1,266 results match your criteria: "Center for Primary Health Care Research[Affiliation]"

Aim: The aim of this study was to explore the role of managers and employees with an assigned responsibility (i.e. inspirers) when integrating recovery-enhancing activities into everyday work in a primary health care setting.

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In addition to biological factors, maternal exposures during pregnancy can contribute to leukemogenesis in offspring. We conducted a population-based cohort study in Sweden to investigate the association between risk of acute lymphoblastic leukemia (ALL) in offspring and maternal anthropometrics during pregnancy. A total of 2,961,435 live-born singletons during 1983-2018 were followed from birth to ALL diagnosis, end of age 18, or end of 2018.

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Adverse Pregnancy Outcomes and Long-Term Risk of Heart Failure in Women: National Cohort and Co-Sibling Study.

JACC Heart Fail

January 2025

Center for Primary Health Care Research, Department of Clinical Sciences, Lund University, Malmö, Sweden; University Clinic Primary Care Skåne, Region Skåne, Sweden.

Background: Adverse pregnancy outcomes, such as preterm delivery and hypertensive disorders of pregnancy, may be associated with higher future risks of heart failure (HF). However, the comparative effects of different adverse pregnancy outcomes on long-term risk of HF, and their potential causality, are unclear.

Objectives: The authors sought to examine 5 major adverse pregnancy outcomes in relation to long-term risk of HF in a large population-based cohort.

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Self-Efficacy in Hypertension Management Using e-Health Technology: A Randomized Controlled Trial in Primary Care.

J Clin Hypertens (Greenwich)

January 2025

Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.

Self-efficacy is tightly intertwined with person-centered care and correlates with engaging in self-care behaviors, an important part of hypertension treatment. Evidence indicates that e-Health-based self-management interventions could increase self-efficacy. The objectives of this study were to investigate whether an intervention with a person-centered approach supported by e-Health technology can impact self-efficacy.

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Purpose: To describe nurses' experiences encountering children with suspected neurodevelopmental disorders in Child Health Services.

Design And Methods: This qualitative inductive study was conducted in Sweden. Twenty nurses were interviewed individually on a virtual platform using a semi-structured interview guide with open-ended and explorative questions.

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Myocardial infarction in second-generation immigrants compared to native-born Swedes in the total population of Sweden.

Atherosclerosis

December 2024

Center for Primary Health Care Research, Department of Clinical Sciences, Malmö, Lund University, Sweden; University Clinic Primary Care Skåne, Region Skåne, Sweden; Department of Family and Community Medicine, McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA.

Background And Aims: Environmental and genetic factors predispose to cardiovascular disease. Some first-generation immigrants have a higher cardiovascular risk in Sweden, while less is known about second-generation immigrants. We aimed to analyze the risk of acute myocardial infarction (AMI) among second-generation immigrants in Sweden.

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Background: Telehealth services are becoming increasingly popular at primary healthcare centres. Some examples include text-based digital triage and health guidance using chats, emails, images and pre-filled forms. Telephone-based communication has until recent years been the predominant means for triage and health guidance, but now includes written communication via computer or smartphone.

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Risk of colorectal cancer associated with frequency of colorectal polyp diagnosis in relatives.

Gastroenterology

January 2025

Division of Preventive Oncology, National Center for Tumor Diseases (NCT), German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany; Center for Primary Health Care Research, Lund University, 202 13 Malmö, Sweden; Institute of Primary Health Care (BIHAM), University of Bern, 3012 Bern, Switzerland. Electronic address:

Background & Aims: We aimed to evaluate the association of frequency of polyp diagnosis in relatives with the risk of overall and early-onset colorectal cancer (CRC).

Methods: We leveraged data from nationwide Swedish family cancer datasets (1964-2018) to calculate standardized incidence ratios (SIRs) for individuals with a family history of polyp by frequency of polyp diagnosis in family members.

Results: We followed up 11,676,043 individuals for up to 54 years.

