FoU Södertörn

ABSTRACT This article uses learning organization theory to explore how practitioners and leaders in social services experience the process of introducing new work methods. Secondary analysis of data from interviews with 13 social service practitioners and managers (employed by various municipalities in Stockholm County, Sweden) was conducted, following their participation in an intervention aimed at supporting the process of managing fidelity and adaptations. A thematic approach in the data analysis was guided by the ‘Three Building Blocks of a Learning Organization’. The findings present examples of situations and actions that reveal how practitioners in social services apply important aspects of learning organization theory. Central components of learning organization theory are found to varying extents in all identified strategies used in the initial stage, implementation stage, and follow-up stage.

The purpose of the study is to develop recommendations for rational smoke generation parameters that ensure the quality and environmental safety of smoked fish products. Objectives: to establish the influence of smoke generation parameters on the assessment of the carcinogenicity of smoked products; to evaluate the quality and safety of smoked products produced under optimal smoke generation parameters; to develop recommendations to ensure the quality and safety of smoked fish products. Research was carried out at the department of Management of Technical Systems at the Federal State Budgetary Educational Institution of Higher Education Dalrybvtuz (Vladivostok, Primorsky Region). The object of the study is the process of smoke generation. Analytical, physical and chemical methods, and mathematical modeling methods were used. To prepare smoke-drying smoke samples, 10 kg of alder sawdust with a moisture content of 30–35 % was prepared. Hot smoked smelt samples were obtained under optimal smoke generation conditions. The overall organoleptic index was 5. The content of individual polyaromatic hydrocarbons was: chrysene – 71 ng/kg; benz(a)anthracene – 70 ng/kg; benz(b)fluoranthene – 602 ng/kg; benz(a)pyrene – 64 ng/kg; benz(e)pyrene – 667 ng/kg; dibenz(a,c)anthracene – 57 ng/kg; dibenz(a,h)anthracene – 69 ng/kg, which corresponds to a generalized quality index of 0.99 (very good). During the study, the influence of smoke generation parameters on the assessment of the carcinogenicity of smoked fish products was established, and the dependence of the content of individual polyaromatic hydrocarbons on the excess air coefficient in the smoke generation zone was confirmed. Optimal smoke generation modes: smoke generation temperature 475 °C, excess air coefficient – 0.4. Rational smoke generation parameters: smoke generation temperature 450–500 °C, excess air coefficient – 0.3–0.6.

A Fobia Social, também conhecida como Transtorno de Ansiedade Social, está entre os transtornos psiquiátricos com maior incidência e comum na população mundial. O transtorno da Fobia Social caracteriza-se pela experiência de medo ou ansiedade avultados em circunstâncias sociais, quando a pessoa precisa de maneira explícita estar sob avaliação de outras pessoas. A pandemia da Covid-19 desencadeou uma das maiores conturbações que a humanidade pôde vivenciar. A quarentena e as medidas de distanciamento social, propiciaram um aumento significativo nos sintomas da Fobia Social. Este artigo tem como objetivo descrever as técnicas da Terapia Cognitivo-Comportamental (TCC) aplicadas ao transtorno da Fobia Social. O método utilizado foi da pesquisa e revisão bibliográfica, com base em materiais científicos já publicados. Nos resultados encontrados foi perceptível que a pandemia da Covid-19 trouxe um acréscimo aos transtornos mentais menores, dentre eles está a Fobia Social. Para quem apresentava o transtorno da Fobia Social, o isolamento provocado pela pandemia, foi uma forma de alívio, uma evitação favorável. No entanto, no decorrer do isolamento, foram detectados dois efeitos referentes à ansiedade social: a diminuição da percepção de ansiedade social, uma vez que as pessoas estavam menos expostas socialmente e o desenvolvimento de ansiedade social. Dessa forma as técnicas da TCC, como a Reestruturação Cognitiva, Técnica de Exposição, Técnica de Relaxamento e Treino de Habilidades Sociais, ajudam o paciente a construir um repertório de habilidades sociais, a fim, de lidar com os problemas de medo e ansiedade de exposições.

