Although the incidence of breast cancer is almost the same for middle-aged African American and Caucasian women, the rate of patients' following breast cancer screening and following up recommendations differs. African American women are less likely to follow recommendations and have higher mortality rates when compared to Caucasian women. One factor thought to affect compliance with breast cancer screening and follow up is culturally sensitive communication. This purpose of this quantitative correlational study was to determine if the culturally sensitive communication of a medical center influenced compliance with breast cancer screening and follow up and if compliance has an effect on the stage of breast cancer when diagnosed for African American women between the ages of 50 and 74. The research questions were aligned with the theoretical pathways of the Patient-Centered Culturally Sensitive Healthcare Model. This quantitative cross-sectional study was based on secondary data of African American women aged 50-74 from electronic systems for each Southern California location of a national health maintenance organization between the years 2012-2016. The results of the regression analysis from averages of the scores from the Member Appraisal of Physician/Provider Services questionnaire, determined associations between the cultural sensitivity scores of the African American woman's medical center and their compliance with recommendations for breast cancer screening and follow up after screening. However, no association between the stage of cancer and medical center's cultural sensitivity was found. Results can be used to develop cultural sensitivity interventions at medical centers aimed to enhance African American women's compliance with breast cancer screening and follow-up recommendations.

The intent of this study was to follow up the students of Mound Fort Junior High School's ninth grade class of 1962-63 in order to secure information and facts about members of that class and to answer the following questions: (1) What has happened to the students educationally? (2) What has happened to the students vocationally? (3) How many students have served or are presently serving the armed forces? (4) What is the marital status of each student? (5) How did the high school graduate compare with the dropout in test scores, grade point average, attendance, awareness of counseling services, and use of counseling services? (6) How did the students react to the school's program? There were 214 students (108 boys and 106 girls) who constituted the sample of this follow-up study. Sources used for obtaining desired information concerning the sample included a questionnaire and school records. Questionnaires were mailed to 214 students and it was assumed that 185 students received one. Of this number, 135 students (72.9%) completed and returned their questionnaires. The results of this study showed that graduates scored higher in all areas than the dropouts--intelligence, achievement, grade point, and school attendance. The test scores for the average dropout indicated that they had the intelligence and the ability to achieve in school work. There was a greater awareness of counseling services among the graduates than was true of the dropouts. Suggestions and comments made by the students indicated they would like their teachers to take a personal interest in them, talk to them on their level, and treat them as an adult. Students want to be encouraged to stay in school and to have the importance of education stressed.

Arbetet har gjorts i samarbete med Vattenfall Vattenkraft AB under våren 2019. Vattenfall äger och driver anläggningar för produktion av el, däribland genom vattenkraft. Syftet har varit att få inblick i arbetsprocessen vid projektarbete på dammar. Detta har i huvudsak skett genom uppföljning av projekt utförda på dammarna Damm A och Damm B. Uppföljningen har gjorts genom intervjuer med personer ansvariga för projekten. De två dammarna har valts som objekt för denna undersökning eftersom skadorna varit likartade men lösts på olika sätt. Rapporten har som mål att bidra till Vattenfall Vattenkrafts arbete med att förbättra sin projektstyrning och erfarenhetsåterföring inom projekt för att i förlängningen skapa bättre förutsättningar för att effektivt genomföra dammsäkerhetsrelaterade projekt med hög kvalitét. Efter samtal och intervjuer i samband med uppföljning på de två anläggningarna kan det konstateras att arbetet med underhållsarbeten på aktuella anläggningar fungerat väl trots att projekten varit brådskande, men att det finns utrymme för förbättring av erfarenhetsåterföring. / This project has been carried out together with Vattenfall Vattenkraft during the spring of 2019. Vattenfall owns and runs plants for production of electricity, one of which is hydro power plants. The main purpose of this report has been to understand the working process for projects on dams. Two projects on the dams A and B have been followed up by conducting interviews with people involved with the projects. The two dams has been chosen for this follow up because their respective damage has been of a similar nature, but the methods used to solve them differ. The report aims to contribute to Vattenfall Vattenkraft ́s work towards improving its experience feedback and by extension achieve the highest possible quality on projects connected to dam safety. After interviews and conversations in conjunction with the site visits on the dams it can be stated that both projects worked well although the damages was urgent, however the report shows that the experience feedback could be improved.