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Common infections in children aged 6 months to 7 years after high prenatal exposure to perfluoroalkyl substances from contaminated drinking water in Ronneby, Sweden.

Environ Res

January 2025

Department of Laboratory Medicine, Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine, Institute of Public Health, University of Southern Denmark, Odense, Denmark.

Background: Perfluorinated alkyl substances (PFAS) are suggested to impair immune function in children. Previous studies investigating associations between prenatal PFAS exposure and common infections were performed in background-exposed populations whilst studies from high-exposed populations are lacking.

Objectives: To investigate the association between prenatal PFAS exposure from contaminated drinking water and common infections in children aged 6 months to 7 years in Ronneby, Sweden.

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Immigrant Background and Rape Conviction: A 21-Year Follow-Up Study in Sweden.

J Interpers Violence

January 2025

Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.

While extensive research exists on the severe consequences among rape victims, little is known about specific predictors in relation to rape convictions among immigrants to Europe. This study from Sweden (having one of Europe's highest per capita rates of rape) investigates individuals convicted of rape, aggravated rape, attempted rape, or attempted aggravated rape, collectively termed as rape+, against women 18 years or older, from 2000 to 2020. In this case-control study, we analyzed data from Swedish population-based registers.

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Clinical Pharmacist-Led Collaboration of Multiple Clinical Professions Model Focusing on Continuity of Pharmacotherapy: Japanese Version of the Lund Integrated Medicines Management (LIMM) Model.

Pharmacy (Basel)

December 2024

Department of Biomedical Science and Biofilm, Research Center for Biointerfaces, Faculty of Health and Society, Malmö University, SE205-06 Malmö, Sweden.

(1) Background: In general, it is known that continuity of care can contribute to an increase in patient satisfaction, reduce health care costs, and improve patient outcomes. A guarantee of continuity in pharmacotherapy is a big challenge facing Japanese health care as a system that encourages cooperation/collaboration for pharmacists with other health care professions is currently lacking. (2) Method: This is a narrative review.

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Patient characteristics in relation to opioid exposure in a chronic non-cancer pain population.

Scand J Pain

January 2024

Department of Clinical Sciences Malmö, Center for Primary Health Care Research, Lund University, Jan Waldenströms Gata 35, 202 13 Malmö, Sweden.

Objectives: The efficacy of long-term opioid therapy (LTOT) in treating patients with chronic non-cancer pain (CnCP) is questionable, and the potential risks of adverse effects are well established. The aims were as follows: (1) compare characteristics in patients exposed to LTOT vs non-exposed. (2) Regarding opioid-exposed patients, describe characteristics of patients with risk factors for opioid use disorder or overdose in relation to opioid dosage.

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Background: Middle Eastern (ME) immigrants to Europe have a heavy burden of metabolic disorders including a higher prevalence of insulin resistance, T2D and obesity as compared to native-born Europeans. Vitamin D insufficiency and deficiency are prevalent conditions in people originating from the ME.

Aims: To study the differences in the levels of 25(OH)D and parathyroid hormone (PTH) across ME and European ethnicity, and the effect of 25(OH)D and PTH on insulin action and secretion.

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Information on how parental risk for posttraumatic stress disorder (PTSD) relates to their children's risk for drug use disorder (DUD) and alcohol use disorder (AUD) is limited. This study is the first to utilize an extended adoption design which can address questions about the degree of, and sources of, cross-generational and cross-disorder transmission of PTSD and substance use disorders. We examined diagnoses using Swedish National registries for parents and their adult offspring ( = 2,194,171, born 1960-1992) from six types of families (intact (1), not lived with biological father (2) or mother (3), step father (4), step mother (5), and adoptive (6)).

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Physical Characteristics of Swedish Female Professional Ice Hockey Players Allowed Body Checking.

J Strength Cond Res

December 2024

Center for Primary Health Care Research, Department of Clinical Sciences, Lund University, Malmö, Sweden; and.

