Northern Sweden Research Articles

Assessing the youth-friendliness of youth clinics in northern Sweden: a survey analyzing the perspective of the youth

BackgroundSweden has nearly 300 youth clinics that have been offering services since the 1970s. However, no evaluation has been done to assess their youth-friendliness. This study aims to assess: i) to what extent youth clinics are perceived as youth-friendly by the young people using them; and ii) if the level of youth friendliness is equally perceived across different sociodemographic groups of users.MethodsThe four northernmost counties of Sweden were included in the study. Of the total identified 22 youth clinics, 20 participated by giving out questionnaires to the youth after their visits to the respective youth clinics. In total 1110 youth participated in the study and answered questions according to the World Health Organization’s criteria of accessibility, equity, respect, privacy and confidentiality, no judgement, and quality. Means and frequencies were calculated, and t-test and ANOVA were used to compare means by sociodemographic variables.ResultsParticipants perceived the youth clinics as very youth friendly across the measured domains, with scores as high as 4.8 and 4.9 (of a maximum of 5). Youth clinics were perceived in a similar way regardless of gender, but other sociodemographic factors influenced some of the domains, especially ethnic background.ConclusionsThe perception of youth friendliness in youth clinics was very high. Nonetheless, younger users; users who did not categorize themselves as either heterosexual, homosexual, or bisexual; users with trans-experiences; and users with non-Swedish backgrounds gave youth clinics lower scores for certain domains.

Evolution of structures and hydrothermal alteration in a Palaeoproterozoic supracrustal belt: Constraining paired deformation–fluid flow events in an Fe and Cu–Au prospective terrain in northern Sweden

Abstract. An approximately 90 km long Palaeoproterozoic supracrustal belt in the northwestern Norrbotten ore province (northernmost Sweden) was investigated to characterize its structural components, assess hydrothermal alteration–structural geology correlations, and constrain a paired deformation–fluid flow evolution for the belt. New geological mapping of five key areas (Eustiljåkk, Ekströmsberg, Tjårrojåkka, Kaitum West, and Fjällåsen–Allavaara) indicates two major compressional events (D1 and D2) have affected the belt, with each associated with hydrothermal alteration types typical for iron oxide–apatite and iron oxide Cu–Au systems in the region. Early D1 generated a regionally distributed, penetrative S1 foliation and oblique reverse shear zones that show a southwest-block-up sense of shear that formed in response to NE–SW crustal shortening. Peak regional metamorphism at epidote–amphibolite facies broadly overlaps with this D1 event. Based on overprinting relationships, D1 is associated with regional scapolite ± albite, magnetite + amphibole, and late calcite alteration of mafic rock types. These hydrothermal mineral associations linked to D1 structures may form part of a regionally pervasive evolving fluid flow event but are separated in this study by crosscutting relationships. During D2 deformation, folding of S0–S1 structures generated F2 folds with steeply plunging fold axes in low-strain areas. NNW-trending D1 shear zones experienced reverse dip-slip reactivation and strike-slip-dominated movements along steep, E–W-trending D2 shear zones, producing brittle-plastic structures. Hydrothermal alteration linked to D2 structures is a predominantly potassic–ferroan association comprising K-feldspar ± epidote ± quartz ± biotite ± magnetite ± sericite ± sulfides. Locally, syn- or post-tectonic calcite is the main alteration mineral in D2 shear zones that intersect mafic rocks. Our results highlight the importance of combining structural geology with the study of hydrothermal alterations at regional to belt scales to understand the temporal–spatial relationship between mineralized systems. Based on the mapping results and microstructural investigations as well as a review of earlier tectonic models presented for adjacent areas, we suggest a new structural model for this part of the northern Fennoscandian Shield. The new model emphasizes the importance of reactivation of early structures, and the model harmonizes with tectonic models presented by earlier workers based mainly on petrology of the northern Norrbotten area.

