Hasil untuk "Nursing"

Alanny Moutinho, Pedro Aguiar, Maria Helena Presado

Objective: This study (PROSPERO CRD42024515910) explores the issue of unwanted pregnancy in a broad context, to show current data on women's reasons for continuing with an unwanted pregnancy, even if they live where abortion is legal. Method: We will use the following databases: PubMed, Scopus, Web of Science, CINAHL, and LILACS, from 2019, combining controlled descriptors in natural and indexed language. We will consider qualitative and quantitative data. For qualitative analysis, we will use thematic categories, and for quantitative analysis, we will analyze two perspectives: the decision, separating those who want to continue the pregnancy and those who want to terminate the pregnancy, and the access, analyzing what happened to those who did not have the abortion and what happened to those who terminated the pregnancy. Finally, we will combine the results through a convergent synthesis and identify the determinants of the decision to continue with an unwanted pregnancy. Resumen: Objetivo: Este estudio (PROSPERO CRD42024515910) explora el tema del embarazo no deseado en un contexto amplio, para mostrar datos actuales sobre las razones de las mujeres para continuar con un embarazo no deseado, incluso si viven en zonas donde el aborto es legal. Método: Utilizaremos las bases de datos PubMed, Scopus, Web of Science, CINAHL y LILACS, desde 2019, combinando descriptores controlados en lenguaje natural e indexado. Consideraremos datos cualitativos y cuantitativos. Para el análisis cualitativo utilizaremos categorías temáticas, y para el análisis cuantitativo analizaremos dos perspectivas: la decisión, separando a quienes desean continuar con el embarazo de quienes desean interrumpirlo, y el acceso, analizando qué sucedió con quienes no abortaron y qué sucedió con quienes lo interrumpieron. Finalmente, combinaremos los resultados mediante una síntesis convergente e identificaremos los determinantes de la decisión de continuar con un embarazo no deseado.

Nanda Kleinenberg-Talsma, Fons van der Lucht, Harriët Jager-Wittenaar et al.

Abstract Background Frailty is a common condition in older people, and its prevalence increases with age. With an ageing population, the adverse consequences of frailty cause an increasing appeal to the health care system. The impact of frailty on population level is often assessed using adverse health outcomes, such as mortality and medication use. Use of community nursing services and services offered through the Social Support Act are hardly used in assessing the impact of frailty. However, these services are important types of care use, especially in relation to ageing in place. In this cross-sectional study, we aimed to assess the impact of frailty on use of Social Support Act services, use of community nursing services, medication use, and mortality. Methods We used a frailty index, the FI-HM37, that was based on data from the Dutch Public Health Monitor 2016, for which respondents ≥ 65 years of age were included (n = 233,498). The association between frailty, the use of Social Support Act services, community nursing services and medication use was assessed using the Zero Inflated Poisson (ZIP) regression method. Survival analysis using Cox proportional hazards regression was conducted to estimate the hazard ratios for the association between frailty and mortality. Results The ZIP regression with a final sample size of 181,350 showed that frailty affected care use even after correcting for several covariates mentioned in the literature. For each unit increase in frailty index (FI) score, the relative probability of using zero Social Support services decreased with 7.7 (p < 0.001). The relative chance of zero community nursing services decreased with 4.0 (p < 0.001) for each unit increase in FI score. Furthermore, for each unit increase in FI score, the likelihood of zero medication use decreased with 2.9 (p < 0.001). Finally, for each unit increase in FI score, the mortality risk was 3.8 times higher (CI = 3.4–4.3; p < 0.001). Conclusions We demonstrated that frailty negatively affects the use of Social Support Act services, the use of community nursing services, medication use, and mortality risk. This study is the first to demonstrate the impact of frailty on Social Support Act services and community nursing services in the Netherlands. Findings emphasize the importance of frailty prevention for older people and public health policy.

Liliana Beatriz Flores Pasapera, Yolanda Magaly Herrera Vásquez, Gustavo Alonso Simón Santos et al.

