In a social and political climate which encourages active participation in decision‐making by people who have severe profound intellectual disabilities, the onus is often on practitioners, carers advocates to represent wishes interests of individuals. The issue validity their interpretations then foregrounded. This paper discusses theoretical issues associated with development guidelines support process validation. It argued that meaning should be viewed as negotiated outcome interactions,...

Abstract Background: Coeliac disease (CD), or permanent gluten intolerance, is one of the most common chronic food‐related diseases among children in Europe and USA. The treatment lifelong gluten‐free diet (GFD) (i.e. exclusion wheat, rye barley from diet, which are important sources particularly iron, dietary fibre vitamin B). present study aimed to evaluate intakes energy nutrients adolescents on GFD compare these with intake comparable age groups a normal as well current recommendations....

For adolescents with celiac disease (CD), a gluten-free diet (GFD) is crucial for health, but compliance problematic and noncompliance common even among those aware of the risks. To better understand their lives disease, Swedish CD were invited to take part in focus group discussions. Data analyzed recurrent stigma-related themes across groups. Adolescents described an awareness being different from others that was produced by meal appearance poor availability food. The GFD often required...

Noncompliance with the gluten-free diet is often reported among adolescents coeliac disease. However, knowledge limited regarding their own perspectives and experiences of managing disease prescription a diet. The aim this study was to explore how perceive manage everyday lives in relation diet.In total, 47 disease, divided into 10 focus groups, were interviewed. In qualitative analysis, themes emerged illustrate explain adolescents' on life diet.The probability compliance comprised by...

To describe the experience of food, eating and meals following radiotherapy in patients with head neck cancer.Eating problems are common cancer may remain for a long period time after treatment.A qualitative study design using in-depth semi-structured interviews.Interviews were conducted nine months termination radiotherapy. A purposive sample thirteen participated study. The interviews tape-recorded, transcribed verbatim analysed content analysis.The up to was captured six categories: 'A...

The mammalian lymphatic system consists of strategically located lymph nodes (LNs) embedded into a vascular network. Mechanisms underlying development this highly organized are not fully understood. Using high-resolution imaging, we show that lymphoid tissue inducer (LTi) cells initially transmigrate from veins at LN sites using gaps in venous mural coverage. This process is independent vasculature, but vessels indispensable for the transport LTi egress blood capillaries elsewhere and serve...

Abstract Objective: To evaluate bone‐level alterations that occurred at implants of the Astra Tech® System were placed in load carrying, posterior parts dentition using either a submerged (two‐stage) or non‐submerged (one‐stage) installation protocol. Material and Methods: Eighty‐four patients required 115 fixed partial dentures (FPDs cases) entered prospective study. All subjects assigned one patient case numbers. For randomization cases, custom‐made program based on balanced random...

Sweden experienced a unique epidemic of celiac disease in children <2 years age. The was partly explained by changes infant feeding over time and indicated multifactorial pathogenesis. main aim this study to analyze risk postepidemic birth cohorts up preschool age, explore further the opportunity for primary prevention.A population-based incidence register covering entire nation from 1998 2003 part country back 1973 analyzed. European Society Pediatric Gastroenterology, Hepatology, Nutrition...

Busy and unstructured school environments can present challenges for pupils diagnosed with autism spectrum disorder (ASD) attention deficit hyperactivity (ADHD). Although restaurants may be demanding, limited research has focused on these pupils. This study explores how ASD or ADHD navigate the physical, social, pedagogical of meals. Based ethnographic fieldwork in four Swedish schools, involving observations, conversations, interviews five 12-year-old boys their mothers, findings show...

Celiac disease (CD) is a major public health problem with estimated 1-3% prevalence in the general population. In recent years an increase CD has been reported both Sweden and worldwide. This study aimed at examining annual incidence rate of biopsy-proven celiac among children over 36-year period, to assess variations by age, sex birth cohort, clinical impact these changes. The National Swedish Childhood Register was used identify 9107 aged 0–14.9 who were diagnosed during period 1973 2009....

School lunch is in general regulated through policies and agendas constituted by the perspectives of adults. In this article, we focus on children's lived experiences school with a special emphasis emotions how they relate to social physical dimensions. This study draws empathy-based stories written 10–11 year olds (n = 171) from schools Sweden. We identified three themes: Interaction exposure, Routines restrictions Food eating. The attached them are closely associated intertwined...

In 50 partially edentulous patients, 133 (48 maxillary; 85 mandibular) Astra Tech dental implants of 2 different surface textures (machined; TiO‐blasted) were alternately installed, supporting 52 fixed partial dentures (FPDs). Before abutment connection machined (1 mandibular; 1 maxillary) found to be non‐osseointegrated and replaced. Another implant could not restored due a technical complication. Two FPDs remade because complications, both fractures. Thus, after years in function, the...