A disaggregate bundle method for train timetabling problems

The train timetabling problem (TTP) consists of finding a feasible timetable for a number of trains which minimises some objective function, e.g., sum of running times or deviations from ideal departure times. One solution approach is to solve the dual problem of the TTP using so-called bundle methods. This paper presents a new bundle method that uses disaggregate data, as opposed to the standard bundle method which in a certain sense relies on aggregate data. We compare the disaggregate and aggregate methods on realistic train timetabling scenarios from the Iron Ore line in Northern Sweden. Numerical results indicate that the proposed disaggregate method reaches better solutions faster than the standard aggregate approach.

The cost of closed terminals in the supply chain for a potential biorefinery in northern Sweden

ABSTRACT Establishment of biorefineries for processing forest biomass in the Nordic region is extremely costly due to the high investment, running, and procurement costs. Procurement costs could be reduced by allowing all actors to open access to all available terminals in an area (regardless of ownership) and allowing trucks with higher gross weight. These impacts of changes were evaluated for deliveries of logging residue and energy wood chips to a potential biorefinery, from two suppliers in northern Sweden. Open access to all terminals reduced the terminal-procurement costs by 2–6% and the terminal-to-biorefinery transportation costs by 7–9%. When 74 tonnes trucks were used instead of 60 tonnes, the terminal-to-biorefinery transportation costs were reduced by 4 and 3%, in the current situation and with open access to terminals, respectively. However, the largest effect of open access was that the fraction of short-distance transportation to terminals and train transportation from terminals increased significantly. This indicated that open access to terminals and relatively heavy trucks between terminals and the biorefinery are preferable from both environmental and economic perspectives. Furthermore, the estimated cost saving was adequate and should allow the deliverers to pay a reasonable fee for the use of terminal space.

Staying or leaving? The effects of university availability on educational choices and rural depopulation

AbstractUniversities are often viewed as engines of local economic growth that could mitigate rural depopulation. However, university studies might make individuals more prone to move. We explore this issue in a quasi‐experiment arising due to a sudden reduction in the number of student places at a regional university in northern Sweden in 1998. We find that the reduction in student places affected both educational choices and long‐term migration. Women studied at a university further from home and became more mobile, while men neither studied nor moved. Also, to study at a distant university had a larger impact on migration than studies nearby. This heterogeneity contributes to the understanding of how education affects migration from rural areas.

Spatial diffusion of fertility decline in northern Sweden, 1850-1950

Cet article étudie les relations entre les pratiques de fécondité de couples mariés résidant dans un voisinage immédiat, dans le nord de la Suède de 1850 à 1950. Pour cela, il s’appuie sur deux échelles géographiques complémentaires en comparant la fécondité entre des zones géographiques voisines et entre couples voisins à l’intérieur d’une même zone. L’article montre que les couples qui habitent dans des zones géographiques voisines ont une fécondité comparable au début de la transition démographique comme au cours de celle-ci, par contre ce n’est pas le cas avant ou après la transition. L’évolution de la fécondité à long terme est similaire dans des zones géographiques voisines mais c’est l’inverse pour les variations de court terme. Ces résultats suggèrent que la fécondité est affectée par des mécanismes d’interaction sociale à l’intérieur de réseaux de voisinage avec un effet plus important durant la transition démographique.

Persistent organic pollutants in wood fiber\u2013contaminated sediments from the Baltic Sea

