molecular Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala.
    Larsson, Anna
    Department of Clinical Sciences in Malmö, Lund University, Malmö.
    Sayols-Baixeras, Sergi
    Molecular Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala; Medical Epidemiology, Department of Surgical Sciences, Uppsala University, Uppsala; CIBER Cardiovascular Diseases, Instituto de Salud Carlos III, Madrid, Spain, ES.
    Dekkers, Koen F
    Molecular Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala.
    Hammar, Ulf
    Molecular Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala.
    Nguyen, Diem
    Molecular Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala.
    Graells, Tíscar
    Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge.
    Ahmad, Shafqat
    Molecular Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala; Preventive Medicine Division, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA, US; School of Natural Sciences, Technology and Environmental Studies, Södertörn University, Huddinge.
    Gazolla Volpiano, Camila
    Cambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia, AU; Department of Cardiometabolic Health, University of Melbourne, Melbourne, Victoria, Australia, AU.
    Meric, Guillaume
    Molecular Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala; Cambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia, AU; Department of Cardiometabolic Health, University of Melbourne, Melbourne, Victoria, Australia, AU; Department of Cardiovascular Research, Translation and Implementation, La Trobe University, Melbourne, Victoria, Australia, AU; Department of Life Sciences, University of Bath, Claverton Down, Bath, UK, GB.
    Järhult, Josef D
    Zoonosis Science Center, Department of Medical Sciences, Uppsala University, Uppsala.
    Tängdén, Thomas
    Infectious Diseases, Department of Medical Sciences, Uppsala University, Uppsala.
    Ludvigsson, Jonas F
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm; Department of Pediatrics, Örebro University Hospital, Örebro; Division of Digestive and Liver Disease, Department of Medicine, Columbia University Medical Center, New York, NY, USA, US.
    Lind, Lars
    Clinical Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala.
    Sundström, Johan
    Clinical Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala; The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia, AU.
    Michaëlsson, Karl
    Medical Epidemiology, Department of Surgical Sciences, Uppsala University, Uppsala.
    Ärnlöv, Johan
    Dalarna University, School of Health and Welfare, Medical Science. Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge; Center for Clinical Research Dalarna, Uppsala University, Falun.
    Kennedy, Beatrice
    Molecular Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala.
    Orho-Melander, Marju
    Department of Clinical Sciences in Malmö, Lund University, Malmö.
    Fall, Tove
    Molecular Epidemiology, Department of Medical Sciences, Uppsala University, Uppsala; Science for Life Laboratory, Uppsala University, Uppsala.
    Antibiotic use and gut microbiome composition links from individual-level prescription data of 14,979 individuals2026In: Nature Medicine, ISSN 1078-8956, E-ISSN 1546-170XArticle in journal (Refereed)
    Abstract [en]

    Disruptions in gut microbiome are implicated in cardiometabolic disorders and other health outcomes. Antibiotics are known gut microbiome disruptors, but their long-term consequences remain underexplored. Here we combined individual-level data from the Swedish Prescribed Drug Register with fecal metagenomes of 14,979 adults to examine the association between oral antibiotic use over 8 years and gut microbiome. In multivariable confounder-adjusted regression models, antibiotic use <1 year before fecal sampling was associated with the greatest reduction in species diversity, but significant associations were also observed for use 1-4 and 4-8 years earlier. Clindamycin, fluoroquinolones and flucloxacillin accounted for most of the associations with the abundance of individual species. Use of these antibiotics 4-8 years earlier was associated with altered abundance of 10-15% of the species studied; penicillin V, extended-spectrum penicillins and nitrofurantoin were associated with only a few species. Similar results were found comparing one antibiotic course 4-8 years before sampling versus none in the past 8 years. These findings indicate that antibiotics may have long-lasting consequences for the gut microbiome.

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  • Kiruja, Jonah
    et al.
    Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Caring Science/Nursing. University of Hargeisa, Hargeisa, Somaliland, SO.
    Osman, Fatumo
    Dalarna University, School of Health and Welfare, Care Sciences.
    Litorp, Helena
    Department of Women's and Children's Health, Uppsala University, Uppsala; Department of Global Public Health, Karolinska Institutet, Stockholm.
    Egal, Jama Ali
    Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Caring Science/Nursing. University of Hargeisa, Hargeisa, Somaliland, SO.
    Esse, Amina
    Department of Midwifery, University of Hargeisa, Hargeisa, Somaliland, SO.
    Klingberg-Allvin, Marie
    Dalarna University, School of Health and Welfare, Sexual Reproductive Perinatal Health. Department of Women's and Children's Health, Karolinska Institutet, Stockholm.
    Barriers to and facilitators of timely family consent in caesarean sections: Experiences, perspectives and associated factors-a mixed-methods study in Somaliland2026In: PLOS ONE, E-ISSN 1932-6203, Vol. 21, no 3, article id e0342475Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: In many countries, the consent for caesarean section (CS), when indicated, is made by the woman herself. However, in Somaliland, the family (husband, father, or other close male family member) are required to make the consent for CS to be performed, a process that can be time-consuming and result in adverse outcomes. This study aimed to investigate the barriers to and facilitators of timely family consent in caesarean sections at the national referral hospital in Somaliland.