Objetivo: Brindar intervenciones de enfermería que mejoren el estado de salud del usuario. Caso clínico: Paciente adulto mayor de 86 años, de sexo masculino, sin antecedentes. El usuario ingresa al Servicio de Emergencia HNAL el día 17/4/2024 por constante tos exigente y productiva y sonidos crepitantes, el cual no le permitía respirar normal, se cansaba y tenía un leve dolor en el pecho. Métodos: Estudio de caso único de enfoque cualitativo. Se utilizó como instrumento de valoración la teoría de los 11 patrones funcionales de Marjory Gordon para el proceso de datos que utilizaron las nomenclaturas taxonómicas internacionales de diagnósticos enfermeros 2021-2023, NOC Y NIC. Resultados: La evolución del usuario es favorable, se continúa con todos los cuidados basándose en planes de cuidado individualizado. Conclusiones: Para el diagnóstico (00007), hipertermia, tuvo como puntuación de cambio con base en los indicadores: temperatura cutánea aumentada (+2), hipertermia (+1) y para la presencia de piel de gallina cuando hace frío (+2). Para el segundo diagnóstico (00032), patrón respiratorio ineficaz, tuvo como puntuación de cambio con base en los indicadores: frecuencia respiratoria (+1), disnea (+1) y para la saturación de oxígeno (+2). En el tercer diagnóstico (00031), limpieza ineficaz de las vías aéreas, tuvo como puntuación de cambio con base en los indicadores: frecuencia respiratoria (+1), ruidos respiratorios (+1) y el acumulo de secreciones (+2). Para el cuarto diagnóstico (00044), deterioro de la integridad tisular, tuvo como puntuación de cambio con base en los indicadores: eritema (+0), lesiones cutáneas (+1) y la integridad de la piel (+1). Por último, el diagnóstico enfermero (00004), riesgo de infección relacionado con procedimientos invasivos, tuvo como puntuación de cambio con base en los indicadores: identifica los controles de riesgo (+1) y controla los factores de riesgos ambientales (+2).

Barlian Kristanto, Diannike Putri, Le Huang Dung et al.

Vocabulary mastery is crucial for nursing students to effectively communicate in English. This study aimed to develop and validate a tailored computer-assisted vocabulary learning (CAVL) intervention to improve nursing students' retention of English lexicon, which is essential for healthcare communications. The CAVL program was designed using the Moodle platform and focused on four thematic units that targeted essential nursing vocabulary. The learning process followed research-based principles of vocabulary instruction, including multimodal introduction, reinforced retrieval, and contextual repetition. This study utilized a research and development methodology to conduct iterative needs analyses, design refinement, and rigorous evaluation protocols. Expert reviews, prototype testing, post-intervention vocabulary tests, and delayed assessments were used to gather data and make data-driven improvements. Quantitative analysis evaluated the effectiveness of this approach for 100 Indonesian nursing students. Vocabulary assessments were administered before, immediately after, and two weeks after the intervention, revealing significant improvements in terminology knowledge following the implementation of CAVL. Importantly, scores remained stable during the delayed assessment, demonstrating durable retention. These results are consistent with previous literature on the benefits of contextual and multimodal vocabulary learning. The CAVL prototype facilitated learning and effectively improved vocabulary retention outside of the classroom. This research provides an adaptable framework for technologically-assisted language mastery, which is essential for the next generation of nursing education. Further studies can explore the application of this framework in allied healthcare fields and the transition to practice in nursing education.

Nurin Jazmina Muhammad Syafiq, Ashishkumar Akshaykumar Trivedi, Alice Lai et al.

Objective: Health-care workers (HCWs) are known to be at high risk for occupational biological hazards, and this includes exposure to mycobacterium tuberculosis (TB) which can result in either active or latent TB infection (LTBI). This study aims to provide an overview of the incidence of LTBI among HCWs in Brunei Darussalam, to examine associated risk factors, and to evaluate LTBI treatment compliance. Materials and Methods: This is a retrospective cross-sectional study which was conducted using data from January 2018 to December 2021, on notified cases of LTBI in HCWs which identified 115 cases. Demographic data, underlying medical conditions, and compliance to treatment were assessed through reviews of their electronic health records. Results: The incidence of LBTI was 14.6/year/1000 HCWs. The incidence rate reached a high of 24.6/1000 in 2020, and majority of cases were in the older age groups. There was good treatment acceptance and compliance (82.6%), and this was observed to be significantly higher in females than males (P = 0.02). Conclusion: This study showed an average incidence of LTBI of 14.6/1000 HCWs over 4 years and high LTBI treatment acceptance (82.6%) and compliance. Emphasis on infection prevention and control measures in health-care settings and actions to increase awareness of LTBI are crucial interventions toward reducing the burden of LTBI.

