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  • Rasmussen, Mari S
    et al.
    Oslo University Hospital, Oslo, Norway, NO; Oslo Metropolitan University, Oslo, Norway, NO.
    Andelic, Nada
    Oslo University Hospital, Oslo, Norway, NO; University of Oslo, Oslo, Norway, NO.
    Nordhagen Selj, Joanna
    Oslo University Hospital, Oslo, Norway, NO; University of Oslo, Oslo, Norway, NO.
    Danielsen, Vilde Marie
    Oslo University Hospital, Oslo, Norway, NO; Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway, NO; University of Oslo, Oslo, Norway.
    Løvstad, Marianne
    Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway, NO; University of Oslo, Oslo, Norway.
    Howe, Emilie Isager
    Oslo University Hospital, Oslo, Norway, NO; University of Oslo, Oslo, Norway, NO.
    Hellstrøm, Torgeir
    Oslo University Hospital, Oslo, Norway, NO.
    Soberg, Helene L
    Oslo University Hospital, Oslo, Norway, NO; Oslo Metropolitan University, Oslo, Norway, NO.
    Brunborg, Cathrine
    Oslo University Hospital, Oslo, Norway, NO.
    Aas, Eline
    University of Oslo, Oslo, Norway, NO; Norwegian Institute of Public Health, Oslo, Norway, NO.
    Moksnes, Håkon
    Oslo University Hospital, Oslo, Norway, NO.
    Sveen, Unni
    Oslo University Hospital, Oslo, Norway, NO; Oslo Metropolitan University, Oslo, Norway, NO.
    Gaarder, Christine
    University of Oslo, Oslo, Norway, NO; Oslo University Hospital, Oslo, Norway, NO.
    Næss, Pål Aksel
    University of Oslo, Oslo, Norway, NO; Oslo University Hospital, Oslo, Norway, NO.
    Helseth, Eirik
    University of Oslo, Oslo, Norway, NO; Oslo University Hospital, Oslo, Norway, NO.
    Røise, Olav
    University of Oslo, Oslo, Norway, NO; Oslo University Hospital, Oslo, Norway, NO.
    Aarhus, Mads
    University of Oslo, Oslo, Norway, NO; Oslo University Hospital, Oslo, Norway, NO.
    Øra, Hege Prag
    University of Oslo, Oslo, Norway, NO; Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway, NO.
    Bjørneboe, John Andreas
    Oslo University Hospital, Oslo, Norway, NO.
    Fure, Silje
    Oslo University Hospital, Oslo, Norway, NO.
    Røe, Cecilie
    Oslo University Hospital, Oslo, Norway, NO; University of Oslo, Oslo, Norway, NO.
    Schäfer, Christoph
    Oslo University Hospital, Oslo, Norway, NO; University Hospital of North Norway, Tromsø, Norway, NO.
    Perrin, Paul B
    Virginia Commonwealth University, Richmond, VA, USA, US.
    Lu, Juan
    Virginia Commonwealth University, Richmond, VA, USA, US.
    Elf, Marie
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Dahl, Hilde Margrethe
    University of Oslo, Oslo, Norway, NO; Oslo University Hospital, Oslo, Norway, NO.
    Jones, Fiona
    St George's, University of London, London, England, UK, GB; Bridges Self-Management, London, England, UK, GB .
    Ponsford, Jennie
    Monash-Epworth Rehabilitation Research Centre, Epworth Healthcare, Richmond, Australia, AU; Monash University, Melbourne, Australia, AU.
    Narvestad, Linda
    Oslo Municipality, Oslo, Norway, NO.
    Hauger, Solveig L
    Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway, NO; University of Oslo, Oslo, Norway, NO.
    Self-management support program delivered in the sub-acute phase after traumatic injury-study protocol for a pragmatic randomized controlled trial2024In: Trials, E-ISSN 1745-6215, Vol. 25, no 1, article id 639Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Traumatic injuries, defined as physical injuries with sudden onset, are a major cause of distress and disability, with far-reaching societal consequences. A significant proportion of trauma survivors report persistent symptoms and difficulties after the injury, and studies show unmet health care needs. Self-management programs delivered in the sub-acute phase after traumatic injuries are scarcely evaluated. The aim of the present study is to evaluate the effectiveness of a self-management program (SEMPO), delivered 3-4 months after moderate-to-severe traumatic injury.