Lahti, A, Grundberg, A, Stenman, E, and Sundquist, K. Physical characteristics of Swedish female professional ice hockey players allowed body checking. J Strength Cond Res XX(X): 000-000, 2024-In ice hockey, physical characteristics impact sporting performance.

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Background: Drug use Disorder (DUD), the risk for which is substantially influenced by both genetic and social factors, is geographically concentrated in high-risk regions. An important step toward understanding this pattern is to examine geographical distributions of the genetic liability to DUD and a key demographic risk factor - social deprivation.

Methods: We calculated the mean family genetic risk score (FGRS) for DUD ((FGRS) and social deprivation for each of the 5983 areas Demographic Statistical Areas (DeSO) for all of Sweden and used geospatial techniques to analyze and map these factors.

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Article Synopsis
  • The study investigates the relationship between age at onset (AAO) of psychiatric disorders and genetic heterogeneity using Family Genetic Risk Scores (FGRS).
  • Researchers focused on five disorders: drug use disorder, alcohol use disorder, major depression, bipolar disorder, and schizophrenia, analyzing individuals born in Sweden between 1940-2003.
  • Results showed that as AAO increased, schizophrenia displayed increased genetic risk, while major depression became more genetically homogenous, highlighting significant inter-disorder differences in how AAO affects genetic risks.
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Multimorbidity, i.e., the presence of two or more long-term health conditions, is challenging for healthcare systems worldwide.

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Background: It is important to identify and evaluate cardiovascular risk factors at an early stage to address them accordingly. Among the younger population, the metabolic syndrome is less common than in older ages. However, each separate metabolic risk factor still has an additive effect on cardiovascular risk factor burden.

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Background: Intervention trials that have demonstrated significant effects may not always replicate those effects when scaled up. This study aimed to test whether scaling-up a successful cluster randomized trial (the COMMUNICATE study, 9 intervention communities), which promoted population-level physical activity (PA), could promote PA in a broader citywide setting (29 communities) after two years, as a mid-term evaluation of the six-year scaled-up trial.

Methods: This is a single-arm, pre-post comparison of a multi-strategic community-wide intervention covering the entire Unnan City, Japan.

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Article Synopsis
  • A study using Swedish national register data involving over 2.8 million individuals investigated the relationship between divorce and family genetic risk scores (FGRS) for ten psychiatric disorders.
  • The findings revealed that individuals who experienced divorce had higher FGRS for all disorders compared to those who remained stably married or never married.
  • Additionally, divorced females exhibited higher FGRS than divorced males, and higher FGRS was linked to those who did not remarry or had multiple divorces, highlighting how genetic factors may influence both divorce rates and psychiatric risk.
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Article Synopsis
  • The national insurance system in Japan has provided high-quality healthcare access to citizens across various socioeconomic backgrounds, but it's facing financial challenges due to an aging population and rising social security costs.
  • Medical consultations are increasing expenses and overloading doctors, raising questions about how to balance workload without delegating tasks.
  • Sweden’s healthcare system, which relies on collaboration between general practitioners and specialist nurses, offers a model that could help Japan manage doctor workloads while improving patient care and reducing hospital stays.
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Objectives: The study aimed to describe the experiences of physicians, nurses and psychologists employed in primary care in using digital video consultations. The second objective was to study the association between the predictors of behaviour and behavioural intentions to use digital consultations and to relate underlying behavioural beliefs to experiences of digital consultations in primary care. Overall, the research questions focused on the association between previous training, profession or theory-based behavioural predictors and behavioural intentions to use digital video consultations.

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Objectives: This study examined long-term changes in body composition and bone mineral characteristics among male long-distance runners from a high-profile university team, focusing on concerns about impaired musculoskeletal development due to extreme leanness and weight management practices in this population.

Methods: Trajectory analyses were performed using multilevel modeling of 608 dual-energy x-ray absorptiometry datasets from 109 runners (mean age, height, and weight of 18.0 years, 171.

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