Yan Du, Penny Roberts, Wei Liu

BackgroundNumerous studies have documented the beneficial effects of Tai Chi on a variety of health outcomes, especially in older adults. However, only few studies have examined how to improve the practice and adherence of this Asian-originated exercise among older adults in Western countries. ObjectiveThis study aimed to identify facilitators and barriers to Tai Chi practice and adherence in community-dwelling older adults. MethodsThis study analyzed the qualitative data collected from 13 participants (mean age 62.0, SD 10.3) at the end of a 15-week randomized controlled trial conducted at a day activity senior center. Semistructured interviews were conducted, recorded, and transcribed; and the data were analyzed using inductive thematic analysis. ResultsFour themes emerged: perceived benefit, threats, facilitators, and barriers. Perceived threats (eg, aging and side effects of medications) and perceived benefits of Tai Chi (eg, balance) inspired participants’ engagement in Tai Chi exercise. On the other hand, barriers to Tai Chi practice and adherence included instructor’s teaching style, the complexity of Tai Chi postures and movements, and existing health conditions (eg, hip problems). In essence, factors like Tai Chi class availability, family and peer support, as well as practicing Tai Chi with music may facilitate Tai Chi exercise adherence. ConclusionsThe study findings could provide valuable information to health professionals, such as nurses and physical therapists, in developing and implementing effective Tai Chi programs in care plans. Considering health conditions, tailoring Tai Chi exercise instruction styles, encouraging social and peer support, and incorporating music may promote Tai Chi practice and adherence.

Erika L. Linnander, Adeola Ayedun, Dowin Boatright et al.

Abstract Background Sepsis affects 1.7 million patients in the US annually, is one of the leading causes of mortality, and is a major driver of US healthcare costs. African American/Black and LatinX populations experience higher rates of sepsis complications, deviations from standard care, and readmissions compared with Non-Hispanic White populations. Despite clear evidence of structural racism in sepsis care and outcomes, there are no prospective interventions to mitigate structural racism in sepsis care, nor are we aware of studies that report reductions in racial inequities in sepsis care as an outcome. Therefore, we will deliver and evaluate a coalition-based intervention to equip health systems and their surrounding communities to mitigate structural racism, driving measurable reductions in inequities in sepsis outcomes. This paper presents the theoretical foundation for the study, summarizes key elements of the intervention, and describes the methodology to evaluate the intervention. Methods Our aims are to: (1) deliver a coalition-based leadership intervention in eight U.S. health systems and their surrounding communities; (2) evaluate the impact of the intervention on organizational culture using a longitudinal, convergent mixed methods approach, and (3) evaluate the impact of the intervention on reduction of racial inequities in three clinical outcomes: a) early identification (time to antibiotic), b) clinical management (in-hospital sepsis mortality) and c) standards-based follow up (same-hospital, all-cause sepsis readmissions) using interrupted time series analysis. Discussion This study is aligned with calls to action by the NIH and the Sepsis Alliance to address inequities in sepsis care and outcomes. It is the first to intervene to mitigate effects of structural racism by developing the domains of organizational culture that are required for anti-racist action, with implications for inequities in complex health outcomes beyond sepsis.

Samira Jaouhar, Abdelhakim El Ouali Lalami, Khadija Ouarrak et al.

Background. Equipment and hospital surfaces constitute a microbial reservoir that can contaminate hospital users and thus create an infectious risk. The aim of this work, which was carried out for the first time at a hospital in Meknes (regional hospital in the center of Morocco), is to evaluate the microbiological quality of surfaces and equipment in three potential risk areas (burn unit, operating room, and sterilization service). Methods. This study was carried out over a period of 4 months (February–May 2017). A total of 60 samples were taken by swabbing according to the standard (ISO/DIS 14698-1 (2004)) in an environment of dry area and equipment after biocleaning. Isolation and identification were performed according to conventional bacteriological methods and by microscopic observation for fungi. Results. The study showed that 40% of surface samples were contaminated after biocleaning. The burn unit recorded a percentage of 70% contamination (p value <0.001), 13% for the sterilization service, and 7% for the operating room. 89% of the isolates were identified as Gram-positive bacteria against 11% for fungi (p value <0.001). Bacterial identification showed coagulase-negative staphylococci (32%), Bacillus spp. (16%), Corynebacterium (8%), and oxidase-negative Gram-positive bacillus (40%) while fungal identification showed Aspergillus niger (n = 2) and Aspergillus nidulans (n = 1). Conclusion. To control the infectious risk related to equipment and hospital surfaces, it would be necessary to evaluate the disinfection protocol applied in these units.

Shirin Barzanjeh-Atri, Vahid Pakpour, Azizeh Farshbaf-Khalili et al.