Employee surveys are often used to support organizational development (OD), and particularly the follow-up process after surveys, including action planning, is important. Nevertheless, this process is oftentimes neglected in practice, and research on it is limited as well. In this article, we first define the employee survey follow-up process and differentiate it from other common feedback practices. Second, we develop a comprehensive conceptual framework that integrates the relevant variables of this process. Third, we describe the methods and results of a systematic review that synthesizes the literature on the follow-up process based on the conceptual framework with the purpose of discussing remaining research gaps. Overall, this paper contributes to a better understanding of the organizational and human factors that affect this process. This is useful for practitioners, as it provides guidance for the successful implementation of this human resource practice. For example, research suggests that it is important to enable managers as change agents and to provide them with sufficient resources.

I Sverige drabbas ca 6 800 kvinnor av bröstcancer varje år. Onkologiska kliniken på universitetssjukhuset MAS i Malmö tar årligen emot cirka 230 bröstcancer-patienter för strål- och/eller cytostatikabehandling. Efter det första uppföljande läkarbesöket känner sig patienten ofta ensam och övergiven och fortsätter att ha ett stort behov av information. En empirisk kontrollstudie med kvantitativ ansats gjordes med syfte att undersöka om ett riktat informationssamtal med rådgivande onkologisjuksköterska, kunde öka kvinnliga bröstcancerpatienters trygghet och välbefinnande. Studiegruppen erhöll ett informationssamtal med sjuksköterska och båda grupperna fick besvara en enkät. Resultatet visade att studiegruppen i större omfattning visste när och till vilken sjuksköterska de skulle ringa. De motionerade mer och mådde fysiskt och psykiskt bättre. Båda grupperna kände sig väl omhändertagna och nöjda med råden de fick. / In Sweden about 6800 females are affected by breast cancer each year. The oncology clinic at MAS hospital in Malmö accepts approximately 230 breast cancer patients for radiation treatments and / or chemotherapy. Proceeding the initial doctors appointment the patients frequently feel abandoned and isolated and continue to require a large amount of information. An empirical study with quantitative attempts was conducted to investigate if directed information with a consultation nurse, could increase the female breast cancer patient’s comfort and wellbeing. Two groups were formed out of which a trial group had an information session with an oncology consultation nurse, and both groups had to complete a questionnaire. The results proved that the trial group to a greater extent knew when to call, and which nurse to contact. They exercised more and felt better both physically and emotionally. Both groups felt well looked after and were satisfied with the advice provided.

Introduction: Gestational diabetes mellitus (GDM) is a risk factor for developing type 2diabetes mellitus (T2DM). However, compliance to postpartum follow-up remains low.The new outcome-based International Association of Diabetes and Pregnancy StudyGroups (IADPSG)-criteria have led to a worldwide increase of GDM prevalence. Thepotential impact of the new IADPSG-critera on the frequency of T2DM/prediabetesdiagnosis, during follow-up of prior GDM-women in Örebro County, has not yet beenstudied. Aim: To investigate whether there is a difference in prevalence of prediabetes/T2DM inGDM-women two years postpartum, based on older GDM-criteria vs. the new lower IADPSG2010/WHO 2013-criteria, and to describe compliance to follow-up in primary health care(PHC). Methods: A retrospective cohort study of 108 GDM-women in Örebro County. Data obtainedfrom medical records: cardiometabolic risk factors, compliance data, outcomes withnormoglycemia used as comparison at follow-up. Results: T2DM and prediabetes were non-statistically significant higher in the old criteriagroup[11 (28.9%) vs. 6 (18.2%), p=0.289] and [12 (30.8%) vs. 5 (15.6%), p=0.137],respectively. Compliance to both 1st and 2nd follow-up was seen in 81 (75%) women. 96(88.9%) to first and 88 (81.5%) to second follow-up. An increase in mean BMI was seen frombaseline to PHC (31 vs. 31.7, p=0.014) as well as an increase in alcohol consumption [4(6.6%) vs. 23 (37.7%), p<0.001]. Conclusions: GDM-diagnosis based on IADPSG-criteria did not show any statisticallysignificant difference in the prevalence of T2DM/prediabetes two years postpartum, whencompared to GDM-diagnosis based on old criteria. Moderate compliance to postpartumfollow-up was observed, with an increased number of dropouts. More research is needed inthis area, following implication of IADPSG-criteria.

