Southwestern Sweden Research Articles

Older adults’ preferences and behaviour during warm weather and heatwaves in the urban environment: A case study in southwestern Sweden

Older adults’ preferences and behaviour during warm weather and heatwaves in the urban environment: A case study in southwestern Sweden

Hydrological dynamics, wetland morphology and vegetation structure determine riparian arthropod communities in constructed wetlands

Wetland hydrological dynamics often dictate the composition of biological communities found in or near wetlands, either directly or through changes in vegetation composition. However, much remains unknown, particularly regarding how riparian arthropods respond to such dynamics. In this study, we used high-resolution hydrological data, along with presence of grazing livestock and shoreline vegetation height from 41 constructed wetlands in south-western Sweden to explore flood zone areas, flood frequencies, vegetation and grazing as drivers of the resident arthropod communities. The collected material consisted of 26,817 arthropods, where the dominant groups were Diptera (13,258 specimens), spiders (6,207) and Coleoptera (2,858), which were collected using SLAM (Sea Land and Air Malaise) trapping, along with pitfall trapping and vacuum sampling of riparian arthropods. We found group-specific responses to inundation frequencies, where wetlands with higher frequencies had lower abundances of some beetles and tipulids, and where wetlands with longer low-water table periods contained less trichopterans and heteropterans. In contrast, the size of flood zone areas only affected some wolf spider groups, that were more abundant in wetlands with intermediately sized flood zones. Shoreline vegetation height affected multiple groups, spiders, beetles and dipterans, but in different directions, whereas presence of grazing livestock had limited impact on abundances and community compositions. Given the variable responses to wetland hydrological and structural drivers, it seems that wetland arthropod communities would benefit from a high local wetland habitat variability, or wetlandscapes where individual wetlands have differing hydrological dynamics, morphology and vegetation.

Hybrid emergency care at the home for patients – A multiple case study

IntroductionHealthcare systems worldwide are facing numerous challenges, such as an aging population, reduced availability of hospital beds, staff reductions and closure of emergency departments (ED). These issues can exacerbate crowding and boarding problems in the ED, negatively impacting patient safety and the work environment. In Sweden a hybrid of prehospital and intrahospital emergency care has been established, referred to in this article as Medical Emergency Team (MET), to meet the increasing demand for emergency care. MET, consisting of physicians and nurses, moving emergency care from EDs to patients’ home. Physicians and nurses may encounter challenges in their healthcare work, such as limited resources for example medical equipment, sampling and examination, in unfamiliar varying home environments. There is a lack of knowledge about how these challenges can influence patient care. Therefore, the aim of this study was to explore the healthcare work of the METs when addressing patients’ emergency care needs in their homes, with a focus on the METs reasoning and actions.MethodsUsing a qualitative multiple case study design, two METs in southwestern Sweden were explored. Data were collected from September 2023 – January 2024 and consist of field notes from participant observations, short interviews and written reflections. A qualitative manifest content analysis with an inductive approach was used as the analysis method.ResultThe result of this study indicates that physicians and nurses face several challenges in their daily work, such as recurring interruptions, miscommunication and faltering teamwork. Some of these problems may arise because physicians and nurses are not accustomed to working together as a team in a different care context. These challenges can lead to stress, which ultimately can expose patients to unnecessary risks.ConclusionWhen launching a new service like METs, which is a hybrid of prehospital and intrahospital emergency care, it is essential to plan and prepare thoroughly to effectively address the challenges and obstacles that may arise. One way to prepare is through team training. Team training can help reduce hierarchical structures by enabling physicians and nurses to feel that they can contribute, collaborate, and take responsibility, leading to a more dynamic and efficient work environment.

Limosilactobacillus reuteri 6475 and Prevention of Early Postmenopausal Bone Loss

