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  • 1. Aleksandrova, Krasimira
    et al.
    Bamia, Christina
    Drogan, Dagmar
    Lagiou, Pagona
    Trichopoulou, Antonia
    Jenab, Mazda
    Fedirko, Veronika
    Romieu, Isabelle
    Bueno-de-Mesquita, H. Bas
    Pischon, Tobias
    Tsilidis, Kostas
    Overvad, Kim
    Tjønneland, Anne
    Bouton-Ruault, Marie-Christine
    Dossus, Laure
    Racine, Antoine
    Kaaks, Rudolf
    Kuehn, Tilman
    Tsironis, Christos
    Papatesta, Eleni-Maria
    Saitakis, George
    Palli, Domenico
    Panico, Salvatore
    Grioni, Sara
    Tumino, Rosario
    Vineis, Paolo
    Peeters, Petra H.
    Weiderpass, Elisabete
    Lukic, Marko
    Braaten, Tonje
    Ramon Quiros, J.
    Lujan-Barroso, Leila
    Sanchez, Mara-Jose
    Chilarque, Maria-Dolores
    Ardanas, Eva
    Dorronsoro, Miren
    Nilsson, Lena Maria
    Umeå University, Arctic Research Centre at Umeå University.
    Sund, Malin
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research.
    Wallström, Peter
    Ohlsson, Bodil
    Bradbury, Kathryn E.
    Khaw, Kay-Tee
    Wareham, Nick
    Stepien, Magdalena
    Duarte-Salles, Talita
    Assi, Nada
    Murphy, Neil
    Gunter, Marc J.
    Riboli, Elio
    Boeing, Heiner
    Trichopoulos, Dimitrios
    The association of coffee intake with liver cancer risk is mediated by biomarkers of inflammation and hepatocellular injury: data from the European Prospective Investigation into Cancer and Nutrition2015In: American Journal of Clinical Nutrition, ISSN 0002-9165, E-ISSN 1938-3207, Vol. 102, no 6, 1498-1508 p.Article in journal (Refereed)
    Abstract [en]

    Background: Higher coffee intake has been purportedly related to a lower risk of liver cancer. However, it remains unclear whether this association may be accounted for by specific biological mechanisms. Objective: We aimed to evaluate the potential mediating roles of inflammatory, metabolic, liver injury, and iron metabolism biomarkers on the association between coffee intake and the primary form of liver cancer-hepatocellular carcinoma (HCC). Design: We conducted a prospective nested case-control study within the European Prospective Investigation into Cancer and Nutrition among 125 incident HCC cases matched to 250 controls using an incidence-density sampling procedure. The association of coffee intake with HCC risk was evaluated by using multivariable-adjusted conditional logistic regression that accounted for smoking, alcohol consumption, hepatitis infection, and other established liver cancer risk factors. The mediating effects of 21 biomarkers were evaluated on the basis of percentage changes and associated 95% CIs in the estimated regression coefficients of models with and without adjustment for biomarkers individually and in combination. Results: The multivariable-adjusted RR of having >= 4 cups (600mL) coffee/d compared with <2 cups (300 mL)/d was 0.25 (95% CI: 0.11, 0.62; P-trend = 0.006). A statistically significant attenuation of the association between coffee intake and HCC risk and thereby suspected mediation was confirmed for the inflammatory biomarker IL-6 and for the biomarkers of hepatocellular injury glutamate dehydrogenase, alanine aminotransferase, aspartate aminotransferase (AST), gamma-glutamyltransferase (GGT), and total bilirubin, which-in combination-attenuated the regression coefficients by 72% (95% CI: 7%, 239%). Of the investigated biomarkers, IL-6, AST, and GGT produced the highest change in the regression coefficients: 40%, 56%, and 60%, respectively. Conclusion: These data suggest that the inverse association of coffee intake with HCC risk was partly accounted for by biomarkers of inflammation and hepatocellular injury.

  • 2. Ali, A
    et al.
    Carson, D.B
    Umeå University, Arctic Research Centre at Umeå University.
    Information and communications technology (ICT) and the challenge of sustainable self-drive tourism2011In: Drive Tourism: Trends and Emerging Markets, Oxfordshire: Routledge , 2011Chapter in book (Refereed)
  • 3. Alvariza, Anette
    et al.
    Årestedt, Kristofer
    Boman, Kurt
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine. Umeå University, Arctic Research Centre at Umeå University.
    Brännström, Margareta
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
    Family members' experiences of integrated palliative advanced home and heart failure care: a qualitative study of the PREFER intervention2017In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523Article in journal (Refereed)
    Abstract [en]

    Chronic heart failure is a disease with high morbidity and symptom burden for patients, and it also places great demands on family members. Patients with heart failure should have access to palliative care for the purpose of improving quality of life for both patients and their families. In the PREFER randomized controlled intervention, patients with New York Heart Association classes III–IV heart failure received person-centered care with a multidisciplinary approach involving collaboration between specialists in palliative and heart failure care. The aim of the present study was to describe family members' experiences of the intervention, which integrated palliative advanced home and heart failure care.

    Method: This study had a qualitative descriptive design based on family member interviews. Altogether, 14 family members participated in semistructured interviews for evaluation after intervention completion. The data were analyzed by means of content analysis.

    Results: Family members expressed gratitude and happiness after witnessing the patient feeling better due to symptom relief and empowerment. They also felt relieved and less worried, as they were reassured that the patient was being cared for properly and that their own responsibility for care was shared with healthcare professionals. However, some family members also felt as though they were living in the shadow of severe illness, without receiving any support for themselves.

    Significance of results: Several benefits were found for family members from the PREFER intervention, and our results indicate the significance of integrated palliative advanced home and heart failure care. However, in order to improve this intervention, psychosocial professionals should be included on the intervention team and should contribute by paying closer attention and providing targeted support for family members.

  • 4.
    Aléx, Jonas
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
    Karlsson, Stig
    Umeå University, Faculty of Medicine, Department of Nursing.
    Björnstig, Ulf
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University. Center for Disaster Medicine, Umeå University, Umeå, Sweden.
    Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients' temperatures in prehospital emergency care - an intervention study2015In: International Journal of Circumpolar Health, ISSN 2242-3982, E-ISSN 2242-3982, Vol. 74, 28878Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients' exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients' temperatures in the prehospital emergency care.

    METHODS: A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30) no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), subjective comments on cold experiences, and finger, ear and air temperatures.

    RESULTS: Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001) but decreased in the control group (p=0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, p<0.001). At arrival, finger, ear and compartment air temperature showed no statistical significant difference between groups. Mean transport time was approximately 15 minutes.

    CONCLUSIONS: The use of active heat from underneath increases the patients' thermal comfort and may prevent the negative consequences of cold stress.