Background: The role of the norepinephrine transporter (NET) has received increased focus in recent studies on the pathogenesis of attention-deficit/hyperactivity disorder (ADHD). The predictive value for pharmacological treatment and its link to other health or social limitations has been little-studied. This follow-up research on adult patients with ADHD aimed to explore whether the therapy response and health and social impairments depend on baseline individual NET availability. Methods: Data were collected from 10 patients on personal, family and professional situations, mental and physical health and treatments received after baseline via online and telephone surveys and were compared to baseline data to evaluate treatment-related changes. Results: The majority of our ADHD patients did not show therapy responses but showed improvements due to pharmacological treatment. There was no evidence of relationships between pre-treatment NET availability and therapy response or health/social limitations. Conclusions: Pharmacological monotherapy was insufficient to promote symptom remission, especially for participants with extreme insufficiency in NET availability, but improved outcomes in academic and social functioning. Psychotherapy should be considered as an add-on to the standard treatment approach due to its positive outcome in reducing social limitations. The prognostic value of individual NET availability in predicting the response to therapy needs further studies with large sample sizes

(1) Background: Although most clinicians involved in the treatment of cleft patients agree upon the major importance of interdisciplinary cooperation and many protocols and concepts have been discussed in the literature, there is little evidence of the relevance of continuous interdisciplinary care. We aimed to objectify the type and number of therapeutic decisions resulting from an annual multidisciplinary follow-up. (2) Methods: We retrospectively analyzed the data of all 1126 patients followed up in the weekly consultation hours for cleft patients at university clinics in Leipzig for the years 2005–2020. We assessed the clinical data of every patient and specifically evaluated the treatment decisions taken at different points in time by the participating experts of different specialties. (3) Results: In total, 3470 consultations were included in the evaluation, and in 70% of those, a therapeutic recommendation was given. Each specialty showed certain time frames with intense treatment demand, which partially overlapped. Nearly all therapy recommendations were statistically attached to a certain age (p < 0.001). (4) Conclusions: There is an exceptionally high need for the interdisciplinary assessment of patients with cleft formation. Some developmental phases are of particular importance with regard to regular follow-up and initiation of different treatment protocols. The therapy and checkup of cleft patients should be concentrated in specialized centers.

Introduction Developmental dysplasia of the hip has since 1953 in Sweden most commonly been treated with the von Rosen splint. Over time, different types of splints have been developed, one of which is the Orebro splint. In some countries it is advised to have long-term follow-ups with radiological exams of patients treated with a splint. In Orebro, there is currently no mandatory follow-up after treatment with the Orebro splint. Aim The aims were to investigate how many children, despite treatment with the Orebro splint, developed dysplasia in the adolescence period, to study the hip function in children treated with the Orebro splint and investigate if there were any differences in treatment outcomes between males and females. Methods All children born between 2000 and 2012, treated with the Orebro splint, were eligible for inclusion. The outcome measures for quality of life and hip function were EQ-5D-Y-VAS and CHOHES score. The outcome measures for the pelvic radiological exams were Acetabular Index and Center Edge angle. Results Data from 46 patients were collected, 7 males and 39 females. 5,3% of the patients showed residual dysplasia. Both males and females showed overall good results in the radiological images, the surveys, and the clinical exams. The results did not show significant differences between the genders. Conclusion Even though our participants reported an overall good quality of life, our results showed some cases of residual dysplasia. However, the small sample size makes it difficult to assess whether the Orebro splint is equal to other splints regarding treatment outcomes.