Daily supplementation with the probiotic Limosilactobacillus reuteri ATCC PTA 6475 (L reuteri) vs placebo has previously been demonstrated to reduce bone loss in an estrogen deficiency mice model and older women, although the magnitude of the effect was small. We hypothesized that long-term treatment with L reuteri could result in clinically relevant skeletal benefits in postmenopausal osteoporosis. To evaluate whether daily supplementation with L reuteri vs placebo could reduce early postmenopausal bone loss and whether the effects remained or increased over time during 2 years of treatment. A double-blind, randomized, placebo-controlled clinical trial was conducted between December 4, 2019, and October 6, 2022, at a single center in Gothenburg, southwestern Sweden. Participants were recruited by online advertisements, and letters were sent to 10 062 women aged 50 to 60 years. Responding women (n = 752) underwent telephone screening, resulting in 292 women being invited to a screening visit. Of those who were screened, 239 women met all inclusion criteria and had no exclusion criteria. Capsules with L reuteri in 2 doses, 5 × 108 (low dose) or 5 × 109 (high dose) colony-forming units, taken twice daily or placebo were administered. All capsules also included cholecalciferol, 200 IU. The primary outcome was the relative change in tibia total volumetric bone mineral density (vBMD) over 2 years. Secondary outcomes included relative change in areal BMD of the lumbar spine and total hip, bone turnover markers C-terminal telopeptide cross-links of collagen type I and type I procollagen intact N-terminal propeptide, as well as tibia trabecular bone volume fraction and cortical vBMD. Both intention-to-treat and per-protocol analyses were conducted. A total of 239 postmenopausal women (median age, 55 [IQR, 53-56] years) were included. Tibia vBMD (primary outcome), hip and spine vBMD, and tibia cortical area and BMD decreased significantly in all groups, with no group-to-group differences (percent change tibia vBMD high dose vs placebo least-squares means, -0.08 [95 CI, -0.85 to 0.69] and low dose vs placebo least-squares means, -0.22 [95% CI, -0.99 to 0.55]). There were no significant treatment effects on any other predefined outcomes. A prespecified sensitivity analysis found a significant interaction between body mass index (BMI) and treatment effect at 2 years. No significant adverse effects were observed. In this randomized clinical trial of 239 early postmenopausal women, supplementation with L reuteri had no effect on bone loss or bone turnover over 2 years. The observed interaction between BMI and treatment effect warrants further investigation. ClinicalTrials.gov Identifier: NCT04169789.

Pediatric trauma patients in Swedish ambulance services -a retrospective observational study of assessments, interventions, and clinical outcomes

BackgroundPediatric trauma patients constitute a significant portion of the trauma population treated by Swedish Emergency Medical Services (EMS), and trauma remains a notable cause of death among Swedish children. Previous research has identified potential challenges in prehospital assessments and interventions for pediatric patients. In Sweden, there is limited information available regarding pediatric trauma patients in the EMS. The aim of this study was to investigate the prevalence of pediatric trauma patients within the Swedish EMS and describe the prehospital assessments, interventions, and clinical outcomes.MethodsThis retrospective observational study was conducted in a region of Southwestern Sweden. A random sample from ambulance and hospital records from the year 2019 was selected. Inclusion criteria were children aged 0–16 years who were involved in trauma and assessed by EMS clinicians.ResultsA total of 440 children were included in the study, representing 8.4% of the overall trauma cases. The median age was 9 years (IQR 3–12), and 60.5% were male. The leading causes of injury were low (34.8%) and high energy falls (21%), followed by traffic accidents. The children were assessed as severely injured in 4.5% of cases. A quarter of the children remained at the scene after assessment. Complete vital signs were assessed in 29.3% of children, and 81.8% of children were assessed according to the ABCDE structure. The most common intervention performed by prehospital professionals was the administration of medication. The mortality rate was 0.2%.ConclusionsPediatric trauma cases accounted for 8.4% of the overall trauma population with a variations in injury mechanisms and types. Vital sign assessments were incomplete for a significant proportion of children. The adherence to the ABCDE structure, however, was higher. The children remained at the scene after assessment requires further investigation for patient safety.

Inability to start or complete upper secondary school strongly predicts unemployment and psychosocial and psychiatric adversities - A register-based follow-up study from southwestern Sweden.

To study academic, social and psychiatric outcomes among adults in the general population in southwestern Sweden. Groups of individuals born in 1998 and ineligible, eligible but not completed, and eligible and completed upper secondary school were followed in 2020. Data were retrieved from Statistics Sweden, the Swedish National Agency for Education, the Longitudinal Integrated Database for Health Insurance and Labour Market Studies, the Swedish National Crime Register and the National Patient Register. The four adverse outcomes neither engaging in post-secondary studies nor having a regular salary, needing social benefits, having any criminal conviction, and having a psychiatric disorder at age ≥16 were examined. Of the final sample of 2706 individuals who had attended 9th grade of compulsory school in 2014, 273 (10%) were ineligible for upper secondary school. Of eligible individuals, 82 (3%) never started, 282 (10%) did not complete and 2065 (77%) completed upper secondary school. Compared with completers, the odds ratios for adverse outcomes were markedly increased for all other groups up to 22 years old. Inability to start or complete upper secondary school strongly predicted unemployment and psychosocial and psychiatric adversities. School authorities should consider offering vocational programmes post compulsory school without grade restrictions.