    METHODOLOGY: A convergent mixed-methods study with a parallel sampling method was conducted at the national referral hospital in Somaliland. Quantitative data was collected on timely vs. late family consent for CS, as well as sociodemographic and obstetric characteristics. Data were analysed using binary and multivariable logistic regression. In addition, in-depth interviews were conducted and analysed using thematic analysis.

    RESULTS: Of the 516 women included in the quantitative phase of the study, 16 participated in the in-depth interviews. The quantitative results showed that women with hypertensive disorders (aOR 8.491; 95% 1.076-66.991) and obstetric haemorrhage (aOR 3.209; 95% CI 1.159-8.887) had higher odds of late family consent compared to women without hypertensive disorders and obstetric haemorrhage respectively. The themes that emerged on barriers to timely family consent for CS were poor communication and understanding, delayed informed choice for CS, differences in understanding between family members on the indication for CS, and absence of the person providing formal consent. The themes that emerged on facilitators of timely family consent were the husband's autonomous decision making for CS and adequate disclosure of all relevant information about CS.

    CONCLUSION: A standard counselling package can be designed on educating family members on the importance of timely CS consent during the antenatal period with male involvement. A policy should be developed that gives women the autonomy to make health decisions and give consent in maternal health emergencies. Healthcare providers need training on effective communication when requesting CS consent, with a focus on the elements of informed consent.

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  • Ranasinghe, Arambage Navodya Gimhani
    et al.
    Student School of Technology and Business Studies, Dalarna University.
    Saeed, Nausheen
    Dalarna University, School of Information and Engineering, Computing.
    Sadeghian, Paria
    Dalarna University, School of Information and Engineering, Computing.
    Comparative Analysis of LSTM and SARIMA for Global Temperature Forecasting: Impact of Regional Trends and Emissions2026In: Climate, E-ISSN 2225-1154, Vol. 14, no 3, article id 72Article in journal (Refereed)
    Abstract [en]

    Climate change poses escalating risks to environmental, economic, and social systemsworldwide, making accurate temperature forecasting a critical component of climate impactassessment and mitigation planning. Advances in data-driven modelling have expandedthe range of tools available for analysing climate time series, complementing traditionalstatistical approaches. The continued increase in global surface temperatures, drivenprimarily by anthropogenic greenhouse gas (GHG) emissions, underscores the need forforecasting models capable of capturing complex and non-linear climate dynamics. Thisstudy compares the predictive performance of a Long Short-Term Memory (LSTM) neuralnetwork with a Seasonal Autoregressive Integrated Moving Average (SARIMA) modelusing historical global temperature data. The results show that LSTM outperforms SARIMAat the global scale, achieving an R2 of 0.9846, RMSE of 0.1528 ◦C, and MAE of 0.1198 ◦C,representing a 50.7% reduction in error relative to the SARIMA baseline (R2 = 0.9364;RMSE = 0.3100 ◦C). However, regional analyses reveal heterogeneous performance, withLSTM overestimating seasonal variability in certain regions, while SARIMA exhibits greaterlocal stability. Sectoral emission analysis identifies agriculture and energy production as thedominant global contributors, with substantial regional variation. These findings suggestthat hybrid modelling approaches may offer improved robustness for regional climateassessment and policy applications.