Introduction: Paying attention to the quality of life (QOL) in the elderly life is an important issue, given the criticality of this period. The Objective of the present study is to determine social capital and its predictive role on QOL among elderly people living in Tabriz, East- Azerbaijan province, Iran. Methods: The present cross-sectional study was accomplished in 2018 on 522 elderly people referred to the health centers in city of Tabriz. A multi-stage random cluster sampling was implemented. The data were collected, using a demographical questionnaire, Onyx-Bullen social capital, and WHOQOL-BREF QOL questionnaires. Then, they were analyzed by SPSS software version 15 and descriptive (frequency, percentage, mean (SD) and inferential statistics (Pearson, and Multivariate linear regression) were provided. Results: The mean age of the participants was 65.7 years, 58% were women, 85.5% were married, and 37.5% were illiterate. The mean )SD (of social capital score was 71.87 (10.51) (in the range of 36-144) and for QOL, it was 64.64 (10.81) (in the range of 0-100). Social capital had positive and direct relation with QOL. Out of all the variables studied; marital status, education, economic status, health status, the absence of cardiovascular diseases (CVDs), and joint pains had significant relation with QOL. By some modifications in context factors, social capital was considered to be a predictive factor for QOL [β (95%CI): 0.28 to 0.36)]. Conclusion: For the promotion of QOL among the elderly, certain strategies must be implemented by health policy makers to enhance social capital among elderly people.

Flavia Regina Souza Ramos, Priscila Orlandi Barth, Laura Cavalcanti de Farias Brehmer et al.

Abstract Objective: To evaluate the frequency and intensity of moral distress in Brazilian nurses. Method: Cross-sectional study performed with nurses from 27 Brazilian states through application of the Brazilian Moral Distress Scale in Nurses (Portuguese acronym: EDME-Br) and descriptive statistical analysis. Results: Participation of 1,226 Brazilian nurses in the study. The intensity and frequency of overall moral distress were rated as moderate level, with averages of 3.08 (± 1.45) and 2.94 (± 1.37), respectively. Specifically, the highest intensity and frequency was related to the factors Acknowledgement, power and professional identity and Work teams, while the lowest was related to the factor Defense of values and rights. Conclusion: Moral distress occurs in precarious work environments, with little expressiveness of the nurses’ role. One highlights the importance of the problem in terms of its amplitude and multicausality, reaching professionals acting in different work contexts.

Darpan I. Patel, Derek Wallace, Kira Abuchowski et al.

Abstract Muscle loss is a debilitating side effect to prostate cancer (PCa) experienced by nearly 60% of men. The purpose of this study was to test the hypothesis that Nexrutine®, a bark extract from the Phellodendrum amurense, can protect against prostate cancer induced muscle loss in a similar manner as exercise, using the transgenic adenocarcinoma of mouse prostate (TRAMP) model. Forty‐five, 8‐ to 10‐week old TRAMP mice were randomized to either control, Nexrutine® (600 mg/kg pelleted in chow) or exercise (voluntary wheel running). Mice were serially sacrificed at weeks 4, 8, 12, and 20, at which time either the left or right gastrocnemius muscle was harvested, weighted, and frozen. Proteolysis inducing factor (PIF), ubiquitin, and NF‐κB concentrations were quantified using ELISA kits. Nexrutine® and exercise were equally able to protect TRAMP mice against PCa‐induced muscle loss (P = 0.04). Both interventions decreased intramuscular PIF concentrations at 20 weeks compared to control (P < 0.05). A treatment effect was also observed when all time points were combined with exercise significantly lowering PIF concentrations (P < 0.01). Exercise significantly lowered intramuscular ubiquitin concentrations in weeks 4, 8, and 20 compared to control mice (P < 0.001). A treatment effect was also observed with exercise significantly lowering ubiquitin compared to control mice (P < 0.001). No significant changes were observed for NF‐κB. The results of this investigation demonstrate that PCa‐induced muscle loss can be attenuated with the herbal supplement Nexrutine®. This investigation provides preliminary evidence to support continued research into Nexrutine® as a potential exercise analog in protecting against muscle loss.

Ahmad Bazazan, Iman Dianat, Leila Rastgoo et al.

Background: Fatigue and psychological distress are fairly common among nursing personnel,but their relationship is not clearly understood.Methods: In this cross-sectional study, we investigated the relationships between dimensions of fatigue and psychological distress among 699 public hospital nurses in Iran. The Multidimensional Fatigue Inventory (MFI–20) and General Health Questionnaire (GHQ–12)were used for evaluation of fatigue and psychological distress, respectively.Results: The total fatigue score of the MFI–20 was 52.5 (SD = 11.8). The general fatigue (mean± SD = 13.2±3.1) and reduced motivation (mean ± SD = 9.2±2.7) were the fatigue dimensions with the highest and lowest mean scores, respectively. The percentage of psychological distress(e.g., those nurses scored above the cut-off point [GHQ–12 ≥ 4]) was 29.1%. Stepwise multiple linear regression analysis indicated that general (P<0.001), physical (P<0.001) and mental(P<0.001) aspects of fatigue were significantly related to the psychological distress, so that the scores of these fatigue dimensions were significantly higher for those nurses with a higher level of psychological distress (above the cut-off point) than those with a lower level of psychological distress (below the cut-off point).Conclusion: The results emphasize the need for multi-component interventions aimed at decreasing both mental and physical fatigue, and consequently reducing the psychological distress among this group of healthcare professionals.