Malou Blank. Mobility, Subsistence and Mortuary Practices. An Interdisciplinary Study of Neolithic and Early Bronze Age Megalithic Populations of Southwestern Sweden

Malou Blank. Mobility, Subsistence and Mortuary Practices. An Interdisciplinary Study of Neolithic and Early Bronze Age Megalithic Populations of Southwestern Sweden

Coupled luminescence and cosmogenic nuclide dating of postglacial deflation surfaces and sand drift on a raised ice-contact delta at Veinge, SW Sweden

Wind-abraded cobbles (ventifacts) and aeolian sand are known from the sandy-gravelly coastal areas of south-western Sweden, especially in association with raised deltas. Ventifacts are recorded on at least two different stratigraphic levels, at some sites atop glaciofluvial sediment, at other sites atop littoral deposits, and in some places at both levels, while aeolian sand usually forms a surficial cover. The formation of ventifacts has usually been coupled to abrasion due to katabatic winds from the retreating ice sheet or with periglacial climate during the Younger Dryas stadial (12.8–11.7 ka).To determine the timing of these deflation events, we have applied a combination of dating methods to ventifacts and associated sediments on top of an ice-contact delta at Veinge, south-western Sweden. Quartz and feldspar luminescence dating as well as portable luminescence profiling has been used for littoral and aeolian sediments over- and underlying deflation surfaces, while rock surface luminescence burial dating and paired 14C–10Be cosmogenic nuclide dating were conducted on ventifacts. The results show that a first deflation event occurred c. 16.5 ka, just after deglaciation and prior to a regional transgression that peaked around 15.7 ka. At 12.4–11.4 ka, during the Younger Dryas stadial, a new set of ventifacts formed on the surface of the exposed littoral sands and gravels. Some wind abrasion also occurred in the early Holocene, but at c. 8.5 ka the surface was covered by aeolian sand, up to 2.5 m thick.The combination of different dating methods have allowed us to draw more informed conclusions on the timing and duration of these wind abrasion/transport events than would have been possible from the use of only single-method dating. It has also made it possible to infer some environmental conditions during deposition. For example, both glaciofluvial and littoral deposits show evidence of incomplete bleaching of the luminescence signal. This suggests short subaerial transport and brief reworking by waves, respectively, though bleaching conditions improved during shore regression. Rock surface burial luminescence profiles reveal that some ventifacts were repeatedly exposed, but that later event(s) were shorter in duration as indicated by quartz-feldspar age comparisons.

Ecological comparison of native (Apis mellifera mellifera) and hybrid (Buckfast) honeybee drones in southwestern Sweden indicates local adaptation.

Honeybee drones' only known task is to mate with a virgin queen. Apart from their mating behaviour, their ecology has been little studied, especially in comparison to honeybee females. Previous knowledge is primarily based on short-term direct observations at single experimental hives, rarely, if ever, addressing the effect of drones' genetic origin. Here, Radio Frequency Identification Technology was utilised to gather drone and worker bee lifetime data of Apis mellifera mellifera and Apis mellifera x (hybrid Buckfast) colonies over one mating season (spring and summer) with the ultimate goal to investigate differences at subspecies level. This technique enabled continuous monitoring of tagged bees at the hive entrance and recording of individuals' movement directions. The results confirmed that spring-born drones survive longer than summer-born drones and that they generally live longer than worker bees. Drones' peak activity occurred in the afternoon while worker bees showed more even activity levels throughout the day. Earlier orientation flights than usually reported for drones were observed. In summer, mating flights were practiced before reaching sexual maturity (at 12 days of age). Differences were found between Apis m. mellifera and Buckfast drones, where Apis m. mellifera showed later drone production in spring, but significantly earlier first activities outside the hive in summer and a later peak in diurnal activity. Additionally, Apis m. mellifera flew more in higher light intensities and windy conditions and performed significantly longer flights than Buckfast drones. The observed differences in drone ecology indicate the existence of a local adaptation of the native subspecies Apis m. mellifera to environmental conditions in southwestern Sweden.