ABSTRACT Introduction Life after stroke may entail several lifestyle changes and new routines. Hence, it is imperative for people with stroke to understand and make use of health information, i.e. to have sufficient health literacy. This study aimed to explore health literacy and its associations with outcomes at 12-months post-discharge regarding depression symptoms, walking ability, perceived stroke recovery, and perceived participation in people with stroke. Methods This was a cross-sectional study of a Swedish cohort. Data were collected at 12 months post-discharge using European Health Literacy Survey Questionnaire, the Hospital Anxiety and Depression Scale, the 10-m walk test, and the Stroke Impact Scale 3.0. Each outcome was then dichotomized into favorable versus unfavorable outcome. Logistic regression was performed to assess the association between health literacy and favorable outcomes. Results The participants, n = 108, were on average 72 years old, 60% had mild disability, 48% had a university/college degree, and 64% were men. At 12 months post-discharge, 9% of the participants had inadequate health literacy, 29% problematic health literacy, and 62% sufficient health literacy. Higher levels of health literacy were significantly associated with favorable outcomes relating to depression symptoms, walking ability, perceived stroke recovery, and perceived participation in models adjusted for age, sex, and education level. Conclusion The association between health literacy and mental, physical, and social functioning 12-months post-discharge suggests that health literacy is an important factor to consider in post-stroke rehabilitation. Longitudinal studies of health literacy in people with stroke are warranted to explore the underlying reasons for these associations.

Twenty-four fossil gall midges (Cecidomyiidae) described from 1917–2020 from Mesozoic deposits, mostly ambers, are reviewed. Information from the original publications is used as the basis for reinterpretation, when such is regarded as appropriate here. As a result, the fossil record of cecidomyiids from the Mesozoic comprises representatives of the following subfamilies and tribes, all mycophagous (numbers in parentheses refer to species described): Catotrichinae (1); Micromyinae: Catochini (2), Amediini (1), Campylomyzini (1), Micromyini (2) and Aprionini (1); Winnertziinae: Heteropezini (2), Diallactiini (4) and Winnertziini (1); Porricondylinae: Dicerurini (1). Other Winnertziinae (3) and Micromyinae (5) cannot be classified to tribe because information on critical morphological structures is unavailable; they are thus considered incertae sedis. Members of the Lestremiinae sensu stricto are unrecorded from the Mesozoic, as are any Cecidomyiinae (the only subfamily containing phytophages and predators). Commonly occurring reasons for misinterpretation of amber fossils are the non-recognition of artefacts and the unfamiliarity with group-specific literature regarding prevailing taxonomic concepts and the morphological diversity found in Cecidomyiidae. These causes as well as obvious differences between neontological and paleontological taxonomic practices are discussed. Amediini trib. nov. Jaschhof, 2021 is introduced as a new tribe of the Micromyinae, to absorb the genera Amedia Jaschhof, 1997 (extant, North America, type genus), Amediella Jaschhof, 2003 (extant, New Zealand) and Eltxo Arillo & Nel, 2000 (extinct, Alava amber). A diagnosis of the new tribe is given. Krassiloviolini Fedotova & Perkovsky, 2017 is a new junior synonym of Heteropezini Schiner, 1868. Amediini Plakidas, 2017 and Zarqacecidomyius singularis Kaddumi, 2007 are nomina nuda.

Abstract Background and Aims The native Arterio venous fistula (AVF) is the recommended first choice for regular hemodialysis treatment. However, its patency is mainly limited due to stenosis and thrombosis, leading to insufficient dialysis, costly interventions, subsequent in-hospital care and follow ups. Primary aim: To find medical or laboratory markers associated with dysfunctional AVF. Method Retrospective analysis of radiologic examinations and medical records was made due to clinical suspicion of AVF dysfunction (cases) from two hospitals during 2006-2014. Comparison was made with data from 52 patients without complications (controls) with repeated blood sampling during the same period. Differences between groups were calculated with Mann- Whitney test and paired statistics with Wilcoxon U test before and after examination. Results Mean age in both groups was 65 years. In 153 patients 473 radiological examinations were performed due to clinical suspicion of dysfunction. Angiography and PTA were made when suitable according to guidelines. In 171 of these examinations no intervention was performed. Cases versus controls had lower access flow (599±442 vs 1140±523, p<0.001), blood pump speed (291±49 vs 313±34, p<0.001), PTH (31±39 vs 39±29 pmol/L, p=0,021), Ca-phosphate product (3.9±1.1 vs 4.2±1.0, p=0.025), C-reactive protein (17±25 vs 24±38, p=0.004) and, higher in regard to recirculation (5.1±11 vs 0.5±3.4, p<0.001), HbA1c (52±16 vs 47±17, p=0.027), dose of tinzaparin (14330±8000 vs 12743±5400U/week, p= 0.025), weekly dose of erythropoietin stimulating agent (ESA, 8900±7100 vs 4900±4600U/week, p<0,001), and higher weekly iron supplement dosing (60±61 vs 41±54mg/week, p<0.001). Alfa- and Beta-blockers against hypertension were more often used among cases. Conclusion The reason for AVF problems in cases showed limited disturbances in Ca-phosphate hemostasis and inflammation. Instead, it seems that higher dosing of ESA and LMWH (as indicator of clotting) are factors that could be associated with development of AVF malfunction.