PurposeMany coastal areas in the Baltic Sea are contaminated with wood fiber and pollutants from pulp and paper industries. These anthropogenic, organic-rich, sediments (fiberbanks) have not been characterized and knowledge about their role as secondary sources for dispersal of persistent organic pollutants (POPs) is limited. Hence, the aim of this study was to elucidate the fate of POPs and the relationships between sorption (KD and KTOC), sediment type, and compound hydrophobicity (KOW) in fiber-contaminated sediments.Materials and methodsPaired sediment and pore water samples (n = 24 sites) from three fiber-contaminated areas, located in the Ångermanälven river estuary in northern Sweden, were analyzed for POPs (viz. PCBs, DDT, and HCB) in sediment types representing different fiber content (i.e., fiberbanks, fiber-rich sediments, and natural less fiber impacted sediments). The freely dissolved concentration in sediment pore water was determined by sediment-polyoxymethylene (POM) partitioning. Instrumental analysis was performed using gas chromatography coupled to a triple quadrupole mass spectrometer (GC-MS/MS).Results and discussionHigher levels of total organic carbon (TOC) were found in the fiberbank sediment (range 8.6–37%) than in fiber-rich sediment (range 2.0–6.5%) and more natural sediment (range 2.0–2.9%). The sediment concentrations of POPs (dry weight basis) were also found to be significantly (p < 0.05) elevated in fiberbanks compared to the other sediment types. The fraction of DDD (48–66% of Σ6DDX) was larger in fiberbanks than in the other sediment types, likely due to anoxic conditions favoring reductive dechlorination of DDT. When sediment levels were normalized to TOC, HCB displayed similar levels across sediment type, suggesting a more diffuse source pattern than for PCB and DDT. Although significantly higher sorption (KD) of POPs was observed in fiberbanks, pore water levels were still elevated due to high bulk concentrations.ConclusionsThis study shows that fiberbanks are coastal hot spots for POPs in the Baltic Sea and that the levels are of ecotoxicological concern. Although the POPs are more strongly sorbed (KD) to this type of organic rich sediment, the high pore water concentrations in fiberbanks compared to the other sediment types investigated show that the risk of contaminant dispersal via pore water is elevated for fiberbanks.

A Reappraisal of the Lurøy, Norway, Earthquake of 31 August 1819

Abstract Archives and libraries were visited to find previously unknown documents testifying to the Lurøy, Norway, earthquake of 31 August 1819 in northernmost continental Europe. The focus here is on Sweden, Finland, and Russia, which are important for determining the area of perceptibility east of Norway. The new written sources include 12 notes or entries in original archived documents, six contemporary newspaper reports, and two recollections written down years later. The original documentation uncovered is contributory to establishing the authenticity of the observations in Finland and Sweden. The dates of the original documentation allow tracing of the dissemination of eyewitness accounts in writing from the inner area of perceptibility southward to the larger documentation and population centers. New sources of information include weather reports of the Royal Swedish Academy of Sciences, minutes of its meetings, and correspondence sent to the Senate in Finland. The minutes of meetings of the Academy indicate that ample data were collected in the Swedish province of Västerbotten. We found no original Russian documentation but uncovered national newspapers that are more reliable than the previously used Parisian newspaper. To increase transparency, we provide the first list of macroseismic data points (MDPs) including the respective documentation that testify to the Lurøy earthquake. A macroseismic intensity was assigned to a locality, using the European Macroseismic Scale of 1998, when adequate information was available. Accounting for the uncertainty of intensity assessment, the magnitude was estimated as moment magnitude M=5.9±0.2, reconfirming the ranking as the largest onshore or nearshore earthquake in the historical seismicity record of Fennoscandia. In addition to the reappraisal of the 31 August 1819 earthquake, a macroseismic map is provided for the earthquake of 17 February 1819, which was felt in northern Finland and Sweden. Some of its MDPs were previously associated with the Lurøy earthquake.

Lagged rejuvenation of groundwater indicates internal flow structures and hydrological connectivity

AbstractLarge proportions of rainwater and snowmelt infiltrate into the subsurface before contributing to stream flow and stream water quality. Subsurface flow dynamics steer the transport and transformation of contaminants, carbon, weathering products and other biogeochemistry. The distribution of groundwater ages with depth is a key feature of these flow dynamics. Predicting these ages are a strong test of hypotheses about subsurface structures and time‐varying processes. Chlorofluorocarbon (CFC)‐based groundwater ages revealed an unexpected groundwater age stratification in a 0.47 km2 forested catchment called Svartberget in northern Sweden. An overall groundwater age stratification, representative for the Svartberget site, was derived by measuring CFCs from nine different wells with depths of 2–18 m close to the stream network. Immediately below the water table, CFC‐based groundwater ages of already 30 years that increased with depth were found. Using complementary groundwater flow models, we could reproduce the observed groundwater age stratification and show that the 30 year lag in rejuvenation comes from return flow of groundwater at a subsurface discharge zone that evolves along the interface between two soil types. By comparing the observed groundwater age stratification with a simple analytical approximation, we show that the observed lag in rejuvenation can be a powerful indicator of the extent and structure of the subsurface discharge zone, while the vertical gradient of the age‐depth‐relationship can still be used as a proxy of the overall aquifer recharge even when sampled in the discharge zone. The single age stratification profile measured in the discharge zone, close to the aquifer outlet, can reveal the main structure of the groundwater flow pattern from recharge to discharge. This groundwater flow pattern provides information on the participation of groundwater in the hydrological cycle and indicates the lower boundary of hydrological connectivity.