  • 5. Anderson, Ian
    et al.
    Robson, Bridget
    Connolly, Michele
    Al-Yaman, Fadwa
    Bjertness, Espen
    King, Alexandra
    Tynan, Michael
    Madden, Richard
    Bang, Abhay
    Coimbra, Carlos E. A., Jr.
    Pesantes, Maria Amalia
    Amigo, Hugo
    Andronov, Sergei
    Armien, Blas
    Obando, Daniel Ayala
    Axelsson, Per
    Umeå University, Faculty of Arts, Centre for Sami Research.
    Bhatti, Zaid Shakoor
    Bhutta, Zulfi Qar Ahmed
    Bjerregaard, Peter
    Bjertness, Marius B.
    Briceno-Leon, Roberto
    Broderstad, Ann Ragnhild
    Bustos, Patricia
    Chongsuvivatwong, Virasakdi
    Chu, Jiayou
    Deji, .
    Gouda, Jitendra
    Harikumar, Rachakulla
    Htay, Thein Thein
    Htet, Aung Soe
    Izugbara, Chimaraoke
    Kamaka, Martina
    King, Malcolm
    Kodavanti, Mallikharjuna Rao
    Lara, Macarena
    Laxmaiah, Avula
    Lema, Claudia
    Taborda, Ana Maria Leon
    Liabsuetrakul, Tippawan
    Lobanov, Andrey
    Melhus, Marita
    Meshram, Indrapal
    Miranda, J. Jaime
    Mu, Thet Thet
    Nagalla, Balkrishna
    Nimmathota, Arlappa
    Popov, Andrey Ivanovich
    Poveda, Ana Maria Penuela
    Ram, Faujdar
    Reich, Hannah
    Santos, Ricardo V.
    Sein, Aye Aye
    Shekhar, Chander
    Sherpa, Lhamo Y.
    Sköld, Peter
    Umeå University, Arctic Research Centre at Umeå University.
    Tano, Sofia
    Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Business Administration.
    Tanywe, Asahngwa
    Ugwu, Chidi
    Ugwu, Fabian
    Vapattanawong, Patama
    Wan, Xia
    Welch, James R.
    Yang, Gonghuan
    Yang, Zhaoqing
    Yap, Leslie
    Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration): a population study2016In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 388, no 10040, 131-157 p.Article in journal (Refereed)
    Abstract [en]

    Background: International studies of the health of Indigenous and tribal peoples provide important public health insights. Reliable data are required for the development of policy and health services. Previous studies document poorer outcomes for Indigenous peoples compared with benchmark populations, but have been restricted in their coverage of countries or the range of health indicators. Our objective is to describe the health and social status of Indigenous and tribal peoples relative to benchmark populations from a sample of countries.

    Methods: Collaborators with expertise in Indigenous health data systems were identified for each country. Data were obtained for population, life expectancy at birth, infant mortality, low and high birthweight, maternal mortality, nutritional status, educational attainment, and economic status. Data sources consisted of governmental data, data from non-governmental organisations such as UNICEF, and other research. Absolute and relative differences were calculated.

    Findings: Our data (23 countries, 28 populations) provide evidence of poorer health and social outcomes for Indigenous peoples than for non-Indigenous populations. However, this is not uniformly the case, and the size of the rate difference varies. We document poorer outcomes for Indigenous populations for: life expectancy at birth for 16 of 18 populations with a difference greater than 1 year in 15 populations; infant mortality rate for 18 of 19 populations with a rate difference greater than one per 1000 livebirths in 16 populations; maternal mortality in ten populations; low birthweight with the rate difference greater than 2% in three populations; high birthweight with the rate difference greater than 2% in one population; child malnutrition for ten of 16 populations with a difference greater than 10% in five populations; child obesity for eight of 12 populations with a difference greater than 5% in four populations; adult obesity for seven of 13 populations with a difference greater than 10% in four populations; educational attainment for 26 of 27 populations with a difference greater than 1% in 24 populations; and economic status for 15 of 18 populations with a difference greater than 1% in 14 populations.

    Interpretation: We systematically collated data across a broader sample of countries and indicators than done in previous studies. Taking into account the UN Sustainable Development Goals, we recommend that national governments develop targeted policy responses to Indigenous health, improving access to health services, and Indigenous data within national surveillance systems.

  • 6.
    Andersson, Sofia
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lindqvist, Olav
    Umeå University, Faculty of Medicine, Department of Nursing. Department of Learning, Informatics, Management and Ethics/MMC, Karolinska Institutet, Stockholm, Sweden.
    Fürst, Olav
    The Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.
    Brännström, Margareta
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
    Care professional's experiences about using Liverpool Care Pathway in end-of-life care in residential care homes2017In: Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Residential care homes (RCHs) play an important role in end-of-life care, being the most common place of death for elderly people in several European countries. Care pathways such as the Liverpool Care Pathway for the Dying Patient (LCP) are used to improve and ensure quality care at the end of life. There is a lack of scientific evidence supporting the use of care pathways.

    DESIGN: A descriptive qualitative study.

    OBJECTIVE: The aim was to describe care professionals' experiences of using the Liverpool Care Pathway for the Dying Patient in the care of dying residents in residential care homes.

    METHODS: Five focus group interviews and two individual interviews with enrolled nurses (n = 10), Registered Nurses (n = 9) and general practitioners (n = 5) were carried out and analysed using qualitative content analysis.

    RESULTS: Care professionals expressed that they became confident through a shared approach to care, were supported to tailor the care according to the residents' individual needs, were supported to involve family members in decision-making and care and became more aware of the care environment.

    CONCLUSION: The results of this study indicate that the LCP might be a useful tool for care professionals in improving end-of-life care in RCHs through increased attention to the goals of care, the individual needs of residents and family involvement.

  • 7. Auer, K
    et al.
    Carson, D.B
    Umeå University, Arctic Research Centre at Umeå University.
    How can general practitioners establish 'place attachment' in Australia's Northern Territory? Adjustment trumps adaptation2010In: Rural and Remote Health, Vol. 10, no 1476, online- p.Article in journal (Refereed)
  • 8.
    Axelsson, Per
    et al.
    Umeå University, Faculty of Arts, Centre for Sami Research.
    Sköld, PeterUmeå University, Arctic Research Centre at Umeå University. Umeå University, Faculty of Arts, Centre for Sami Research.
    Indigenous peoples and demography: the complex relation between identity and statistics2013Collection (editor) (Refereed)
  • 9. Bamia, C.
    et al.
    Lagiou, P.
    Jenab, M.
    Aleksandrova, K.
    Fedirko, V.
    Trichopoulos, D.
    Overvad, K.
    Tjonneland, A.
    Olsen, A.
    Clavel-Chapelon, F.
    Boutron-Ruault, M-C
    Kvaskoff, M.
    Katzke, V. A.
    Kuehn, T.
    Boeing, H.
    Noethlings, U.
    Palli, D.
    Sieri, S.
    Panico, S.
    Tumino, R.
    Naccarati, A.
    Bueno-de-Mesquita, H. B(As)
    Peeters, P. H. M.
    Weiderpass, E.
    Skeie, G.
    Quiros, J. R.
    Agudo, A.
    Chirlaque, M-D
    Sanchez, M-J
    Ardanaz, E.
    Dorronsoro, M.
    Ericson, U.
    Nilsson, Lena Maria
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research. Umeå University, Arctic Research Centre at Umeå University.
    Wennberg, Maria
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research.
    Khaw, K-T
    Wareham, N.
    Key, T. J.
    Travis, R. C.
    Ferrari, P.
    Stepien, M.
    Duarte-Salles, T.
    Norat, T.
    Murphy, N.
    Riboli, E.
    Trichopoulou, A.
    Fruit and vegetable consumption in relation to hepatocellular carcinoma in a multi-centre, European cohort study2015In: British Journal of Cancer, ISSN 0007-0920, E-ISSN 1532-1827, Vol. 112, no 7, 1273-1282 p.Article in journal (Refereed)
    Abstract [en]

