Østfold University College

About: Østfold University College is a education organization based out in Halden, Norway. It is known for research contribution in the topics: Context (language use) & Health care. The organization has 438 authors who have published 1213 publications receiving 12510 citations. The organization is also known as: HiØ.

Fatigue as an Extra-Intestinal Manifestation of Celiac Disease: A Systematic Review

Abstract: Celiac disease may present with a range of different symptoms, including abdominal problems in a broader sense, iron deficiency and “constant tiredness”. All of these symptoms should consequently lead the clinicians to consider celiac disease as a potential etiopathogenetic cause. Although the pathophysiology of celiac disease is well documented, the actual mechanisms for disease presentation(s) are less well understood. We here address the topic of fatigue in celiac disease. A systematic literature search identified 298 papers of which five met the criteria for full evaluation. None of the reviewed papers were of high quality and had several methodological weaknesses. We conclude that there is an unmet need to study the contributing factors and management of fatigue in celiac disease.

Recovered Energy from Salinity Gradients Utilizing Various Poly(Acrylic Acid)-Based Hydrogels.

Abstract: Hydrogels can be utilized to extract energy from salinity gradients when river water mixes with seawater. Saline-sensitive hydrogels exhibit a reversible swelling/shrinking process when they are, alternately, exposed to fresh and saline water. We present a comparison of several poly(acrylic acid)-based hydrogels, including poly(acrylic acid) (PAA), poly(acrylic acid-co-vinylsulfonic acid) (PAA/PVSA), and poly(4-styrenessulfonic acid-co-maleic acid) interpenetrated in a poly(acrylic acid) network (PAA/PSSA-MA). The hydrogels were synthesized by free radical polymerization, copolymerization, and by semi-IPN (interpenetrating polymer network). The hydrogels were placed in a piston-like system to measure the recovered energy. Semi-IPN hydrogels exhibit a much higher recovered energy compared to the copolymer and PAA hydrogel. The recovered energy of 60 g swollen gel was up to 4 J for the PAA/PSSA-MA hydrogel. The obtained energy per gram dried gel was up to 13.3 J/g. The swelling volume of the hydrogels was maintained for 30 cycles without decline in recovered energy.

Pain may be an important factor to consider in inflammatory bowel disease patients troubled by fatigue

Abstract: BackgroundPain has been associated with fatigue in many chronic diseases, but data are not available for inflammatory bowel disease (IBD). The aim of this study was to investigate whether fatigue is associated with pain in IBD after adjusting for the relevant covariates.MethodsParticipants were recruited from nine hospitals in the south-eastern and western part of Norway. Socio-demographic variables were self-reported by patients. Disease activity was assessed by disease activity indices and faecal calprotectin. Patient-reported outcomes (PROs) were collected using the Fatigue Questionnaire (FQ), Brief Pain Inventory (BPI), Hospital Anxiety and Depression Scale (HADS) and Basic Nordic Sleep Questionnaire.ResultsFrom a total of 452 invited patients, 414 (91.6%) provided written informed consent. After excluding any missing data, 408 total patients were included in the analyses (ulcerative colitis = 180 and Crohn’s disease = 228). In the crude analysis, substantial and chronic fatigue were associated with i...

Navigating in the Landscape of Care: A Critical Reflection on Theory and Practise of Care and Ethics

Abstract: The theory and practise of care is defined and enacted differently in different national as well as cultural contexts, illuminating how differently constructed the personal and societal structures in Europe are. A common trait is however that care work paid or non-paid, private or public is identified with women. To navigate in the landscape of care and ethics requires taking into account the constitutive relation between one’s identity, embodiment and position. The author suggests conceiving care as an existential condition of life demanded from all human beings. This will free care from the identification with women and pave a way towards a more gender equal and just society with less gender segregation in the labour market and at the arena of education.

Dependence and resistance in community mental health care-Negotiations of user participation between staff and users.

Abstract: Accessible SummaryWhat is known on the subject? Implementation of user participation is described as a change from a paternalistic healthcare system to ideals of democratization where users’ voices are heard in relational interplays with health professionals. The ideological shift involves a transition from welfare dependency and professional control towards more active service-user roles with associated rights and responsibilities. A collaborative relationship between users and professionals in mental health services is seen as important by both parties. Nevertheless, the health professionals find it challenging in practice to reorient their roles and to find productive ways to cooperate. What this paper adds to existing knowledge? This study illuminates how user participation is negotiated and involves multiple and shifting subject positions in the collaboration between users and professionals in community mental health care. By taking different positions, the relationship between users and professionals develops through dynamic interaction. This study challenges understandings of equality and implicit “truths” in user participation by illuminating subtle forms of power and dilemmas that arise in user–professional negotiations. What are the implications for practice? Instead of denying the appearance of power, it is important to question the execution of power in the interplay between users and professionals. Focusing on the negotiation processes between users and professionals is important for increasing reflection on and improving understanding of the dynamic in collaboration and speech. By focusing on negotiations, power can be used in productive ways in user–professional relationships. AbstractIntroduction Implementation of user participation is considered important in today's mental health care. Research shows, however, that user participation lacks clarity and provokes uncertainty regarding shifting roles. Aim To investigate negotiation of user participation in a microstudy of interplay between users and health professionals in community mental health care. Method This qualitative study is based on semi-structured in-depth interviews, involving ten service users and ten professionals in community mental health care in Norway. The analysis is inspired by Willig's model for Foucauldian discourse analysis. Results The study illuminates the dynamic nature of user participation that arises through negotiation between users’ and professionals’ positions as change enablers, dependents, resisters, persuaders and knowledge holders. Discussion Discourses of user participation allow for different subject positions in mental health care. User participation also involves government and questions of power, as well as ambitions of change and control. Professionals act in different ways to make and keep users active, participating, enterprising and self-governing, and users respond and take part within the same discursive framework. Implications for practice Awareness of subjects’ positions in discourses is important to increase reflection on the dynamic interplay in user–professional collaboration.