2715 research outputs found

    Dietary intake and nutritional status in patients with newly diagnosed inflammatory bowel disease: insights from the IBSEN III study

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    Background: Dietary recommendations in inflammatory bowel disease (IBD) are inconclusive, and patients may follow restrictive diets with increased risk of malnutrition. The aim of this study was to compare dietary intakes and nutritional status in men and women with newly diagnosed IBD with a general population sample, and to investigate whether intakes were in line with the Nordic Nutrition Recommendations. Methods: This was a cross-sectional study including adults≥ 40 years with IBD from the Inflammatory Bowel Disease in South-Eastern Norway (IBSEN) III cohort study. A validated food frequency questionnaire (FFQ) was used in dietary data collection, and a sample from the seventh survey of the Tromsø Study was included as a comparison group. Results: A total of 227 men and women with IBD were included. IBD patients had higher intake of grain products, sweetened beverages, energy, fat and polyunsaturated fat (PUFA), but lower intake of dairy products, alcohol and iodine compared to adults from the comparison sample (p < 0.01). Intakes of saturated fat and carbohydrates in both genders, and vitamin D in women were not within recommended levels. Anemia and hypoalbuminemia were more prevalent in IBD patients than in the comparison sample. Conclusions: Dietary intakes in newly diagnosed IBD patients were mostly in line with Nordic Nutrition Recommendations. Higher proportion of IBD patients exceeded recommended allowances of fat and added sugar than the comparison sample. Insufficient micronutrient intake, anemia and hypoalbuminemia are present challenges in IBD patients that require monitoring.publishedVersio

    Enhancing blockchain interoperability and intraoperability capabilities in collaborative enterprise-a standardized architecture perspective

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    Collaborative Enterprise (CE) comprises of organizations that adopt digital platforms to achieve shared goals. In CE the prospect of Distributed Ledger Technologies (DLT) such as blockchain is reliant on its capability to integrate with other systems to improve orga-nizational operations. But the inability for different blockchains to communicate with one another is an inherent issue as it puts a strain on the mainstream deployment of blockchains in CE. Therefore, this study presents a standardized architecture to sup-port DLT interoperability and intraoperability within CE. A structural review was conducted after which design science research metho-dology was adopted to validate the architecture.publishedVersio

    Profiling teacher educators’ strategies for professional digital competence development

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    The present study investigates the variety among teacher educators (TEds) related to the use of digital resources in teaching as well as the strategies they use to develop digital competence. A person-centred approach was applied to identify meaningful patterns among TEds having different levels of self-reported digital expertise, at five teacher education institutions. Survey data from TEds (N = 389) was subjected to structural equation modelling. With latent class analysis, we identified three distinct profiles based on probability of engagement in different digital competence development (DCD) activities: 1) The restrictive user—characterised by sporadic and narrow use of DCD strategies, prefers peer-restricted collaboration, 2) The moderate user—regular user of DCD strategies, prefers peer-restricted collaboration, and 3) The extensive user—frequent and comprehensive user DCD strategies, engages in broad collaboration. The extensive users also use digital resources more frequently in their teaching compared to the moderate and especially the restricted users. This is the case for individual interactions with students, to make teaching more relevant and applicable, as well as to make teaching more student active. Based on the knowledge on TEds profiles emerging from this study, we propose recommendations for better tailoring of DCD initiatives.publishedVersio

    Older people enacting resilience in stories about living alone and receiving home care

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    Although older people who live alone might be in a vulnerable situation, they have often managed their everyday life for a long time, frequently with health challenges. In this article, we explore how nine older persons who live alone, who receive home care and are identified by home care professionals as being frail, manage their everyday lives by inquiring into their stories about living alone and receiving home care. We conducted three qualitative interviews with each of the nine participants over a period of eight months and analysed the data using thematic analysis and a narrative positioning analysis. Using the concept of resilience as our analytic lens, we identified three thematic threads: continuity, adaptation and resistance. In the narrative positioning analysis of three participants’ stories, we identified that the participants used the processes of continuity, adaptation and resistance strategically and interchangeably. The study thus provides insight into how older people who live alone and use home care services narrate their balancing of strengths and vulnerabilities, and engage in the construction and maintenance of a sense of self through positioning in relation to master narratives. Older people’s narrations are nuanced and complex, and this study indicates that encouraging storytelling and engaging with older people’s narrations might support how older people enact resilience and thus their management of everyday life when living alone and ageing in place.publishedVersio

    Mental Health Dynamics between Mothers and Siblings of Children with Disabilities

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    When a child has a disability, their families face significant challenges that also impact parents' and siblings' mental health and adjustment. We examined the potential bidirectional relationships between parental mental health and sibling mental health and adjustment in families of children with a disability. Methods. We utilized baseline and 12month follow-up data from a randomized controlled trial of a brief intervention designed to enhance parent-sibling communication in families of children with a disability. The sample comprised 214 siblings aged 8-16 years and their parents (N = 203 mothers, N = 124 fathers).We estimated bivariate latent change score models to examine the longitudinal cross-domain associations between changes in parental mental health and changes in sibling mental health, and changes in parental mental health and sibling adjustment. Results. The results showed that changes in maternal mental health and sibling adjustment over the 12-month period were correlated (r = .22). The cross-domain associations between changes in maternal mental health and sibling mental health and adjustment were not statistically significant in any of the two models. However, baseline sibling mental health had nearly doubled impact on changes in maternal mental health (Β = 0.232, p = 0.061) compared to maternal health's impact on sibling mental health (Β = -0.134, p = 0.289). Models with paternal mental health data unfortunately did not run due to low paternal response rate at 12-months. Discussion. The findings suggest that whereas maternal mental health and sibling adjustment changes are correlated over time, the relationship between maternal and sibling measures does not necessarily operate bidirectionally. Future studies on family mental health dynamics should include data from fathers that may contribute to a broader understanding of these complex relationships.publishedVersio

    Spaces of Agency: exploring text bodyworld hybrids

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    How might ‘agency’ be practiced in the meeting of performer and text? What are the ethical concerns of how these two materials might merge? The analysis draws on the author’s research at the Norwegian Theatre Academy with students of diverse backgrounds. It traces notions of agency from the institutional context to the specifics of studio exercises: acknowledging these as interconnecting systems which affect each other. It proposes a trans-aesthetic approach which foregrounds agency as primary mode of learning. The work contributes to the field by developing an analytical strategy of overlay and simultaneity: exploring how different methods may co-exist. It considers text and body as heterogeneous hybrids: bodies as texts and texts as bodies, drawing on Camilleri’s research on hybridity and the bodyworld, Barad’s intra-action, Crenshaw’s intersectionality, Meizel’s multivocality, Cahill’s hesitation and Russel’s glitch feminism, among others. It grounds the practical exploration in existing approaches such as Stanislavksi and Viewpoints, discussing how these methods expand to meet 2024; and aiming to speak to students and teachers whose work spans a range of methodological backgrounds. In relation to text and body as merged hybrids, this article explores examples such as: exploding the text, code shifting, aesthetic hybridity, glitching - all as examples of heterogeneous sonic world-making.publishedVersio

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