    Background:Vegetable and/or fruit intakes in association with hepatocellular carcinoma (HCC) risk have been investigated in case-control studies conducted in specific European countries and cohort studies conducted in Asia, with inconclusive results. No multi-centre European cohort has investigated the indicated associations. Methods: In 486 799 men/women from the European Prospective Investigation into Cancer and nutrition, we identified 201 HCC cases after 11 years median follow-up. We calculated adjusted hazard ratios (HRs) for HCC incidence for sex-specific quintiles and per 100 g d(-1) increments of vegetable/fruit intakes. Results: Higher vegetable intake was associated with a statistically significant, monotonic reduction of HCC risk: HR (100 g d(-1) increment): 0.83; 95% CI: 0.71-0.98. This association was consistent in sensitivity analyses with no apparent heterogeneity across strata of HCC risk factors. Fruit intake was not associated with HCC incidence: HR (100 g d(-1) increment): 1.01; 95% CI: 0.92-1.11. Conclusions: Vegetable, but not fruit, intake is associated with lower HCC risk with no evidence for heterogeneity of this association in strata of important HCC risk factors. Mechanistic studies should clarify pathways underlying this association. Given that HCC prognosis is poor and that vegetables are practically universally accessible, our results may be important, especially for those at high risk for the disease.

  • 10. Bamia, Christina
    et al.
    Lagiou, Pagona
    Jenab, Mazda
    Trichopoulou, Antonia
    Fedirko, Veronika
    Aleksandrova, Krasimira
    Pischon, Tobias
    Overvad, Kim
    Olsen, Anja
    Tjønneland, Anne
    Boutron-Ruault, Marie-Christine
    Fagherazzi, Guy
    Racine, Antoine
    Kuhn, Tilman
    Boeing, Heiner
    Floegel, Anna
    Benetou, Vasiliki
    Palli, Domenico
    Grioni, Sara
    Panico, Salvatore
    Tumino, Rosario
    Vineis, Paolo
    Bueno-de-Mesquita, H B As
    Dik, Vincent K
    Bhoo-Pathy, Nirmala
    Uiterwaal, Cuno S P M
    Weiderpass, Elisabete
    Lund, Eiliv
    Quirós, J Ramón
    Zamora-Ros, Raul
    Molina-Montes, Esther
    Chirlaque, Maria-Dolores
    Ardanaz, Eva
    Dorronsoro, Miren
    Lindkvist, Björn
    Wallström, Peter
    Nilsson, Lena Maria
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research. Umeå University, Arctic Research Centre at Umeå University.
    Sund, Malin
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Khaw, Kay-Tee
    Wareham, Nick
    Bradbury, Kathryn E
    Travis, Ruth C
    Ferrari, Pietro
    Duarte-Salles, Talita
    Stepien, Magdalena
    Gunter, Marc
    Murphy, Neil
    Riboli, Elio
    Trichopoulos, Dimitrios
    Coffee, tea and decaffeinated coffee in relation to hepatocellular carcinoma in a European population: multicentre, prospective cohort study2015In: International Journal of Cancer, ISSN 0020-7136, E-ISSN 1097-0215, Vol. 136, no 8, 1899-1908 p.Article in journal (Refereed)
    Abstract [en]

    Inverse associations of coffee and/or tea in relation to hepatocellular carcinoma (HCC) risk have been consistently identified in studies conducted mostly in Asia where consumption patterns of such beverages differ from Europe. In the European Prospective Investigation into Cancer and nutrition (EPIC), we identified 201 HCC cases among 486,799 men/women, after a median follow-up of 11 years. We calculated adjusted hazard ratios (HRs) for HCC incidence in relation to quintiles/categories of coffee/tea intakes. We found that increased coffee and tea intakes were consistently associated with lower HCC risk. The inverse associations were substantial, monotonic and statistically significant. Coffee consumers in the highest compared to the lowest quintile had lower HCC risk by 72% [HR: 0.28; 95% confidence intervals (CIs): 0.16-0.50, p-trend < 0.001]. The corresponding association of tea with HCC risk was 0.41 (95% CI: 0.22-0.78, p-trend = 0.003). There was no compelling evidence of heterogeneity of these associations across strata of important HCC risk factors, including hepatitis B or hepatitis C status (available in a nested case-control study). The inverse, monotonic associations of coffee intake with HCC were apparent for caffeinated (p-trend = 0.009), but not decaffeinated (p-trend = 0.45) coffee for which, however, data were available for a fraction of subjects. Results from this multicentre, European cohort study strengthen the existing evidence regarding the inverse association between coffee/tea and HCC risk. Given the apparent lack of heterogeneity of these associations by HCC risk factors and that coffee/tea are universal exposures, our results could have important implications for high HCC risk subjects.

  • 11. Barakat, B
    et al.
    Carson, D.B
    Umeå University, Arctic Research Centre at Umeå University.
    Taylor, A
    Basu, R
    Wang, L
    Education, remoteness and population dynamics2011In: Demography at the Edge: Remote human populations in developed nations, Farnham, United Kingdom: Ashgate Publishing Ltd , 2011Chapter in book (Refereed)
  • 12. Berendsen, Agnes A M
    et al.
    Kang, Jae H
    van de Rest, Ondine
    Jankovic, Nicole
    Kampman, Ellen
    Kiefte-de Jong, Jessica C
    Franco, Oscar H
    Ikram, M Arfan
    Pikhart, Hynek
    Nilsson, Lena Maria
    Umeå University, Arctic Research Centre at Umeå University. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research.
    Brenner, Hermann
    Boffetta, Paolo
    Rafnsson, Snorri Bjorn
    Gustafson, Deborah
    Kyrozis, Andreas
    Trichopoulou, Antonia
    Feskens, Edith J M
    Grodstein, Francine
    de Groot, Lisette C P G M
    Association of Adherence to a Healthy Diet with Cognitive Decline in European and American Older Adults: A Meta-Analysis within the CHANCES Consortium.2017In: Dementia and Geriatric Cognitive Disorders, ISSN 1420-8008, E-ISSN 1421-9824, Vol. 43, no 3-4, 215-227 p.Article in journal (Refereed)
    Abstract [en]