Thin loess in Southwestern Sweden

ABSTRACT A thin (20–80 cm), patchy layer of silt-rich sediment occurs at the surface throughout Svartedalen, a nature reserve 30 km north of Gothenburg, Sweden. This surface silt mantles a bedrock-dominated, fracture-valley landscape. Using data from grain-size analysis, OSL dating and detrital-zircon U-Pb dating, we argue that the silt is loess sourced from glacial sediment that was eroded from local bedrock. The sediment has a grain-size distribution typical of wind-blown silt and is especially similar to thin deposits of loess overlying coarser material. OSL ages on five samples range from 1 to 8 ka, although analysis of equivalent dose distributions of one may suggest an age as old as 11 ka. The dates may represent true depositional ages and represent several Holocene eolian events. However, we consider as more likely that the loess was deposited during deglaciation, and quartz-grain signals have been partially reset during bioturbation. U-Pb ages on 273 zircon grains from the loess show prominent peaks at 1.6 and 1.8 Ga, as well as smaller numbers of grains from 1.0 to 1.6 Ga. These ages match dates from the Idefjord Terrane which comprises the bedrock of the study area. We argue that during ice-margin retreat, debris in the glacier was dominated by locally derived debris. This glacial sediment was left in thin patches uplands and particularly in large ice-marginal deltas. These deposits served as the proximal source for the loess. The presence of thin loess in Svartedalen suggests loess to be common in soils of southwest Sweden.

Anxiety Communication Notes—A Tool to Facilitate Anxiety Management and Improve the Nurse–Patient Relationship in Mental Health Nursing

Mental health care tends to be dominated by a biomedical perspective at the expense of a more recovery-oriented approach. Research on nurse-led interventions intended to strengthen the patient’s ability to manage anxiety is sparse in this context. The aim of this study was to describe nurses’ experiences of the use of anxiety communication notes in nursing patients experiencing anxiety in mental health inpatient care. Data were collected by interviewing twelve nurses working in two mental health inpatient care wards in southwestern Sweden. Semi-structured interviews were conducted, and qualitative content analysis was used to analyze the data. Findings showed that the use of anxiety communication notes was perceived to provide a nursing structure to foster the development and practice of adaptive anxiety management through a visual representation for mutual understanding of the patient’s anxiety pattern. The nurses could also use the anxiety communication notes to support nurse-patient communication and facilitate increased participation and empowerment in the patients’ anxiety management.

Organizational factors influencing clinical reasoning in a Swedish emergency medical service organization: An explorative qualitative case study

Introduction Clinical reasoning (CR) among healthcare professionals working in emergency medical services (EMS) who focus on ambulance care is a vital part of ensuring timely and safe patient care. The EMS environment continually fluctuates, so clinicians constantly need to adapt to new situations. Organizational support is described as important for CR, but overall, research on organizational influences for CR in an EMS context is lacking. An increased understanding of these influencing factors can assist in the development of EMS by strengthening CR among clinicians. Therefore, the purpose of this study was to investigate the organizational factors influencing EMS clinicians’ CR. Methods Using a qualitative single case study design, an EMS organization in southwestern Sweden was explored. Data were collected from participant observations of patient encounters, individual and group interviews with clinicians and organizational representatives, and organizational document audits. Data were analyzed using qualitative content analysis and triangulation of data sources. Results The results revealed several organizational influencing factors. Collaboration and information sharing internally and externally were emphasized as essential components influencing CR. Additionally, the structure for the clinicians’ ‘room for action’ appeared confused and created uncertainties for CR related to decision mandates. Conclusion The conclusion is that organizational factors do play an important role in clinicians’ CR. Moreover, the EMS community needs to develop suitable forums for discussing and developing these influencing factors across organizational hierarchies. Finally, clarification is needed on clinicians’ ‘room for action’ within their own organization but also with possible collaborators.