The genus Cabamofa, previously containing only C. mira from Costa Rica (Jaschhof 2005), is shown here to have a second species in Thailand, which is described and named C. orientalis sp. nov. The new species is known from a single male collected by the TIGER Project (Thailand Inventory Group for Entomological Research), a mass-sampling program to inventory insect diversity in Southeast Asia (Plant et al. 2011; http://sharkeylab.org/tiger, accessed 14 December 2018). As the circumstances of finding indicate, C. orientalis is a decidedly rare species, an attribute applying to perhaps one third of all tropical arthropods (Lim et al. 2012) and most Sciaroidea incertae sedis (Jaschhof 2017), including the Costa Rican C. mira. The latter species was originally described from two females, which were Malaise trapped in 2003 in lowland rain forest (Jaschhof 2005), while a conspecific male, a museum specimen collected in 1922 in an unknown habitat, was detected and described subsequently (Amorim Rindal 2007). Cabamofa is one of nearly 20 sciaroid genera whose family affiliation has not yet been resolved (Jaschhof 2017), but there is morphological evidence suggesting its close affinity to other Sciaroidea incertae sedis, such as Rogambara Jaschhof, 2005, Ohakunea Tonnoir Edwards, 1927, and Colonomyia Colless, 1963. These four genera together form the Ohakunea group of Jaschhof (2005), or the Ohakuneinae (as a subfamily of the broadly conceived family Rangomaramidae) of Amorim Rindal (2007). Recent molecular work (Ševčík et al. 2016, Kaspřák et al. 2019) suggests a more distant phylogenetic position of Ohakunea to other Sciaroidea incertae sedis. The obvious conflict here between morphological and molecular evidence is stimulating fresh interest in the "incertae sedis issue", as proven by the present contribution. The morphology of C. orientalis provides no new clues as to the systematic position of Cabamofa, or the Ohakunea group, but reveals characters that were previously not known to occur in Cabamofa. The delimitation of this genus is briefly reviewed below. Our finding of C. orientalis extends the geographic distribution of Cabamofa from the New World to the Old World (Oriental) tropics, which consorts with the disjunct (Neotropical-Australasian) areas found in both Colonomyia and Ohakunea. Morphological terminology used here is in accordance with that by Cumming Wood (2017).

This article presents a quantitative tool for evaluating the documentation quality of core assessments in child-protection investigations called the Quality Assessment of the Triangle (QUAT). QUAT measures compliance with a set of quality standards for working with the Swedish adaptation of the British Integrated Children’s System (ICS), and should be viewed as an attempt to further the UK-led efforts to improve child-protection investigations by promoting research-based documentation systems. This article describes how QUAT was developed and later applied to a random sample of case files provided by the social services in Stockholm City, Sweden, to demonstrate its usability in practice. The contribution of QUAT is two-fold: first, it offers a way for managers to stimulate workplace learning by providing continuous feedback on the documentation and, second, it may help researchers to evaluate the effectiveness of interventions aiming to improve professional performance in terms of documenting child-protection investigations.

ABSTRACTPersons with mental health problems and substance abuse often have complex needs requiring many kinds of help concurrently. In Sweden, an attempt has been made to counterbalance the effects of fragmentation by means of legislation on collaboration, requiring on the individual level the use of Coordinated Individual Plans (Sw. Samordnad Individuell Plan, SIP). The aim of the study is to explore collaboration as it is indicated in SIP and other case documentation with focus on how SIP is motivated, and what kind and degree of collaboration is indicated by the documentation. 12 individual case files have been studied in six local authorities and the results have been analyzed in relation to a regional collaboration agreement and local collaboration agreements. The results show unclear motivation for SIP and that SIP is primarily used for documentation of short-term planning. Use of SIP and participation in SIP appears also to be uneven. The authors characterize SIP as an unsystematic form of interagency meeting, with documentation indicating a relatively low to moderate level of collaboration. The authors question whether SIP is an optimal form for collaboration and suggest that more distinct models such as case management or multidisciplinary teams could be more effective.Abbreviation SIP: Coordinated Individual Plan (Sw. Samordnad Individuell Plan)

The author discusses the disadvantages of traditional grammar teaching from a didactic and learning perspective. Traditional grammar teaching is typically based on a theoretical introduction by means of system-orientated grammars, followed by product-orientated training. Due to the disadvantages of traditional grammar teaching, the author suggests replacing system-orientated grammars with holistic grammars and product-orientated training with comprehension-orientated training. A holistic grammar integrates systemic and pragmatic linguistic description with a view to making grammar relevant and interesting to the learner, while comprehension-oriented training moves focus away from production and on to comprehension for the purpose of promoting learning.