    AIM: To examine the association between a healthy diet, assessed by the Healthy Diet Indicator (HDI), and cognitive decline in older adults. METHODS: Data from 21,837 participants aged ≥55 years from 3 cohorts (Survey in Europe on Nutrition and the Elderly, a Concerted Action [SENECA], Rotterdam Study [RS], Nurses' Health Study [NHS]) were analyzed. HDI scores were based on intakes of saturated fatty acids, polyunsaturated fatty acids, mono- and disaccharides, protein, cholesterol, fruits and vegetables, and fiber. The Telephone Interview for Cognitive Status in NHS and Mini-Mental State Examination in RS and SENECA were used to assess cognitive function from multiple repeated measures. Using multivariable-adjusted, mixed linear regression, mean differences in annual rates of cognitive decline by HDI quintiles were estimated. RESULTS: Multivariable-adjusted differences in rates in the highest versus the lowest HDI quintile were 0.01 (95% CI -0.01, 0.02) in NHS, 0.00 (95% CI -0.02, 0.01) in RS, and 0.00 (95% CI -0.05, 0.05) in SENECA with a pooled estimate of 0.00 (95% CI -0.01, 0.01), I2 = 0%. CONCLUSIONS: A higher HDI score was not related to reduced rates of cognitive decline in European and American older adults.

  • 13. Bergkvist, Per Henrik
    et al.
    Jacobsson, Lars
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Kling, Sofia
    Silviken, Anne
    Sköld, Peter
    Umeå University, Faculty of Arts, Centre for Sami Research. Umeå University, Arctic Research Centre at Umeå University.
    Stoor, Jon Petter
    Breaking the silence: suicide prevention through storytelling among indigenous Sami2016In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 75, 56-56 p.Article in journal (Refereed)
  • 14.
    Bergqvist, Joakim
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology.
    Forsman, Oscar
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology.
    Larsson, Pär
    Umeå University, Faculty of Medicine, Department of Medical Biosciences.
    Näslund, Jonas
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology.
    Lilja, Tobias
    Engdahl, Cecilia
    Umeå University, Faculty of Science and Technology, Department of Chemistry.
    Lindström, Anders
    Gylfe, Åsa
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology.
    Ahlm, Clas
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology.
    Evander, Magnus
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology. Umeå University, Arctic Research Centre at Umeå University.
    Bucht, Göran
    [ 1 ] CBRN Def & Secur, Swedish Def Res Agcy, SE-90182 Umea, Sweden.
    Detection and Isolation of Sindbis Virus from Mosquitoes Captured During an Outbreak in Sweden, 20132015In: Vector Borne and Zoonotic Diseases, ISSN 1530-3667, E-ISSN 1557-7759, Vol. 15, no 2, 133-140 p.Article in journal (Refereed)
    Abstract [en]

    Mosquito-borne alphaviruses have the potential to cause large outbreaks throughout the world. Here we investigated the causative agent of an unexpected Sindbis virus (SINV) outbreak during August-September, 2013, in a previously nonendemic region of Sweden. Mosquitoes were collected using carbon dioxide-baited CDC traps at locations close to human cases. The mosquitoes were initially screened as large pools by SINV-specific quantitative RT-PCR, and the SINV-positive mosquitoes were species determined by single-nucleotide polymorphism (SNP) analysis, followed by sequencing the barcoding region of the cytochrome oxidase I gene. The proportion of the collected mosquitoes was determined by a metabarcoding strategy. By using novel strategies for PCR screening and genetic typing, a new SINV strain, Lovanger, was isolated from a pool of 1600 mosquitoes composed of Culex, Culiseta, and Aedes mosquitoes as determined by metabarcoding. The SINV-positive mosquito Culiseta morsitans was identified by SNP analysis and sequencing. After whole-genome sequencing and phylogenetic analysis, the SINV Lovanger isolate was shown to be most closely similar to recent Finnish SINV isolates. In conclusion, within a few weeks, we were able to detect and isolate a novel SINV strain and identify the mosquito vector during a sudden SINV outbreak.

  • 15.
    Bodén, Stina
    et al.
    Umeå University, Faculty of Medicine, Department of Radiation Sciences, Oncology.
    Wennberg, Maria
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research.
    Van Guelpen, Bethany
    Umeå University, Faculty of Medicine, Department of Radiation Sciences, Oncology.
    Johansson, Ingegerd
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research.
    Lindahl, Bernt
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
    Andersson, Jonas
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Shivappa, Nitin
    Hebert, James R
    Nilsson, Lena Maria
    Umeå University, Arctic Research Centre at Umeå University. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research.
    Dietary inflammatory index and risk of first myocardial infarction: a prospective population-based study2017In: Nutrition Journal, ISSN 1475-2891, E-ISSN 1475-2891, Vol. 16, 21Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Chronic, low-grade inflammation is an established risk factor for cardiovascular disease. The inflammatory impact of diet can be reflected by concentrations of inflammatory markers in the bloodstream and the inflammatory potential of diet can be estimated by the dietary inflammatory index (DII(TM)), which has been associated with cardiovascular disease risk in some previous studies. We aimed to examine the association between the DII and the risk of first myocardial infarction (MI) in a population-based study with long follow-up.

    METHOD: We conducted a prospective case-control study of 1389 verified cases of first MI and 5555 matched controls nested within the population-based cohorts of the Northern Sweden Health and Disease Study (NSHDS), of which the largest is the ongoing Västerbotten Intervention Programme (VIP) with nearly 100 000 participants during the study period. Median follow-up from recruitment to MI diagnosis was 6.4 years (6.2 for men and 7.2 for women). DII scores were derived from a validated food frequency questionnaire (FFQ) administered in 1986-2006. Multivariable conditional logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI), using quartile 1 (most anti-inflammatory diet) as the reference category. For validation, general linear models were used to estimate the association between the DII scores and two inflammatory markers, high-sensitivity C-reactive protein (hsCRP) and interleukin 6 (IL-6) in a subset (n = 605) of the study population.

    RESULTS: Male participants with the most pro-inflammatory DII scores had an increased risk of MI [ORQ4vsQ1 = 1.57 (95% CI 1.21-2.02) P trend = 0.02], which was essentially unchanged after adjustment for potential confounders, including cardiovascular risk factors [ORQ4vsQ1 = 1.50 (95% CI 1.14-1.99), P trend = 0.10]. No association was found between DII and MI in women. An increase of one DII score unit was associated with 9% higher hsCRP (95% CI 0.03-0.14) and 6% higher IL-6 (95% CI 0.02-0.11) in 605 controls with biomarker data available.