Characteristics of a trauma population in an ambulance organisation in Sweden: results from an observational study

BackgroundGlobally, injuries are a major health problem, and in Sweden, injuries are the second most common reason for ambulance dispatch. However, there is a knowledge gap regarding the epidemiology of injuries requiring assessment by emergency medical services (EMS) in Sweden. The aim of the present study was to describe the prehospital population with injuries that have been assessed and treated by EMS.MethodsA randomly selected retrospective sample was collected from 1 January through 31 December 2019 in a region in southwestern Sweden. Data were collected from ambulance and hospital medical records.ResultsAmong 153,724 primary assignments, 26,697 (17.4%) were caused by injuries. The study cohort consisted of 5,235 patients, of whom 50.5% were men, and the median age was 63 years. The most common cause of injury was low-energy fall (51.4%), and this was the cause in 77.8% of those aged > 63 years and in 26.7% of those aged ≤ 63 years. The injury mechanism was a motor vehicle in 8.0%, a motorcycle in 2.1% and a bicycle in 4.0%. The most common trauma location was the residential area (55.5% overall; 77.9% in the elderly and 34.0% in the younger group). In the prehospital setting, the most frequent clinical sign was a wound (33.2%), a closed fracture were seen in 18.9% and an open fracture in 1.0%. Pain was reported in 74.9% and 42.9% reported severe pain. Medication was given to 42.4% of patients before arrival in the hospital. The most frequent triage colour according to the RETTS was orange (46.7%), whereas only 4.4% were triaged red. Among all patients, 83.6% were transported to the hospital, and 27.8% received fracture treatment after hospital admission. The overall 30-day mortality rate was 3.4%.ConclusionAmong EMS assignments in southwestern Sweden, 17% were caused by injury equally distributed between women and men. More than half of these cases were caused by low-energy falls, and the most common trauma location was a residential area. The majority of the victims had pain upon arrival of the EMS, and a large proportion appeared to have severe pain.

P-594 A prevalence study of vitamin D insufficiency among infertile women in Sweden, its determinants and IVF outcome.

Abstract Study question What is the prevalence and the determinants of vitamin D insufficiency and do women with insufficiency have worse IVF outcome compared with them with sufficiency? Summary answer Women from Non-Nordic countries, with avoiding sun behavior and low intake of vitamin supplementation have higher prevalence of vitamin D insufficiency but comparable IVF outcome. What is known already Vitamin D seems to have an important role in human reproduction and infertility. Vitamin D insufficiency is highly prevalent around Europe, yet studies from north latitude countries, where sunlight exposure is undetectable during the winter, describing the prevalence and determinants of this condition in women with infertility lacking. Moreover, there is still discrepancy in the existing evidence whether insufficient vitamin D status is associated with poor IVF/ICSI outcome and no published studies in this field exist from Nordic countries. Study design, size, duration Prospective cohort study that was conducted between September 2020 and August 2021 at Reproductive Medicine, Sahlgrenska University Hospital, Gothenburg in Sweden. Gothenburg is a city located in southwestern Sweden (latitude 57.7o N) with highly variating duration of daylight between seasons. Participants/materials, setting, methods Women with infertility who were scheduled for IVF/ICSI treatment were included. Venous blood samples for measurement of serum 25(OH) vitamin D concentration and questionnaires assessing vitamin D intake and sun exposure habits were collected from 265 women. Main results and the role of chance The overall prevalence of vitamin D insufficiency was 27%, ranging from 7% in summer to 33% in winter. The odds for vitamin D insufficiency were higher for women originating from non-Nordic Europe (OR 3.33, 95% CI 1.26-8.80, adjusted p=0.015), Middle East (OR 14.46, 95% CI 5.20-40.20, adjusted p<0.001) and Asia (OR 6.46, 95% CI 1.79-23.27, adjusted p=0.004) compared with women originating from Nordic countries. It was more likely for women who did not use vitamin D supplements to have insufficiency compared with them using supplements (OR 3.48, 95% CI 1.69-7.20, adjusted p<0.001). The odds for vitamin D insufficiency were also higher for women staying “in the shade all the time” compared with women who were exposing themselves “in the sun all the time” (OR 3.65, 95% CI 1.43-9.27, adjusted p=0.007) and with them staying “both in the sun and shade” (OR 3.57, 95% CI 0.88-14.43, adjusted p=0.074). The reproductive outcome of IVF/ICSI treatment between women with serum 25(OH) vitamin D insufficiency and sufficiency was comparable. Limitations, reasons for caution The use of a questionnaire has intrinsic limitations (recall bias, low accuracy of the provided information). Moreover, the questionnaire did not include questions about sun protection factor usage during sun exposure. Blood sampling was underrepresented during summer due to limited resources during the summer months with closed IVF clinics. Wider implications of the findings Pre-IVF/ICSI treatment vitamin D serum concentration do not seem to influence IVF success. However, information about vitamin D should target women from non-Nordic countries and to advise them for supplementation and sun exposure. The aim is to avoid vitamin D insufficiency and the associated adverse long-term health consequences. Trial registration number not applicable