Fluid and metal sources in the F\xe4boliden hypozonal orogenic gold deposit, Sweden

To model the formation of orogenic gold deposits, in a global perspective, it is important to understand the ore-forming conditions not only for deposits hosted in greenschist facies rocks but also in amphibolite facies. The Paleoproterozoic Fäboliden deposit in northern Sweden belongs to the globally rare hypozonal group of orogenic gold deposits and, as such, constitutes a key addition to the understanding of amphibolite facies orogenic gold deposits. The Fäboliden deposit is characterized by auriferous arsenopyrite-rich quartz veins, hosted by amphibolite facies supracrustal rocks and controlled by a roughly N-striking shear zone. Gold is closely associated with arsenopyrite-löllingite and stibnite, and commonly found in fractures and as inclusions in the arsenopyrite-löllingite grains. The timing of mineralization is estimated from geothermometric data and field relations at c. 1.8 Ga. In order to constrain the origin of gold-bearing fluids in the Fäboliden deposit, oxygen, hydrogen, and sulfur isotope studies were undertaken. δ18O from quartz in veins shows a narrow range of + 10.6 to + 13.1‰. δD from biotite ranges between − 120 and − 67‰, with most data between − 95 and − 67‰. δ34S in arsenopyrite and pyrrhotite ranges from − 0.9 and + 3.6‰ and from − 1.5 and + 1.9‰, respectively. These stable isotope data, interpreted in the context of the regional and local geology and the estimated timing of mineralization, suggest that the sulfur- and gold-bearing fluid was generated from deep-crustal sedimentary rocks during decompressional uplift, late in the orogenic evolution of the area. At the site of gold ore formation, an 18O-enriched magmatic fluid possibly interacted with the auriferous fluid, causing precipitation of Au and the formation of the Fäboliden hypozonal orogenic gold deposit.

The continent-ocean (Seve-Köli) boundary in the Sarek-Padjelanta Mts. revisited: Swedish Caledonides

ABSTRACT In the Swedish Caledonides, the continent-ocean boundary is represented by the basal thrust of the Iapetus-derived Köli Nappe Complex (KNC) which overlies the Seve Nappe Complex (SNC) derived from the outer rifted margin of Baltica and the continent-ocean transition (COT). Current maps and literature subdivide the Seve teconostratigraphy in northern Sweden (Sarek-Padjelanta region) into three mega-lenses, the lowest of which (Vaimok lens) is composed of quartz-feldspathic gneisses and subordinate marble, all hosting eclogites. It is overlain by the Sarek lens composed of a COT dyke complex and, along its western margin, a narrow belt of phyllites, schists, quartzite, marbles and greenschists. Overlying this belt is Tsäkkok lens of the same composition as the Vaimok lens. The situation with an intermediate-pressure and often excellently preserved sheeted-dyke complex intercalated between two lenses of complexly deformed high-pressure rocks invited to intricate models of accretion, including out-of-sequence stacking of slices of the continental margin during early Ordovician subduction. Based on a detailed study of a select area and examination of the evolution of previous concepts, this study reinterprets the narrow belt along the western margin of the Sarek Lens as typical of the lower KNC. The favoured explanation of the presence of intermediate-pressure Köli rocks below high-pressure Seve rocks is recumbent folding and/or mega-sheath folding of the Seve-Köli nappe sequence during Scandian (Siluro-Devonian) accretion, by analogy with the situation in places in the central Swedish Caledonides. Previous models of early out-of-sequence stacking during subduction of the continental margin need reconsideration.