    CONCLUSION: A pro-inflammatory diet was associated with an elevated risk of first myocardial infarction in men; whereas for women the relationship was null. Consideration of the inflammatory impact of diet could improve prevention of cardiovascular disease.

  • 16.
    Buckland, Philip I.
    et al.
    Umeå University, Faculty of Arts, Department of historical, philosophical and religious studies, Environmental Archaeology Lab. Umeå University, Arctic Research Centre at Umeå University.
    Buckland, Paul C.
    Species found as fossils in Quaternary sediments2012In: Checklist of Beetles of the British Isles / [ed] A.G. Duff, United Kingdom: Pemberley Books , 2012, 2nd, 127-130 p.Chapter in book (Refereed)
    Abstract [en]

    This new checklist is the most up-to-date and comprehensive checklist of the beetle fauna of the British Isles, representing many man-years of effort by leading British coleopterists. The main checklist is fully annotated with detailed endnotes.

  • 17.
    Burström, Lage
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Umeå University, Arctic Research Centre at Umeå University.
    Björ, Bodil
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Umeå University, Arctic Research Centre at Umeå University.
    Nilsson, Tohr
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Umeå University, Arctic Research Centre at Umeå University.
    Pettersson, Hans
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Umeå University, Arctic Research Centre at Umeå University.
    Rödin, Ingemar
    Wahlström, Jens
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Umeå University, Arctic Research Centre at Umeå University.
    Thermal perception thresholds among workers in a cold climate2017In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 90, no 7, 645-652 p.Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To investigate whether exposure to cold could influence the thermal perception thresholds in a working population.

    METHODS: This cross-sectional study was comprised of 251 males and females and was carried out at two mines in the northern part of Norway and Sweden. The testing included a baseline questionnaire, a clinical examination and measurements of thermal perception thresholds, on both hands, the index (Digit 2) and little (Digit 5) fingers, for heat and cold.

    RESULTS: The thermal perception thresholds were affected by age, gender and test site. The thresholds were impaired by experiences of frostbite in the fingers and the use of medication that potentially could affect neurosensory functions. No differences were found between the calculated normative values for these workers and those in other comparative investigations conducted in warmer climates.

    CONCLUSIONS: The study provided no support for the hypothesis that living and working in cold climate will lead to impaired thermal perception thresholds. Exposure to cold that had caused localized damage in the form of frostbite was shown to lead to impaired thermal perception.

  • 18.
    Burström, Lage
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Umeå University, Arctic Research Centre at Umeå University.
    Hyvärinen, Ville
    Johnsen, Magnar
    Pettersson, Hans
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Umeå University, Arctic Research Centre at Umeå University.
    Exposure to whole-body vibration in open-cast mines in the Barents region2016In: International Journal of Circumpolar Health, ISSN 2242-3982, E-ISSN 2242-3982, Vol. 75, 29373Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: We aimed to measure and evaluate whole-body vibration (WBV) exposure among drivers of mining vehicles in the Barents region.

    STUDY DESIGN: In the period from November 2012 to August 2014, this cross-sectional study was carried out at 3 mines in Finland, Norway and Sweden as part of the MineHealth project.

    METHODS: Measurements of WBV were conducted on the surface of the driver's seat during normal work in accordance with international standards. Personal data on daily exposure times were collected by a questionnaire.

    RESULTS: Measurements were conducted on 95 different mining vehicles both as root mean square (RMS) value and vibration dose value (VDV) representing different manufacturers, models and capacities. Of the 453 miners who answered the questionnaire, 232 indicated that they were exposed to WBV during their working day. The results show that the mean daily exposure time varies between 1.9 and 6.7 h for different vehicles. The calculated mean A(8) could be found in an interval between 0.2 and 1.0 m/s(2) and the corresponding 8-h VDV fell between 7 and 17 m/s(1.75).

    CONCLUSIONS: Exposure to WBV among operators of mining vehicles may be a serious health and safety problem in the mines studied. The employers ought, therefore, take active steps to reduce exposure in accordance with the European vibration directive. Moreover, since some groups of drivers are exposed to vibration that is close to or exceeds the exposure limit values, the employer should take immediate action to reduce exposure below these values.

  • 19.
    Byström, Joakim
    et al.
    Umeå University, Faculty of Social Sciences, Department of Geography and Economic History, Economic and social geography. Umeå University, Arctic Research Centre at Umeå University.
    Müller, Dieter K.
    Umeå University, Arctic Research Centre at Umeå University. Umeå University, Faculty of Social Sciences, Department of Geography and Economic History, Economic and social geography.
    Tourism labor market impacts of national parks: the case of Swedish Lapland2014In: Zeitschrift für Wirtschaftsgeographie, ISSN 0044-3751, Vol. 58, no 2-3, 115-126 p.Article in journal (Refereed)
    Abstract [en]

    In a Nordic context, economic impacts of tourism in national parks remained largely unknowndue to lacking implementation of standardized comparative measurements. For this reason,we want to investigate the economic impacts of national parks in a peripheral Scandinavian contextby analyzing employment in tourism. Theoretically, the paper addresses the idea of nature protectionas a tool for regional development. The scientific literature suggests that nature can be considered acommodity that can be used for the production of tourism experiences in peripheries. In this contextnature protection is applied as a label for signifying attractive places for tourists leading to increasedtourist numbers and employment. This argument follows mainly North American experiences pointingat a positive impact of protected areas on regional development. Meanwhile European studies aremore skeptical regarding desired economic benefits. A major challenge is the assessment of tourism’seconomic impacts. This paper suggests an approach that reveals the impacts on the labor market.This is particularly applicable since data is readily available and, moreover from a public perspective,employment and tax incomes are of uppermost importance in order to sustain population figures andlocal demand for public services. At the same time accessibility and low visitor numbers form majorchallenges for tourism stakeholders and complicate the assessment of economic impacts throughquestionnaires and interviews. The paper shows that the assumption that nature protection promotespositive economic development through tourism is not applicable in a northern Swedish context.Hence, it rejects the often suggested positive relationship between nature protection and tourism labormarket development.

  • 20. Cael, B. B.
    et al.
    Heathcote, A. J.
    Seekell, David
    Umeå University, Arctic Research Centre at Umeå University. Umeå University, Faculty of Science and Technology, Department of Ecology and Environmental Sciences. Climate Impacts Research Centre, Umeå University, Abisko, Sweden.
    The volume and mean depth of Earth's lakes2017In: Geophysical Research Letters, ISSN 0094-8276, E-ISSN 1944-8007, Vol. 44, no 1, 209-218 p.Article in journal (Refereed)
    Abstract [en]

    Global lake volume estimates are scarce, highly variable, and poorly documented. We developed a rigorous method for estimating global lake depth and volume based on the Hurst coefficient of Earth's surface, which provides a mechanistic connection between lake area and volume. Volume-area scaling based on the Hurst coefficient is accurate and consistent when applied to lake data sets spanning diverse regions. We applied these relationships to a global lake area census to estimate global lake volume and depth. The volume of Earth's lakes is 199,000km(3) (95% confidence interval 196,000-202,000km(3)). This volume is in the range of historical estimates (166,000-280,000km(3)), but the overall mean depth of 41.8m (95% CI 41.2-42.4m) is significantly lower than previous estimates (62-151m). These results highlight and constrain the relative scarcity of lake waters in the hydrosphere and have implications for the role of lakes in global biogeochemical cycles.