Interdisciplinary analyses of the remains from three gallery graves at Kinnekulle: tracing Late Neolithic and Early Bronze Age societies in inland Southwestern Sweden

In this paper, we investigate the Scandinavian Late Neolithic and Early Bronze Age of Kinnekulle in southwestern Sweden. The above-mentioned periods in the study area are poorly understood and the archaeological record consists of a few stray finds and a concentration of 20 gallery graves. This study focuses on three of the gallery graves where commingled skeletons from successive burials were recovered. The human remains and the artefacts from the graves were used for discussing individual life stories as well as living societies with the aim of gaining new knowledge of the last part of the Neolithic and the beginning of the Early Bronze Age in southwestern Sweden. We focused on questions concerning health and trauma, mobility and exchange networks, and diet and subsistence of the people using the graves. Chronological, bioarchaeological, and biomolecular aspects of the burials were approached through the application of archaeological and osteological studies, as well as stable isotope, strontium isotope, radiocarbon, and mtDNA analyses. The study provides evidence for high mobility and diverse diets, as well as inhumations primarily dated to the transition between the Late Neolithic and Early Bronze Age. We suggest that the mountain plateau of Kinnekulle was mainly reserved for the dead, while the people lived in agriculture-based groups in the surrounding lower lying regions.

Association between low internal health locus of control, psychological distress and insulin resistance. An exploratory study.

To assess the hypothesis that low internal health locus of control (IHLC) and psychological distress (PD) are associated with insulin resistance. In 2002-2005, a random population sample of 2,816 men and women aged 30-74 years participated (76%) in two municipalities in southwestern Sweden. This study included 2,439 participants without previously known diabetes or cardiovascular disease. IHLC was measured by a global scale and PD was measured by the 12-item General Health Questionnaire. Insulin resistance was estimated using HOMA-ir. General linear models were used to estimate differences in HOMA-ir between groups with low IHLC, PD, and both low IHLC and PD, respectively. Five per cent (n = 138) had both PD and low IHLC, 62 per cent of participants (n = 1509) had neither low IHLC nor PD, 18 per cent (n = 432) had PD, and 15 per cent (n = 360) low IHLC. Participants with both low IHLC and PD had significantly higher HOMA-ir than participants with neither low IHLC nor PD (Δ = 24.8%, 95%CI: 12.0-38.9), also in the fully adjusted model (Δ = 11.8%, 95%CI: 1.5-23.0). Participants with PD had significantly higher HOMA-ir (Δ = 12%, 95%CI: 5.7-18.7), but the significance was lost when BMI was included in the model (Δ = 5.3%, 95%CI:0.0-10.8). Similarly, participants with low IHLC had significantly higher HOMA-ir (Δ = 10.1%, 95%CI: 3.5-17.0) but the significance was lost in the fully adjusted model (Δ = 3.5%, 95%CI: -1.9-9.3). Internal health locus of control (IHLC) and psychological distress (PD) were associated with insulin resistance. Especially individuals with both PD and low IHLC may need special attention.

In Situ Rb/Sr Geochronology and Stable Isotope Geochemistry Evidence for Neoproterozoic and Paleozoic Fracture‐Hosted Fluid Flow and Microbial Activity in Paleoproterozoic Basement, SW Sweden