GPs’ perspectives of the patient encounter – in the context of standardized cancer patient pathways

Objective: We aim to explore how GPs assign meanings and act upon patients’ symptoms in primary care encounters in the context of standardized cancer patient pathways (CPPs).Design, setting and subjects: Thirteen individual interviews were conducted with GPs, at primary healthcare centers (n = 4) in one county in northern Sweden. Interviews were analyzed using grounded theory method. The results were then linked to symbolic interactionism.Main outcome measures: GPs’ perspectives about assigning meanings to patients’ presented symptoms and perception about CPPs.Results: In the encounter, GPs engaged in two simultaneous interactions, one with patients’ symptoms – and the other with CPPs. The core category Disentangling patients’ care trajectory consists of three categories, interpreted as GPs’ strategies developed to assign meaning to symptoms. These strategies are carried out not in a straightforward manner but rather in a conflicting way, illuminating the complexity of GPs’ daily work.Conclusions: Interacting with patients is vital for assigning meaning to presented symptoms. However, nowadays GPs are not only required to interact with patients, they are also required to interact with CPPs. These standardized routines might create pressure and demands on GPs, especially for those experiencing a lack of information about CPPs. Beside of carrying out the challenging patient/person-centered dialogues and interpreting presented symptoms, GPs also need to link the interpreted symptoms to CPPs. Therefore, it is essential that GPs are given opportunities at their workplaces to continuously be informed and be supported in order to practice CPPs and thereby optimize trajectories for patients undergoing cancer diagnostics.Key points Current awareness: • GPs deliberation about patients’ trajectories is a complex process, often dealing with vague symptoms. How CPPs influence this process within the encounter has not been studied. Main statements: • GPs in our study were involved in two simultaneous interactions, one with patients’ symptoms in the encounter – and the other with CPPs within the healthcare organization. • Symbolic interactionism helped capture how GPs deliberated about conflicting and paradoxical aspects of the encounter, in terms of balancing two contradictory ways of action that GPs face when providing patient/person-centered care and linking to CPPs. • Based on our results, primary care needs support from healthcare organizations to build capacity about CPPs and how to use them.

Increased cancer risk in male hunters compared to the general male population in Northern Sweden after the Chernobyl Nuclear Power Plant accident?

Background:Male hunters in Swedish counties with high fallout of 137Cs after the Chernobyl Nuclear Power Plant (NPP) accident have higher radiation exposure due to higher consumption of game compared with the general population.Methods:Cancer incidence in Sweden was studied in 9 counties with different 137Cs fallout after the Chernobyl NPP accident in 1986. In total, 9,267 cancer cases occurred in hunters and 138,909 cancer cases in non-hunters to 31 December 2015. Incidence rate ratios (IRR) with 95% confidence intervals (CI) were calculated using unexposed hunters, or non-hunters, as reference to study internal radiation exposure or hunter life style, respectively.Results:Directly age standardized total cancer incidence showed an increasing trend in non-hunters. For hunters, the total cancer incidence was significantly lower up to 2001 when the total cancer incidence crossed over the weaker non-hunter trend and remained higher for the following 15 years. IRRs for total cancer in hunters versus non-hunters for each county did not show any clear exposure response pattern. IRRs for hunters versus non-hunters were higher regardless of rural/non-rural status with slightly higher risk estimates for the rural settings. The IRR for hunters was 1.06 (95% CI 1.04–1.08) 1986–2015, representing an excess of 531 cancer cases in hunters.Conclusion:An increased total incidence of cancer was identified for male hunters compared with male non-hunters. No obvious association between cancer and 137Cs from the Chernobyl NPP accident could be identified, although the exposure classification was too crude to exclude such an association.