  • 21. Caini, Saverio
    et al.
    Masala, Giovanna
    Saieva, Calogero
    Kvaskoff, Marina
    Sacerdote, Carlotta
    Savoye, Isabelle
    Hemmingsson, Oskar
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Bech, Bodil Hammer
    Overvad, Kim
    Tjonneland, Anne
    Petersen, Kristina E. N.
    Mancini, Francesca Romana
    Boutron-Ruault, Marie-Christine
    Cervenka, Iris
    Kaaks, Rudolf
    Kuehn, Tilman
    Boeing, Heiner
    Floegel, Anna
    Trichopoulou, Antonia
    Valanou, Elisavet
    Kritikou, Maria
    Tagliabue, Giovanna
    Panico, Salvatore
    Tumino, Rosario
    Bueno-de-Mesquita, H. B(as)
    Peeters, Petra H.
    Veierod, Marit B.
    Ghiasvand, Reza
    Lukic, Marko
    Ramon Quiros, Jose
    Chirlaque, Maria-Dolores
    Ardanaz, Eva
    Salamanca Fernandez, Elena
    Larranaga, Nerea
    Zamora-Ros, Raul
    Nilsson, Lena Maria
    Umeå University, Arctic Research Centre at Umeå University.
    Ljuslinder, Ingrid
    Umeå University, Faculty of Medicine, Department of Radiation Sciences, Oncology.
    Jirstrom, Karin
    Sonestedt, Emily
    Key, Timothy J.
    Wareham, Nick
    Khaw, Kay-Tee
    Gunter, Marc
    Huybrechts, Inge
    Murphy, Neil
    Tsilidis, Konstantinos K.
    Weiderpass, Elisabete
    Palli, Domenico
    Coffee, tea and melanoma risk: findings from the European Prospective Investigation into Cancer and Nutrition2017In: International Journal of Cancer, ISSN 0020-7136, E-ISSN 1097-0215, Vol. 140, no 10, 2246-2255 p.Article in journal (Refereed)
    Abstract [en]

    What's new? Laboratory studies suggest that coffee and tea protect against melanoma, but epidemiological findings are inconsistent. Here the authors studied more than 400,000 participants within the European Prospective Investigation into Cancer and Nutrition (EPIC) and confirmed an inverse association between caffeinated coffee consumption and melanoma risk. No association was found with decaffeinated coffee or tea. Interestingly, drinking coffee only protected men, but not women, from developing the often fatal skin cancer, raising interesting questions about gender-specific hormones or coffee habits influencing this association. In vitro and animal studies suggest that bioactive constituents of coffee and tea may have anticarcinogenic effects against cutaneous melanoma; however, epidemiological evidence is limited to date. We examined the relationships between coffee (total, caffeinated or decaffeinated) and tea consumption and risk of melanoma in the European Prospective Investigation into Cancer and Nutrition (EPIC). EPIC is a multicentre prospective study that enrolled over 500,000 participants aged 25-70 years from ten European countries in 1992-2000. Information on coffee and tea drinking was collected at baseline using validated country-specific dietary questionnaires. We used adjusted Cox proportional hazards regression models to calculate hazard ratios (HR) and 95% confidence intervals (95% CI) for the associations between coffee and tea consumption and melanoma risk. Overall, 2,712 melanoma cases were identified during a median follow-up of 14.9 years among 476,160 study participants. Consumption of caffeinated coffee was inversely associated with melanoma risk among men (HR for highest quartile of consumption vs. non-consumers 0.31, 95% CI 0.14-0.69) but not among women (HR 0.96, 95% CI 0.62-1.47). There were no statistically significant associations between consumption of decaffeinated coffee or tea and the risk of melanoma among both men and women. The consumption of caffeinated coffee was inversely associated with melanoma risk among men in this large cohort study. Further investigations are warranted to confirm our findings and clarify the possible role of caffeine and other coffee compounds in reducing the risk of melanoma.

  • 22. Callaghan, Terry V.
    et al.
    Johansson, Margareta
    Brown, Ross D.
    Groisman, Pavel Ya
    Labba, Niklas
    Radionov, Vladimir
    Bradley, Raymond S.
    Blangy, Sylvie
    Bulygina, Olga N.
    Christensen, Torben R.
    Colman, Jonathan E.
    Essery, Richard L. H.
    Forbes, Bruce C.
    Forchhammer, Mads C.
    Golubev, Vladimir N.
    Honrath, Richard E.
    Juday, Glenn P.
    Meshcherskaya, Anna V.
    Phoenix, Gareth K.
    Pomeroy, John
    Rautio, Arja
    Robinson, David A.
    Schmidt, Niels M.
    Serreze, Mark C.
    Shevchenko, Vladimir P.
    Shiklomanov, Alexander I.
    Shmakin, Andrey B.
    Sköld, Peter
    Umeå University, Arctic Research Centre at Umeå University. Umeå University, Faculty of Arts, Centre for Sami Research.
    Sturm, Matthew
    Woo, Ming-ko
    Wood, Eric F.
    Multiple effects of changes in arctic snow cover2011In: Ambio, ISSN 0044-7447, E-ISSN 1654-7209, Vol. 40, 32-45 p.Article in journal (Refereed)
    Abstract [en]

    Snow cover plays a major role in the climate, hydrological and ecological systems of the Arctic and other regions through its influence on the surface energy balance (e.g. reflectivity), water balance (e.g. water storage and release), thermal regimes (e.g. insulation), vegetation and trace gas fluxes. Feedbacks to the climate system have global consequences. The livelihoods and well-being of Arctic residents and many services for the wider population depend on snow conditions so changes have important consequences. Already, changing snow conditions, particularly reduced summer soil moisture, winter thaw events and rain-on-snow conditions have negatively affected commercial forestry, reindeer herding, some wild animal populations and vegetation. Reductions in snow cover are also adversely impacting indigenous peoples' access to traditional foods with negative impacts on human health and well-being. However, there are likely to be some benefits from a changing Arctic snow regime such as more even run-off from melting snow that favours hydropower operations.