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  • Stein, Joshua S.
    et al.
    Sandia National Laboratories, USA, US.
    Whitney, Erin
    University of Alaska Fairbanks, USA , US.
    Tonita, Erin
    University of Ottawa, Canada, CA.
    Granlund, Alexander
    RISE Research Institutes of Sweden, Sweden, SE.
    Lindh, Mattias
    RISE Research Institutes of Sweden, Sweden, SE .
    Augusto, André
    Dalarna University, School of Information and Engineering, Energy Technology. Sustainable Energy Research Centre, Dalarna University.
    Ogaard, Mari
    Institute for Energy Technology, Norway, NO.
    Jensen, Adam R.
    Technical University of Denmark, Denmark, DK.
    Ma Lu, Silvia
    Mälardalen University, Sweden, SE.
    Pike, Christopher
    University of Alaska Fairbanks, USA, US.
    Jouttijärvi, Sami
    University of Turku, Finland, FI.
    Wilber, Michelle
    University of Alaska Fairbanks, USA, US.
    Toal, Henry
    University of Alaska Fairbanks, USA, US.
    Manni, Mattia
    Norwegian University of Science and Technology, Norway, NO.
    Ovaitt, Silvana
    National Laboratory of the Rockies, USA, US.
    Peterson, Anna Malou
    RISE Research Institute of Sweden, Sweden, SE.
    Stein, Joshua S. (Editor)
    Sandia National Laboratories, USA, US.
    Jahn, Ulrike (Editor)
    Fraunhofer Center for Silicon Photovoltaics CSP, Germany, DE.
    Photovoltaics and Energy Security  in the Greater Arctic Region2026Report (Other academic)
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  • Skogstam, Mimmi
    et al.
    Dalarna University, School of Health and Welfare.
    Westling, Therese
    Dalarna University, School of Health and Welfare.
    Kvinnors erfarenhet av Natural Cycles i antikonceptionellt syfte: En kvalitativ design med netnografisk metod2026Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual and reproductive health are central to well-being, where knowledge of and access to contraceptives is crucial to reducing unintended pregnancies. Despite this, an unmet need for contraceptives among women in Sweden remains. The use of contraceptive applications are increasing, which can be linked to the demand for non-hormonal contraceptives. Natural Cycles is currently the only application in Europe certified as a medical device for contraception. However, evidence regarding the effectiveness of cycle-based contraceptive apps and users’ experiences of using them remains limited. Aim: The aim of the study was to describe women’s experiences of using Natural Cycles as a contraceptive method. Method: A qualitative netnographic design with an inductive approach. Data were analysed using reflexive thematic analysis. Results: The results showed that several women experienced unintended pregnancies despite using Natural Cycles according to instructions, which contributed to distrust in the method’s reliability. The application was perceived as unpredictable, leading women to develop personal strategies to increase safety. At the same time, the method was described as requiring responsibility, regular routines, and patience, while also providing positive experiences such as increased body awareness and a deeper understanding of the menstrual cycle and fertility. Conclusion: Women described both positive experiences, such as increased body awareness and the benefit of a hormone-free method, as well as negative experiences including unintended pregnancies and uncertainty regarding the reliability of Natural Cycles. The increased demand for hormone-free contraceptive methods highlights the importance of midwives possessing knowledge about these methods. Clinical relevance: Experiences of Natural Cycles deepen the understanding of contraceptive apps and enhance midwives’ ability to offer individualized counseling, thereby supporting women in choosing a suitable contraceptive method.

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  • Jones, Amanda
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Fjellfeldt, Maria
    Dalarna University, School of Health and Welfare, Social Work.
    Schön, Ulla-Karin
    Department of Social Work, Stockholm University.
    Barriers and facilitators during the implementation process of shared decision-making in the comorbidity field: staff perspectives2026In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed)
    Abstract [en]

    To enhance user participation in the complex setting of coordinating support, more knowledge is needed about strategies designed to improve user involvement. This study aimed to explore staff perceptions of barriers and facilitators during the implementation process of the innovation shared decision-making (SDM) in coordinated individual planning (CIP) within the comorbidity field of practice. A mixed methods approach was used, involving the collection and analysis of questionnaire data at two time points, followed by individual and focus group interviews. Data were collected from staff working in social services and healthcare. The data collection and analysis were guided by the Consolidated Framework for Implementation Research (CFIR), focusing on the domains of innovation, inner setting, and individuals involved. Barriers to implementation included among others, perceptions of high workloads, a lack of relational connections between staff from different units, and staff ambiguity regarding user participation. Facilitators included circumstances such as experience with the innovation, a focus on user participation, and the presence of functional collaboration between staff from different organizations prior to implementation. Overall, the findings highlight the importance of relational connections both between users and staff and among staff from different units during the implementation process of SDM in a collaborative setting like CIP. © 2026 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

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  • Chavez Milla, Jennifer
    et al.
    Dalarna University, School of Health and Welfare.
    Johansson, Magda
    Dalarna University, School of Health and Welfare.
    Manliga partners upplevelser av missfall: En integrativ review med reflexiv tematisk analysmetod2026Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Having children is a desire shared by many and can be motivated by various forces. Knowledge about how common miscarriage is remains limited, and the loss can cause strong emotional reactions. Masculinity norms emphasizing independence and emotional restraint may influence how men express feelings and seek support, potentially rendering their needs invisible in healthcare. Midwives encounter individuals experiencing miscarriage and play an important role in providing professional and inclusive care that considers both the woman’s and partner's needs. Aim: The aim was to explore partners' experiences of miscarriage. Method: The integrative review was conducted using reflexive thematic analysis. Data collection from PubMed and CINAHL. Following quality appraisal using the Joanna Briggs Institute critical appraisal tools, a total of 16 articles were included. Results: The findings indicate that men’s experiences of miscarriage are characterized by a strong focus on adopting a supportive and protective role toward their partner, often at the expense of their own grieving process. The analysis identified five main themes highlighting men’s emotional responses, limited opportunities to express grief, experiences of not being acknowledged within healthcare, and insufficient access to tailored support and information. Conclusion: Men often experience their emotions related to miscarriage as being overlooked, a perception reinforced by limited acknowledgment from both healthcare professionals and their surroundings. Available support is largely adapted to women's needs, leaving men to manage the loss largely on their own. Clinical implication: The findings may increase understanding of partners' experiences and help midwives and other health care professionals better recognize and address partner´s needs, contributing to more equitable, person-centered and needs-adapted miscarriage care in that includes the couple as a whole.

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  • Kontou, Persefoni
    Dalarna University, School of Language, Literatures and Learning.
    Fear, Solidarity, and Hope: The Affective Economies of Migration in Exit West2026Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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