@article{ProdingerNdosiNordenskioeldetal.2015, author = {Prodinger, Birgit and Ndosi, M. and Nordenski{\"o}ld, U. and Stamm, T. and Persson, G. and Andreasson, I. and Lundgren-Nilsson, A.}, title = {Rehabilitation provided to patients with rheumatoid arthritis: A comparison of three different Rheumatology clinics in Austria, Sweden and the UK from the perspectives of patients and health professionals}, series = {Journal of Rehabilitation Medicine}, volume = {47}, journal = {Journal of Rehabilitation Medicine}, number = {2}, pages = {174 -- 182}, year = {2015}, abstract = {Objective: To explore patients' and health professionals' views of outpatient rehabilitation services for patients with rheumatoid arthritis in 3 different rheumatology sites across Europe. Methods: A qualitative multi-method study was conducted with patients and health professionals in Vienna (Austria), Gothenburg (Sweden) and Leeds (UK). Data collection was carried out during focus groups with patients and health professionals. Patients' hospital records were integrated into the analysis. Data were analysed for site and findings were compared across sites. Results: A total of 20 patients and 20 health professionals participated in 12 focus groups. Although the 3 sites were all publicly funded university clinics, there were differences between sites regarding the structure and content of rehabilitation services. The themes that emerged in the focus groups were: referrals; continuity in rehabilitation; information provided to patients; patients' organizations; documentation and communication amongst health professionals; interface between primary and specialist care; and prescription practices. Most themes were addressed at all 3 sites, but there were variations in the specifics within themes. Conclusion: Integration of patients' and health professionals' views on how rehabilitation services are coordinated and how (parts of) processes are set up elsewhere provide valuable information for the further optimization of rehabilitation services.}, language = {en} } @article{JaegerVredePerssonetal.2014, author = {J{\"a}ger, Christoph G. and Vrede, T. and Persson, L. and Jansson, M.}, title = {Interactions between metazoans, autotrophs, mixotrophs and bacterioplankton in nutrient-depleted high DOC environments: a long-term experiment}, series = {Freshwater Biology}, volume = {59}, journal = {Freshwater Biology}, number = {8}, pages = {1596 -- 1607}, year = {2014}, abstract = {1. Humic lakes with a high external supply of DOC and low input of nutrients can often support a high biomass of metazoan zooplankton. In such lakes, autotrophic algae compete with bacteria for inorganic nutrients, but bacteria support mixotrophic growth. Consequently, planktonic communities are often dominated by mixotrophic flagellates, while obligate autotrophic phytoplankton occurs in low numbers for extended periods. 2. To test the importance of autotrophic phytoplankton and mixotrophic flagellates as food resources for metazoan grazers and, in turn, the feedback effects of grazers on basal food-web interactions, we conducted a long-term experiment where we simulated abiotic resource relationships of humic lakes (high DOC [glucose] and low P input). We examined the population dynamics of Daphnia galeata when inoculated in systems with autotrophic algae only, mixotrophic algae only and a mixture of autotrophic and mixotrophic algae, and how the systems changed after the inoculation of Daphnia. All combinations were run at high- and low-light conditions to analyse the effects of light on food quantity and quality. 3. Daphnia grew to high densities only when mixotrophs were present at high-light conditions and showed no or only weak growth at low-light conditions or with autotrophs as the only food source. 4. Autotrophic algae and bacteria showed a strong competition for nutrients. Autotrophic algae were released from competition for nutrients after Daphnia grazed on bacteria, which led to a probable change of the bacteria community to less edible but less competitive taxa. As a consequence, there was a mutualistic interaction between autotrophs and mixotrophs before Daphnia were introduced which turned into competition after Daphnia inoculation. 5. We suggest that mixotrophic flagellates can be a critical resource for cladocerans and thereby also have a cascading effect on higher trophic levels, and cladocerans, in turn, have important indirect effects on basal planktonic food webs; hence, both might affect whole lake ecosystems.}, language = {en} }