  • 23. Carson, D.A
    et al.
    Carson, D.B
    Umeå University, Arctic Research Centre at Umeå University.
    Why tourism may not be everybody’s business: the challenge of tradition in resource peripheries2011In: The Rangeland Journal, Vol. 33, 373-383 p.Article in journal (Refereed)
  • 24. Carson, D.A
    et al.
    Carson, D.B
    Umeå University, Arctic Research Centre at Umeå University.
    Hodge, H
    Understanding local innovation systems in peripheral tourism destinations2015In: Managing and Adapting to Global Change in Tourism Places, New York: Routledge , 2015Chapter in book (Refereed)
  • 25. Carson, D.A
    et al.
    Carson, D.B
    Umeå University, Arctic Research Centre at Umeå University.
    Hodge, H
    Understanding Local Innovation Systems in Peripheral Tourism Destinations2014In: Tourism Geographies, Vol. 16, no 3, 457-473 p.Article in journal (Refereed)
  • 26. Carson, D.A
    et al.
    Carson, D.B
    Umeå University, Arctic Research Centre at Umeå University.
    Lundmark, L
    Tourism and mobilities in sparsely populated areas: towards a framework and research agenda2014In: Scandinavian Journal of Hospitality and Tourism, Vol. 14, no 4, 353-366 p.Article in journal (Refereed)
  • 27.
    Carson, D.B
    Umeå University, Arctic Research Centre at Umeå University.
    Political economy, demography and development in Australia's Northern Territory2011In: The Canadian Geographer, Vol. 55, no 2, 226-242 p.Article in journal (Refereed)
  • 28.
    Carson, D.B
    Umeå University, Arctic Research Centre at Umeå University.
    Population policies at the edge: the demographic ambitions of frontiers2011In: Demography at the Edge: Remote human populations in developed nations, Farnham, United Kingdom: Ashgate Publishing Ltd , 2011Chapter in book (Refereed)
  • 29.
    Carson, D.B
    Umeå University, Arctic Research Centre at Umeå University.
    Skilled Labour Migration Flows to Australia's Northern Territory 2001-2006: Beyond Periphery?2011In: Australian Journal of Labour Economics, Vol. 14, no 1, 15-33 p.Article in journal (Refereed)
  • 30.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Bird, D
    Bell, L
    Yuhun, P
    Migration as an Adaptation to Climate Change for Remote Indigenous Communities: What might we expect?2013In: Inner Asia Studies in the Humanities, Vol. 2, 92-111 p.Article in journal (Refereed)
  • 31.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Cartan, G
    Touring routes - types, successes and failures: an international review2011In: Drive Tourism: Trends and Emerging Markets, Oxfordshire: Routledge , 2011Chapter in book (Refereed)
  • 32.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Cleary, J
    Virtual realities: How remote dwelling populations become more remote over time despite technological improvements2010In: Sustainability, Vol. 2, no 5, 1282-1296 p.Article in journal (Refereed)
  • 33.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Coe, K
    Zander, K
    Garnett, S..T
    Does the type of job matter? Recruitment to Australia's Northern Territory2010In: Employee Relations, Vol. 32, no 2, 121-137 p.Article in journal (Refereed)
  • 34.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Ensign, P
    Rasmussen, R
    Taylor, A
    Perspectives on 'demography at the edge'2011In: Demography at the Edge: Remote human populations in developed nations, Farnham, United Kingdom: Ashgate Publishing Ltd , 2011Chapter in book (Refereed)
  • 35.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Koch, A
    Divining the local: specific challenges for place based planning in sparsely populated areas2013In: Local Economy, Vol. 28, no 3, 302-317 p.Article in journal (Refereed)
  • 36.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    McConnel, F
    Indigenous health and community services employment in remote Northern Territory: a baseline examination of 2006 and 2011 Census data2011In: Australian Journal of Rural Health, Vol. 19, no 5, 255-258 p.Article in journal (Refereed)
  • 37.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Prideaux, B
    The importance of the mode of transport in self-drive tourism2011In: Drive Tourism: Trends and Emerging Markets, Oxfordshire: Routledge , 2011Chapter in book (Refereed)
  • 38.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Prideaux, B
    What now? Concluding remarks2011In: Drive Tourism: Trends and Emerging Markets, Oxfordshire: Routledge , 2011Chapter in book (Refereed)
  • 39.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Schmallegger, D
    Drive tourism: a view from the road2011In: Drive Tourism: Trends and Emerging Markets, Oxfordshire: Routledge , 2011Chapter in book (Refereed)
  • 40.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Schmallegger, D
    Harwood, S
    City for the temporary: political economy and urban planning in Darwin, Australia2010In: Urban Policy and Research, Vol. 28, no 3, 293-310 p.Article in journal (Refereed)
  • 41.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Stehlik, D
    Temporary guides and long term policy challenges: the view from remote Australia2012In: Sustainability and short-term policies: improving governance in spatial policy interventions, Farnham, England: Ashgate Publishing , 2012Chapter in book (Refereed)
  • 42.
    Carson, D.B
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Waldhoer, K
    Realising the value of self-drive day trips to Lower Austria2011In: Drive Tourism: Trends and Emerging Markets, Oxfordshire: Routledge , 2011Chapter in book (Refereed)
  • 43.
    Carson, Dean B.
    Umeå University, Arctic Research Centre at Umeå University.
    Conclusion2016In: Settlements at the edge: remote human settlements in developed nations, Cheltenham, UK: Edward Elgar Publishing, 2016, 427-434 p.Chapter in book (Other academic)
  • 44.
    Carson, Dean B.
    et al.
    Umeå University, Arctic Research Centre at Umeå University. Charles Darwin University, Australia.
    Carson, Doris A.
    Umeå University, Faculty of Social Sciences, Department of Geography and Economic History.
    Nordin, Gabriella
    Umeå University, Arctic Research Centre at Umeå University.
    Sköld, Peter
    Umeå University, Arctic Research Centre at Umeå University.
    Lessons from the Arctic past: The resource cycle, hydro energy development, and the human geography of Jokkmokk, Sweden2016In: Energy Research & Social Science, ISSN 2214-6296, E-ISSN 2214-6326, Vol. 16, 13-24 p.Article in journal (Refereed)
    Abstract [en]

    Recent research has identified a series of human geography impacts of natural resource developments in sparsely populated areas like the Arctic. These impacts can be mapped to the 'resource cycle', and arise from periods of population growth and decline, changing patterns of human migration and mobility, changing patterns of settlement, and changes in the demographic 'balance' between males and females, young and old, Indigenous and non-Indigenous. This paper examines the applicability of the resource cycle model in the case of hydro energy development in the Jokkmokk municipality of Sweden. Using quantitative demographic data, media reports, and contemporary accounts of hydro development, the paper describes the human geography of Jokkmokk since the late 19th century. The paper concludes that changes in human geography in Jokkmokk mirror what has been observed in regions dependent on non-renewable resources, although it is difficult to distinguish many impacts from those that might have occurred under alternative development scenarios. The paper identifies a 'settlement cycle' with phases of integrated and separated habitation for populations specifically associated with the development. Settlement dynamics, and the impacts of hydro on Sami geography are areas for further research.