Överkäkshörntänderna erumperar normalt mellan 11 till 13 års ålder. Dessa kan dock bli retinerade och orsaka rotresorption på intilliggande incisiver. Konventionell röntgen upptäcker rotresorption i 12.5 procent av fallen, medan datortomografiundersökning (CT) upptäcker resorptioner i ungefär 50 procent av fallen. En huvudsaklig etiologisk faktor till resorptionerna är fysisk kontakt mellan den retinerade överkäkshörntanden och incisivens rot. Syftet med denna studie var att undersöka rotresorberade överkäksincisivers prognos efter förflyttning av intilliggande överkäkshörntänder. Studien inkluderade 22 patienter med totalt 31 rotresorberade överkäksincisiver. Alla patienter hade genomgått ortodontisk behandling för att förflytta de retinerade överkäkshörntänderna. Intraoral röntgen eller CT-undersökning genomfördes direkt efter avslutad behandling (T1). Uppföljning med CT genomfördes ett antal år efter avslutad behandling (T2). Alla röntgenologiska bilder från T2 jämfördes med bilderna från T1. Rotresorptionerna bedömdes avseende lokalisering och resorptionsgrad. Graden av resorption indelades i mild, måttlig och grav. Utvecklingen av resorptionerna mellan T1 och T2 bedömdes som antingen avstannad, progredierad eller minskad. Resultatet visar att 54.8 procent av resorptionerna var avstannade vid T2 jämfört med T1, 22.6 procent av resorptionerna hade progredierat, 6.5 procent av resorptionerna hade minskat och 16.1 procent av de rotresorberade incisiverna var extraherade vid T2. Alla extraherade incisiver var diagnostiserade med grav rotresorption. Sammanfattningsvis visar aktuella resultat att; (1) ungefär 50 procent av rotresorptionerna avstannade på lång sikt, (2) ungefär 20 procent av resorptionerna progredierade, (3) minskning var ovanlig och (4) incisiver med grava resorptioner direkt efter korrektion av de retinerade överkäkshörntänderna hade en dålig långtidsprognos i kombination med exempelvis trauma eller parodontit. / Maxillary canines normally erupt at the age of 11 to 13. These can however become impacted and cause root resorptions of adjacent incisors. Conventional radiography reveals root resorptions in 12.5 per cent of cases. Computed tomography (CT) reveals root resorptions in about 50 per cent of cases. A main etiological factor is physical contact between the impacted maxillary canine and the incisor root. The aim of the present study is to evaluate the prognosis of maxillary incisors with root resorptions after correction of adjacent maxillary canines. The present study includes 22 patients with a total of 31 root resorbed maxillary incisors. All patients had undergone orthodontic treatment in order to correct the impacted maxillary canines. Intraoral radiographs or CT investigations were taken immediately post treatment (T1). Follow-up examinations with CT were performed a number of years later (T2). All radiographs taken at T2 were compared with the radiographs taken at T1. The root resorptions were examined with respect to localization and degree of resorption. The degree of resorption was graded as slight, moderate and severe. The change of resorptions between T1 and T2 was evaluated as unchanged, increased or decreased. The results show that 54.8 per cent of the resorptions were unchanged at T2 compared to T1, 22.6 per cent of the resorptions increased, 6.5 per cent of the resorptions decreased and 16.1 per cent of the root resorbed incisors were extracted at T2. All extracted teeth were diagnosed having severe root resorption. In summery, the present results showed that; (1) about 50 per cent of the incisor root resorptions arrested in the long-term, (2) about 20 per cent of the resorptions increased, (3) decrease of the resorptions were rare and (4) the incisors with severe resorptions immediately after the correction of the impacted canines had a bad long-term prognosis if combined with eg. trauma or periodontitis.