AbstractRecent studies have shown that biosignatures of ancient microbial life exist in mineral coatings in deep bedrock fractures of Precambrian cratons, but such surveys have been few and far between. Here, we report results from southwestern Sweden in an area of 1.6–1.5 Ga Paleoproterozoic rocks heavily reworked by the 1.14–0.96 Ga Sveconorwegian orogeny, a terrane previously scarcely explored for ancient microbial biosignatures. Calcite‐pyrite‐adularia‐illite‐coated fractures were analyzed for stable isotopes via Secondary Ion Mass Spectrometry (δ13C, δ18O, δ34S) and in situ Rb/Sr geochronology via Laser‐ablation inductively coupled plasma mass spectrometry. The Rb/Sr ages for calcite‐adularia and calcite‐illite show that several fluid flow events can be discerned (797 ± 18–769 ± 7, 391 ± 5–387 ± 6, 356 ± 5–347 ± 4, and 301 ± 7 Ma). The δ13C, δ18O and 87Sr/86Sr values of different calcite growth zones further confirmed episodic fluid flow. Pyrite δ34S values down to −49.9‰V‐CDT, together with systematically increased δ34S from crystal core to rim, suggest formation following microbial sulfate reduction under semi‐closed conditions. Assemblages involving MSR‐related pyrite generally have Devonian to Permian Rb/Sr ages, indicating an association to extension‐related fracturing and fluid mixing during foreland‐basin formation linked to Caledonian orogeny in the northwest. An assemblage with an age of 301 ± 7 Ma is potentially related to Oslo Rift extension, whereas the Neo‐Proterozoic ages relate to post‐Sveconorwegian extensional tectonics. Remnants of short‐chained fatty acids in the youngest calcite coatings further indicate a biogenic origin, while the absence of organic molecules in older calcite is in line with thermal degradation, potentially related to heating during Caledonian foreland basin burial.

Effect of group education and person-centered support in primary health care on mental health and quality of life in women aged 45–60 years with symptoms commonly associated with stress: a randomized controlled trial

BackgroundMental illness and somatic symptoms are common causes of long-term sick leave for women during menopause, which usually occurs between the ages of 45 and 55. Many women experience a lack of knowledge about menopause and its associated symptoms. This study evaluates the effect of group education and person-centered individual support in primary health care (PHC) on mental health and quality of life for women in menopause with symptoms that are usually associated with stress.MethodsThe randomized controlled clinical trial (RCT) with a two-factor design was conducted in PHC in southwestern Sweden, from 2018 to 2019. A total of 370 women aged 45–60 were allocated in four groups: 1, group education (GE) 2, GE and person-centered individual support (PCS) 3, PCS and 4, control group. GE comprised four weekly sessions and PCS included five sessions with topics related to menopause. The effect of the interventions were followed up at 6 and 12 months. Linear and ordinal regression were used to analyse the effect of the intervention, either group education or person-centred individual support.ResultsThe main findings: Improved quality of life and physical, psychological, and urogenital symptoms. GE and PCS resulted in improvement of the quality of life at six months. At the 12-month follow-up these results were significantly strengthened for PCS and improved health-related quality of life, and reduced mental, urogenital, and stress-related symptoms with an effect lasting at least 12 months. These results suggest that this intervention could be an effective intervention in PHC for improving women’s health in menopause.ConclusionsPCS can be an effective intervention in PHC for improving women’s health in menopause and possibly also prevent the development of exhaustion syndrome.Trial registration: Universal trial number is U1111-1219-6542 and the registration number in ClinicalTrials.gov is NCT03663075, date of registration 10/09/2018.

Reliability-based design tool for gas storage in lined rock caverns

ABSTRACT The transition to a fossil-free energy matrix may require large quantities of hydrogen gas, which could be stored efficiently in underground lined rock caverns (LRCs). Since the consequences of failure can be catastrophic, the LRC design needs to have a small failure probability. However, the current deterministic design practice for LRCs limits the possibility to stringently address geotechnical uncertainties. In this paper, a reliability-based design tool is presented for LRCs. The adaptive directional importance sampling (ADIS) method, which requires a relatively small number of samples, is used with a 3D finite element (FE) model to evaluate small probabilities of failure. An illustrative example based on the LRC in Skallen, southwestern Sweden, demonstrates the implementation and applicability of the developed design tool. The considered uncertainties are related to the geological conditions and the steel lining. The results show that the reliability of this LRC design meets the expected safety requirements. Considering different geological conditions with correlations, at least “good” quality rock mass is needed for the LRC design. An additional sensitivity analysis is performed to study the potential influence of corrosion and hydrogen embrittlement, showing that the LRC design could meet safety requirements for a lower category of the weld quality.

Early Neolithic flint extraction in south-western Sweden: transregional practices on a local scale

Recent studies relate the introduction of Early Neolithic flint mining practices to the migration and rapid expansion of agricultural groups from north-western continental Europe into present-day Britain and southern Scandinavia. Here, the authors critically analyse this hypothesis, using a case study from south-western Sweden to demonstrate how transregional processes played out locally with their own dynamics, c. 4000 BC. They conclude that migration and population change only partly can explain what happened during the centuries immediately before and after 4000 BC. Local variation in human-material relationships also needs to be considered.