    METHODS: This study protocol describes a pragmatic randomized controlled trial (RCT) with two classical RCT arms (intervention and control) and an explorative self-selection arm. 220 patients will be recruited from Oslo University Hospital, the largest Trauma Referral Centre in Norway. Patients aged 18-72 years residing in the south-east region of Norway, admitted to the Trauma Centre directly or within 72 h after having sustained a moderate to severe traumatic injury, defined as a New Injury Severity Score > 9, having at least 2 days hospital stay, and reporting injury-related symptoms and impairment at discharge from the acute hospital will be included. Patients will be randomly assigned to either a classical RCT randomization arm (intervention or control arm) or to a self-selection arm. In the randomization arm, participants are further randomized into intervention or control group. Participants allocated to the self-selection arm will choose to partake either in the intervention or control arm. The primary outcome is the level of self-efficacy in trauma coping assessed 6 months after completion of the intervention, with a similar time point for the control group. Secondary outcomes include symptom burden, physical functioning and disability, return to work and health care utilization, health-related quality of life, and communication competency. In addition, patients will be asked to nominate one domain-related measurement as their preferred outcome measure.

    DISCUSSION: This RCT will determine the effect of a self-management program tailored to patients with moderate to severe physical trauma, and the self-selection arm incorporates the potential influence of patient treatment preferences on intervention results. If the intervention proves effective, cost-effectiveness and cost-utility analyses will be performed and thereby provide important information for clinicians and policy makers.

    TRIAL REGISTRATION: The study is registered in Clinical Trials with the identifier: NCT06305819. Registered on March 05, 2004.

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  • Yasir, Kanwal
    et al.
    Shen, Jingchun
    Dalarna University, School of Information and Engineering, Construction.
    Lin, Jing
    Sustainable Logistics: Synergizing Passive Design and PV–Battery Systems for Carbon Footprint Reduction2024In: Buildings, E-ISSN 2075-5309, Vol. 14, no 10, article id 3257Article in journal (Refereed)
    Abstract [en]

    As more companies strive for net-zero emissions, mitigating indirect greenhouse gasemissions embedded in value chains—especially in logistics activities—has become a critical priority.In the European logistics sector, sustainability and energy efficiency are receiving growing attention,given the sector’s intersectional role in both transportation and construction. This transition towardlow-carbon logistics design not only reduces carbon emissions but also yields financial benefits,including operational cost savings and new market opportunities. This study examines the impactof passive design strategies and low-carbon technologies in a Swedish logistics center, assessedusing the low-carbon design criteria from the BREEAM International standard, version 6. Thefindings show that passive energy-efficient measures, such as the installation of 47 skylights fornatural daylighting, reduced light power density in accordance with AHSHARE 90.1-2019 and theintegration of free night flushing, contribute to a 23% reduction in total energy consumption. Inaddition, the integration of 600 PV panels and 480 batteries with a capacity of 268 ampere-hours and13.5 kWh storage, operating at 50 volts, delivers a further 56% reduction in carbon emissions. Byoptimizing the interaction between passive design and active low-carbon technologies, this researchpresents a comprehensive feasibility analysis that promotes sustainable logistics practices whileensuring a future-proof, low-carbon operational model.

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  • Public defence: 2024-11-22 10:00 lecture hall F135, campus Falun
    Embretsen, Eva-Lena
    Dalarna University, School of Teacher Education, Educational Work.
    Lärarledares möjligheter att leda kollegiala utvecklingsprocesser: En kvalitativ studie av förstelärare och förskollärare i rollen som lärarledare2024Licentiate thesis, monograph (Other academic)
    Abstract [en]

    Both lead teachers and preschool teachers have been given a more explicit leadership role between the principal and other colleagues, a role referred to as teacher leader in this study. The study aims to develop knowledge about the conditions that affect the ability of teacher leaders to lead collegial development processes in schools and preschools. The study draws on the theory of loosely coupled systems (Orton & Weick, 1990; Weick, 1976, 1982), the classification of different problem types (Head & Alford, 2015; Rittel & Webber, 1973), and the conception of the school system as consisting of three comprehensive subsystems: formulation, transformation, and realisation (e.g., Lindensjö & Lundgren, 2000; Lundgren et al., 2021). The study has a qualitative design, based on teacher leaders’ reflections on their school development assignments in individual interviews and focus group discussions.

    The results demonstrate several elements of importance to the role of teacher leaders, elements which form a complex pattern of enabling and hindering couplings for the work of teacher leaders. Also of significance is the type of problem that is to be delt with, as well as how the communication between the comprehensive subsystems is perceived to function. The conclusion is that tight couplings promote stability and security, while loose couplings promote creativity and flexibility. Finally, the implications of the results for the assignment of teacher leaders to lead collegial development processes are discussed, along with needs for further research.

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