Experiences of Stress – A Focus Group Interview Study Among Swedish Adolescents During the COVID-19 Pandemic

Adolescence can be a stressful period in life. The period contains challenges associated with the transition from childhood to adulthood (body changes, changes in interpersonal relationships, and identity changes). The aim was to investigate experiences of stress among adolescents in addition to stress related to the COVID-19 pandemic. Focus group interviews (n = 8) were conducted with girls (n = 22) and boys (n = 19) aged 13–15 in southern Sweden. The transcribed interviews were analyzed with qualitative content analysis. Analysis of the collected material resulted in two categories with four sub-categories each of which highlights adolescents’ experiences of stress. The results show that adolescents’ have a variety of experiences of stress, i.e., what they mean are the sources of stress and how stress is manifested. The adolescents experienced how stress was manifested both physically and emotionally. This affected both their sleep and performance. The adolescents reflected on both positive and negative manifestations of stress.

Compliance to a Gluten-Free Diet in Swedish Children with Type 1 Diabetes and Celiac Disease

Children with type 1 diabetes (T1D) are at increased risk of celiac disease (CD). The replacement of insulin in T1D, and the exclusion of gluten in CD, are lifelong, burdensome treatments. Compliance to a gluten-free diet (GFD) in children with CD is reported to be high, while compliance in children with both diseases has scarcely been studied. To examine compliance to a GFD in children with both T1D and CD, we analyzed tissue transglutaminase IgA-antibodies (tTGA). Moreover, associations between compliance and age, sex, glycemic control, ketoacidosis (DKA), body mass index (BMI), and time of CD diagnosis were investigated. Of the 743 children diagnosed with T1D in southern Sweden between 2005 and 2012, 9% were also diagnosed with CD. Of these, 68% showed good compliance to a GFD, 18% showed intermediate compliance, and 14% were classified as non-compliant. Higher age, poorer HbA1c, and more DKAs were significantly (p < 0.05) associated with poorer compliance. In conclusion, we found that compliance to a GFD in children with T1D and CD is likely be lower than in children with CD only. Our results indicate that children with both T1D and CD could need intensified dietary support and that older children and children with poor metabolic control are especially vulnerable subgroups.

Surveillance of COVID-19 vaccine effectiveness - a real-time case-control study in southern Sweden

The extensive register infrastructure available for COVID-19 surveillance in Scania county, Sweden, makes it possible to classify cases with respect to hospitalization and disease severity, stratify on time since last dose and demographic factors, account for prior infection, and extract data for population controls automatically. Estimated vaccine effectiveness 0-3 months after the last dose remained stable during the study period but waned markedly 6 months after the last dose in older persons.

A Condition of Uncertainty: A Qualitative Study Exploring Women´s Experiences of Preeclampsia

Background Preeclampsia is a severe condition that annually affects about 3-8% of pregnancies worldwide. Preeclampsia is thereby one of the most common pregnancy complications for both mother and child. Despite that, there is limited research exploring the women´s perspective of experiencing preeclampsia. Aim The aim of this study was to describe women´s experiences of preeclampsia to improve the support and care given during and after pregnancy. Methods A qualitative descriptive interview study was undertaken. Nine women, who were diagnosed with preeclampsia, were recruited from a maternity unit in southern Sweden. The descriptive phenomenological method according to Amadeo Giorgi was used to analyse the data. Results The essence of women’s experiences of PE were expressed as A condition of uncertainty, meaning that it was an unexpected and unknown situation. The five constituents forming the essence were incomprehensible diagnosis message, ambivalent feelings when the unexpected happens, confusing contradictory messages, appreciated support from the midwife, and need for continuous information. The nature of preeclampsia can sometimes deteriorate rapidly both for the mother and/or the child, often resulting in conversion from a planned vaginal spontaneous delivery to an emergency Caesarean section. The women narrated diffuse symptoms, and they experienced that they got contradictory information from different health care professionals regarding the severity of their disease. Detailed and continuous information is requested throughout the course of the disease, and the postpartum period. Conclusion Health care professionals must be aware that women and their partners need detailed, consistent and repeated information about severity and prognosis to diminish the condition of uncertainty, confusion and fearful experience. The clinical implication would be a standardized preeclampsia education for pregnant women early on in the pregnancy, to raise awareness of preeclamptic symptoms. Furthermore, there is a need for harmonized guidelines both at the antenatal care and the maternity ward and inpatient care at the hospital.

The Use of Twitter by Police Officers in Urban and Rural Contexts in Sweden

The aim of this article is to investigate the nature of information sharing via Twitter by police officers. We examine the content of Tweets in urban and rural contexts using a sample of 20 police-related Twitter accounts, comparing official and personal accounts active in Southern Sweden. Exploratory data analysis and in-depth content analysis of a sample of Tweets compose the underlying methodology. We find a distinct pattern of consistency in the content of the information shared via the official police accounts compared to the personal accounts, regardless of if they are from urban or rural areas. However, some urban–rural differences were observed between official and personal accounts regarding public engagement, operationalized as likes and Retweets. The study calls for a discussion of new models of police engagement using social media by a society that is increasingly shaped by the internet.

Autumn migration of Jack Snipe Lymnocryptes minimus in southern Sweden: results from ten years of crepuscular ringing

The autumn migration of Jack Snipe Lymnocryptes minimus was studied using mist-netting at night along a muddy shoreline at Lake Tåkern in southern central Sweden. During ten consecutive autumn seasons ranging from mid-September to mid-November a total of 107 birds were captured, particularly within the first two hours after dusk. The peak of migration occurred in the first ten days of October with the juvenile birds on average passing a few days earlier than the adult birds. We present information on movements and ringing recoveries and review the challenges of ageing the species. We propose that crepuscular mist-netting near wetlands offering important staging grounds may be a suitable method to monitor the migratory movements, and possibly the population dynamics, of this little-studied species.

Warming Climate Shortens Ice Durations and Alters Freeze and Breakup Patterns in Swedish Water Bodies

Increasing air temperatures reduce the duration of ice cover on lakes and rivers, altering their water quality, ecology, biodiversity, and physical, economical and recreational function. Using a unique in-situ record of freeze and breakup dates, including records dating back to the beginning of the 18th century, we analyze changes in ice duration (i.e., first freeze to last breakup), freeze and breakup patterns across Sweden. Results indicate a significant trend in shorter ice duration (62 %), later freeze (36 %) and earlier breakup (58 %) dates from 1913–2014. In the latter 3 decades, the mean observed ice durations have decreased by about 11 days in northern (above 60N) and 28 days in southern Sweden, whereas the average freeze date occurred about 10 days later and breakup date about 17 days earlier in southern Sweden. The rate of change is roughly twice as large in southern Sweden as in its northern part. Sweden has experienced an increase in occurrence of years with an extremely short ice cover duration (i.e., less than 50 days), which occurred about eight times more often in southern Sweden than previously observed. Our analysis indicates that even a 1 °C increase in air temperatures in southern (northern) Sweden results in a mean decrease of ice duration of 22.5 (7.6) days. Given that warming is expected to continue across Sweden during the 21st century, we expect increasingly significant impacts on ice cover duration and hence, ecology, water quality, transportation, and recreational activities in the region.