A longitudinal study of prediagnostic metabolic biomarkers and the risk of molecular subtypes of colorectal cancer

Body fatness increases the risk of colorectal cancer (CRC). Insulin resistance and altered adipokines are potential mechanisms, but previous biomarker studies have been inconsistent. Intertumoral heterogeneity might provide an explanation. We investigated insulin, C-peptide, adiponectin, and leptin in relation to CRC molecular subtypes using a nested case-control design (1010 cases, 1010 matched controls, median 12.3 years from baseline to CRC diagnosis) from the population-based Northern Sweden Health and Disease Study. Repeated samples were available from 518 participants. Risks of CRC and subtypes, defined by tumor BRAF and KRAS mutations and microsatellite instability (MSI) status, were estimated using conditional logistic regression and linear mixed models. Higher C-peptide and lower adiponectin were associated with increased CRC risk (odds ratios per standard deviation increase (95% CI): 1.11 (1.01, 1.23) and 0.91 (0.83, 1.00), respectively), though weakened when adjusted for body mass index. Insulin and leptin were not associated with CRC risk. Within-individual time trajectories were similar in cases and controls, and no subtype-specific relationships were identified (all Pheterogeneity > 0.1). Adiponectin was weakly inversely associated with the risk of KRAS-mutated (P = 0.08) but not BRAF-mutated or KRAS/BRAF-wildtype CRC, consistent with the one previous study. These findings contribute to an increased understanding of the complex role of body size in CRC.

Likabehandlingsarbete - en reproduktion av rådande maktordning?

This project sets out to examine how schools identify their assignment to make school to a place of equality. The research questions address how efforts to counteract discrimination regarding sexual orientation, gender and ethnicity are expressed as well as what power structures that can be identified in this respect. In total, 134 documents from compulsory school in municipalities in southern, mid and northern Sweden are collected. The documents are analyzed using Kumashiro´s (2002) four perspectives to conceptualize and work against oppression. The analysis shows different ways that schools address this assignment. Differences regarding what is identified as problems seems to build different approaches in how the work against oppression becomes visible. Double strategies are described in order to both strengthen and challenge the power structure that is prevalent between the norm carrying group and the group the schools identify as marginalized.

Towards a Refined Chronology of Prehistoric Pitfall Hunting in Sweden

Among the most prominent prehistoric features in the boreal forests of northern Sweden are trapping pits or pitfalls used for hunting elk and/or reindeer. Even if often ascribed to the Viking Age and its trade in furs and other animal products, the chronology of these features has long been a matter of debate. In this article, a database of 370 dated radiocarbon samples from excavated pitfalls has been compiled and analysed using Kernel Density Estimation (KDE) modelling to create the most elaborate chronology of Swedish trapping pit systems so far. The analysis shows that the most intensive period of construction of trapping pits was in the centuries before the Viking period. This challenges previous interpretations of Viking Age resource exploitation but is in line with several other recently published studies concerned with resource exploitation, non-agrarian production, and trade connecting northern Scandinavia with inter-regional trade networks.

Formation and mobilization of methylmercury across natural and experimental sulfur deposition gradients

We investigated the influence of sulfate (SO42−) deposition and concentrations on the net formation and solubility of methylmercury (MeHg) in peat soils. We used data from a natural sulfate deposition gradient running 300 km across southern Sweden to test the hypothesis posed by results from an experimental field study in northern Sweden: that increased loading of SO42− both increases net MeHg formation and redistributes methylmercury (MeHg) from the peat soil to its porewater. Sulfur concentrations in peat soils correlated positively with MeHg concentrations in peat porewater, along the deposition gradient similar to the response to added SO42− in the experimental field study. The combined results from the experimental field study and deposition gradient accentuate the multiple, distinct and interacting roles of SO42− deposition in the formation and redistribution of MeHg in the environment.