Coeliac disease (CD) incidence has increased in recent decades, characterised by variations according to sex, age at diagnosis, year of birth, month birth and region birth. Genetic susceptibility exposure gluten are the necessary factors CD aetiology, although several environmental considered.A nationwide prospective cohort longitudinal study was conducted consisting 1 912 204 children aged 0-14.9 years born Sweden from 1991 2009. A total 6569 were diagnosed with biopsy-verified 47...

Celiac disease (CD) is increasing worldwide, which might be due to the changing environmental and lifestyle exposures. We aimed explore how conditions related maternity, delivery neonatal period influence CD onset during childhood. Using Sweden's national registers we had access information on 1 912 204 children born between 1991 2009, 6 596 of whom developed before 15 years age. Logistic regression analyses were performed determine associated with period. Regardless sex, a reduction in risk...

AbstractA mutually rewarding communicative interaction with a child whose development is atypical presents unique challenges that have to be met through the implementation of strategies by both partners in dyad. The aim this study was provide description, interpretation, and model for particular dyad comprised severe multiple disabilities who functioned at presymbolic level his caregiver. A qualitative, inductive approach focused on process analysis used examine videotaped between 6-year-old...

Abstract Aim: To determine if there is any regional celiac disease (CD) risk variation in the Swedish childhood population. Methods: Prospective nationwide incidence register of CD children 0–15 years age, with present analysis covering period from 1998 to 2003. ESPGHAN diagnostic criteria for were used. Regions classified according Nomenclature Territorial Units Statistics. The rate each region, gender, age group and year diagnosis was calculated. Results: A demonstrated. populations ‘West...

Objective To develop and validate a photographic method aimed at making assessment of dietary intake in school canteens non-obstrusive, practical feasible. Methods The study was conducted two elementary schools representing different canteen systems; main dish being served by staff (Iceland), complete self-serving (Sweden). Food items serving leftovers were weighed photographed. Trained researchers estimated weights food viewing the photographs comparing them with pictures half full...

Background: School meals, if both nutritious and attractive, provide a unique opportunity to improve health equality public health.Objective: To describe the study rationale, data collection, background of participants in 'Prospects for promoting performance by school meals Nordic countries' (ProMeal). The general aim was determine whether overall healthiness diet learning conditions children can be improved lunches, capture main concerns regarding lunches among context.Design: A...

Traditionally, communication intervention outcomes have been described in terms of changes such factors as the rate language acquisition and extended symbol vocabulary. In recent years, outcome expectancies questioned for individuals who do not use symbols to communicate. To date, there are no standard criteria establishment effective goals methods these individuals, nor is it known if being attained. This lack information result difficulties associated with defining both target population...

A dietary survey was performed during a large screening study in Sweden among 13-year-old adolescents. The aim to how the intake of food groups affected by screening-detected diagnosis coeliac disease (CD) and its gluten-free (GF) treatment. Food reported using FFQ, adolescents who were diagnosed with CD compared two same-aged referent groups: (i) prior screening; (ii) without CD. measured at baseline before cases aware their CD, 12-18 months later. results showed that intakes...

In this study, the use of communicative functions nine pre-school children with severe multiple disabilities who interacted staff in two different play setting conditions was investigated. The main purpose to determine extent which rate related (a) individual-specific characteristics, and (b) environmental characteristics. Data were analyzed according a three-tiered method analysis, group results combined patterns that unique individuals. indicated relationships between characteristics...

Purpose The purpose of this paper is twofold: first, to explore what extent teachers eat together with pupils during school lunches and their attitudes toward using these reach the educational goals stated in Swedish compulsory curriculum; second, study degree see themselves meal personnel as role models lunches. Design/methodology/approach A questionnaire was completed by 3,629 schools. Findings In total, 90 percent ate lunch one or more days per week. majority reported that meals were...

The present study investigated schooling effects on cognition. Cognitive data were collected as part of a research project (ProMeal) that school meals and measured the intake lunch in relation to children's health, cognitive function, classroom learning four Nordic countries, among children between 10-11 years age. It was found Finnish pupils attending 4th grade not, any measure, outperformed by Norwegian Icelandic 5th Swedish task measuring working memory capacity, processing speed,...

Cardiovascular disease and type 2 diabetes are two of the most common public health diseases, up to 80 % cases may be prevented by lifestyle modification. The physiological effects lifestyle-focused treatment relatively well studied, but how patients actually experience such treatments is still rather unclear.The aim this study was explore group in primary secondary prevention cardiovascular diabetes.Qualitative interviews were conducted with 19 attending based on social cognitive theory at...