  • 45.
    Carson, Dean B.
    et al.
    Umeå University, Arctic Research Centre at Umeå University. Charles Darwin University, Australia.
    Carson, Doris A.
    Umeå University, Faculty of Social Sciences, Department of Geography and Economic History.
    Porter, Rob
    Charles Darwin University, Australia.
    Yoshida Ahlin, Celia
    Umeå University, Faculty of Social Sciences, Department of Geography and Economic History.
    Sköld, Peter
    Umeå University, Arctic Research Centre at Umeå University.
    Decline, Adaptation or Transformation: New Perspectives on Demographic Change in Resource Peripheries in Australia and Sweden2016In: Comparative Population Studies, ISSN 1869-8980, E-ISSN 1869-8999, Vol. 41, no 3-4, 1-29 p.Article in journal (Refereed)
    Abstract [en]

    Many sparsely populated resource peripheries in developed countries are perceived to suffer from periods of demographic decline due to loss of employment opportunities and services, youth out-migration and population ageing. While these trends tend to apply at broad regional scales and for particular time periods, diverse patterns of demographic change may be apparent if different spatial, temporal and social scales of analysis are taken into consideration. Comparing the experiences of two case study regions in northern Sweden and inland South Australia, this paper proposes an alternative conceptual framework to the ‘discourse of decline’, which could be used to examine the nuances of demographic change within resource peripheries. The framework includes spatial scale considerations that contrast broader regional demographic patterns with the experiences of sub-regions and individual settlements. It also includes temporal scale aspects, examining demographic change over different time periods to understand the pace, duration and frequency of population growth and decline. The framework finally includes social unit considerations, emphasising that demographic change affects different social groups in different ways. The results of the case studies suggest that considering demographic change as adaptation or transformation rather than decline may be more useful for identifying new – and qualitatively different – demographic pathways that emerge over time. 

  • 46.
    Carson, Dean B.
    et al.
    Umeå University, Arctic Research Centre at Umeå University. Northern Institute, Charles Darwin University, Darwin, Australia; Glesbygdsmedicinskt Centrum, Storuman, Sweden .
    Schoo, Adrian
    Berggren, Peter
    The 'rural pipeline' and retention of rural health professionals in Europe's northern peripheries2015In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 119, no 12, 1550-1556 p.Article in journal (Refereed)
    Abstract [en]

    The major advance in informing rural workforce policy internationally over the past 25 years has been the recognition of the importance of the 'rural pipeline'. The rural pipeline suggests that people with 'rural origin' (who spent some childhood years in rural areas) and/or 'rural exposure' (who do part of their professional training in rural areas) are more likely to select rural work locations. What is not known is whether the rural pipeline also increases the length of time professionals spend in rural practice throughout their careers. This paper analyses data from a survey of rural health professionals in six countries in the northern periphery of Europe in 2013 to examine the relationship between rural origin and rural exposure and the intention to remain in the current rural job or to preference rural jobs in future. Results are compared between countries, between different types of rural areas (based on accessibility to urban centres), different occupations and workers at different stages of their careers. The research concludes that overall the pipeline does impact on retention, and that both rural origin and rural exposure make a contribution. However, the relationship is not strong in all contexts, and health workforce policy should recognise that retention may in some cases be improved by recruiting beyond the pipeline.

  • 47.
    Carson, Dean B.
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Sköld, Peter
    Umeå University, Arctic Research Centre at Umeå University.
    Carson, Doris A.
    Umeå University, Faculty of Social Sciences, Department of Geography and Economic History.
    Nilsson, Lena Maria
    Umeå University, Arctic Research Centre at Umeå University.
    The local demography of resource economies: long term implications of natural resource industries for demographic development in sparsely populated areas2016In: Settlements at the edge: remote human settlements in developed nations / [ed] A. Taylor, D. B. Carson, P. C. Ensign, L. Huskey, R. Rasmussen & G. Saxinger, Cheltenham, UK: Edward Elgar Publishing, 2016, 357-378 p.Chapter in book (Other academic)
    Abstract [en]

    Settlements at the Edge examines the evolution, characteristics, functions and shifting economic basis of settlements in sparsely populated areas of developed nations. With a focus on demographic change, the book features theoretical and applied cases which explore the interface between demography, economy, well-being and the environment. This book offers a comprehensive and insightful knowledge base for understanding the role of population in shaping the development and histories of northern sparsely populated areas of developed nations including Alaska (USA), Australia, Canada, Greenland, Norway, Russia, Sweden, Finland and other nations with territories within the Arctic Circle.

  • 48.
    Carson, Dean B.
    et al.
    Umeå University, Arctic Research Centre at Umeå University.
    Wenghofer, E.F
    Timony, P.E
    Schoo, A
    Berggren, P
    Charters, B
    White, D
    Vuin, A
    Garrett, J
    Recruitment and retention of professional labour: the health workforce at settlement level2016In: Settlements at the edge: remote human settlements in developed nations / [ed] Andrew Taylor, Dean B. Carson, Prescott C. Ensign, Lee Huskey, Rasmus O. Rasmussen and Gertrude Saxinger, Cheltenham, UK: Edward Elgar Publishing, 2016Chapter in book (Refereed)
  • 49.
    Carson, Doris A
    et al.
    Umeå University, Faculty of Social Sciences, Department of Geography and Economic History.
    Carson, Dean BUmeå University, Arctic Research Centre at Umeå University.Lundmark, LindaUmeå University, Faculty of Social Sciences, Department of Geography and Economic History.
    Tourism, mobilities, and development in sparsely populated areas2016Collection (editor) (Refereed)
    Abstract [en]

    Tourism 'mobilities' are not restricted to the movement of tourists between places of origin and destinations. Particularly in more peripheral, remote, or sparsely populated destinations, workers and residents are also likely to be frequently moving between locations. Such destinations attract seasonal or temporary residents, sometimes with only loose ties to the tourism industry. These flows of mobile populations are accompanied by flows of other resources – money, knowledge, ideas and innovations – which can be used to help the economic and social development of the destination. This book examines key aspects of the human mobilities associated with tourism in sparsely populated areas, and investigates how new mobility patterns inspired by technological, economic, political, and social change provide both opportunities and risks for those areas. Examples are drawn from the northern peripheries of Europe and the north of Australia, and the book provides a framework for continuing research into the role that tourism and 'new mobilities' can play in regional development in these locations.

  • 50.
    Carson, Doris Anna
    et al.
    Umeå University, Faculty of Social Sciences, Department of Geography and Economic History. University of South Australia, Australia.
    Carson, Dean Bradley
    Umeå University, Arctic Research Centre at Umeå University. Charles Darwin University, Australia; Flinders University, Australia.
    Mobilities and path dependence: challenges for tourism and "attractive" industry development in a remote company town2016In: Tourism, mobilities and development in sparsely populated areas / [ed] Doris Carson, Dean B. Carson, Linda Lundmark, Routledge, 2016, 108-127 p.Chapter in book (Refereed)
1234 1 - 50 of 189
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