Microphysical properties and fall speed measurements of snow ice crystals using the Dual Ice Crystal Imager (D-ICI)

Abstract. Accurate predictions of snowfall require good knowledge of the microphysical properties of the snow ice crystals and particles. Shape is an important parameter as it strongly influences the scattering properties of the ice particles, and thus their response to remote sensing techniques such as radar measurements. The fall speed of ice particles is another important parameter for both numerical forecast models as well as representation of ice clouds and snow in climate models, as it is responsible for the rate of removal of ice from these models. We describe a new ground-based in situ instrument, the Dual Ice Crystal Imager (D-ICI), to determine snow ice crystal properties and fall speed simultaneously. The instrument takes two high-resolution pictures of the same falling ice particle from two different viewing directions. Both cameras use a microscope-like setup resulting in an image pixel resolution of approximately 4 µm pixel−1. One viewing direction is horizontal and is used to determine fall speed by means of a double exposure. For this purpose, two bright flashes of a light-emitting diode behind the camera illuminate the falling ice particle and create this double exposure, and the vertical displacement of the particle provides its fall speed. The other viewing direction is close-to-vertical and is used to provide size and shape information from single-exposure images. This viewing geometry is chosen instead of a horizontal one because shape and size of ice particles as viewed in the vertical direction are more relevant than these properties viewed horizontally, as the vertical fall speed is more strongly influenced by the vertically viewed properties. In addition, a comparison with remote sensing instruments that mostly have a vertical or close-to-vertical viewing geometry is favoured when the particle properties are measured in the same direction. The instrument has been tested in Kiruna, northern Sweden (67.8∘ N, 20.4∘ E). Measurements are demonstrated with images from different snow events, and the determined snow ice crystal properties are presented.

Increasing gender differences in the prevalence and chronification of orofacial pain in the population.

Although a fluctuating pattern of orofacial pain across the life span has been proposed, data on its natural course are lacking. The longitudinal course of orofacial pain in the general population was evaluated using data from routine dental check-ups at all Public Dental Health services in Västerbotten, Sweden. In a large population sample, 2 screening questions were used to identify individuals with pain once a week or more in the orofacial area. Incidence and longitudinal course of orofacial pain were evaluated using annual data for 2010 to 2017. To evaluate predictors for orofacial pain remaining over time, individuals who reported pain on at least 2 consecutive dental check-ups were considered persistent. A generalized estimating equation model was used to analyze the prevalence, accounting for repeated observations on the same individuals. In total, 180,308 individuals (equal gender distribution) were examined in 525,707 dental check-ups. More women than men reported orofacial pain (odds ratio 2.58, 95% confidence interval [CI] 2.48-2.68), and there was a significant increase in the prevalence of reported pain from 2010 to 2017 in both women and men. Longitudinal data for 135,800 individuals were available for incidence analysis. Women were at higher risk of both developing orofacial pain (incidence rate ratio 2.37; 95% CI 2.25-2.50) and reporting pain in consecutive check-ups (incidence rate ratio 2.56; 95% CI 2.29-2.87). In the northern Swedish population studied, the prevalence of orofacial pain increases over time and more so in women, thus indicating increasing differences in gender for orofacial pain.

The importance of adjusting the heating system after an energy-retrofit of buildings in a sub-Arctic climate

There is a need to improve the understanding and the knowledge of energy efficiency measures for residential buildings in sub-Arctic climate regions. This paper presents an investigation of two identical multi-family residential buildings in the sub-Arctic climate of northern Sweden, before and after renovation. During the renovation, additional insulation of the external walls and new windows were installed in one building, while the other building retained its original envelope.The energy usage data for the past four heating seasons were collected, including data from before and after the renovation. Detailed thermal indoor climate data were gathered for specific months. The data from the two separate buildings showed that the renovation did not result in a significant improvement in energy usage. Prior to the renovation, the energy usage data showed a difference of 2–3% in the heat supply between the two buildings, and this difference persisted after the renovation. On the other hand, the indoor air temperature was raised. The renovated building had an indoor air temperature which was 2 °C higher than the not yet renovated building.IDA ICE models were constructed and validated with the measured data to investigate how a lower indoor air temperature would affect the energy usage and indoor thermal climate. The models showed that with a reduction in the indoor air temperature by 2 °C after the renovation, the thermal climate would maintain an acceptable level according to PMV/PPD standards, and would result in a 13–14% reduction of the heat supply during the cold months. With an annual reduction of 15%, the heat supply could be reduced by 270 MWh per year for the whole area where the buildings are located. This clearly demonstrates the importance of adjusting the heating system after an energy efficiency measure has been performed.