Zeng Wei, Qian Xiaofang, Liu Guihua

Abstract Objective: To investigate the status quo of clinical nurses’ mindfulness,job burnout,and subjective wellbeing and to analyze the correlation among the three.Methods:Mindful Attention Awareness Scale(MAAS),Nursing Burnout Scale(NBS) and Index of WellBeing(IWB) were used to access mindfulness,job burnout and subjective wellbeing among 332 clinical nurses in a maternal and child specialist grade A tertiary hospital of Fuzhou city.Results:The total score of mindfulness was(53.88±10.63) points,which was at the middle level.The total score of job burnout and subjective wellbeing were(129.47±19.73) points and(9.88±1.99) points.Mindfulness was statistically significantly different among different ages(P&lt;0.05).Job burnout was statistically significant among different ages,nursing ages,marital status and technical titles(P&lt;0.05).Mindfulness was negatively correlated with job burnout(r=-0.445,P&lt;0.001) and was positively correlated with subjective wellbeing(r=0.336,P&lt;0.001).Job burnout was negatively correlated with subjective wellbeing(r=-0.439,P&lt;0.001).Conclusions:Both subjective wellbeing and job burnout were related to mindfulness.For different characteristics of nurses,nursing managers should take targeted measures to improve clinical nurses’ level of mindfulness to relieve nurses job burnout and improve nurses subjective wellbeing,which expanded a new version of the intervention strategy for nursing human resource management.

Amare Teshome, Asmare Yitayeh

INTRODUCTION: periodontal disease is a neglected bacterial infection that causes destruction of the periodontium in pregnant women. Yet its impact on the occurrence of adverse pregnancy outcomes has not systematically evaluated and there is no clear statement on the relationship between periodontal disease and preterm low birth weight. The objective of this study was to summarize the evidence on the impact of periodontal disease on preterm low birth weight. METHODS: we searched the following data bases from January 2005 to December 2015: CINAHL (cumulative index to nursing and allied health literature), MEDLINE, AMED, EMBASE (excerpta medica database), Cochrane library and Google scholar. Only case-control studies with full text in English were eligible. Critical appraisal of the identified articles was done by two authors independently to provide the possible relevance of the papers for inclusion in the review process. The selected Case control studies were critically appraised with 12 items structured checklist adapted from national institute of health (NIH). Odds ratio (OR) or risk ratios (RR) were extracted from the selected studies. The two reviewers who selected the appropriate studies also extracted the data and evaluated the risk of bias. RESULTS: of 229 articles, ten studies with a total of 2423 participants with a mean age ranged from 13 to 49 years were met the inclusion criteria. The studies focused on preterm birth, low birth weight and /or preterm low birth weight and periodontitis. Of the selected studies, 9 implied an association between periodontal disease and increased risk of preterm birth, low birth weight and /or preterm low birth weight outcome (ORs ranging from 2.04 to 4.19) and only one study found no evidence of association. CONCLUSION: periodontal disease may be one of the possible risk factor for preterm low birth weight infant. However, more precise studies with randomized clinical trial with sufficient follow-up period must be done to confirm the association.

Winda Ratna Wulan, Achir Yani S. Hamid, Novy Helena

Sejak Juli 2013, Rumah Sakit Provinsi Jawa Barat membuka Poli Konseling Psikiatri di Grha Atma yang melibatkan perawat spesialis keperawatan jiwa. Penelitian yang dilakukan adalah dengan menggunakan penelitian survei dengan metode kuantitatif dan menggunakan rancangan cross sectional. Tujuan dari penelitian ini adalah untuk mengidentifikasi karakteristik klien dan keluarga yang berkonsultasi di Poli Konseling, terapi spesialis keperawatan jiwa yang banyak digunakan dan keberhasilan terapi spesialis keperawatan jiwa terhadap klien dan keluarga. Sebagian besar klien dan keluarga yang melakukan konseling dengan datang langsung berdasarkan rujukan dari dokter spesialis kesehatan jiwa kepada klien rawat jalan di Grha Atma. Pada penelitian ini didapatkan bahwa kelompok terbesar adalah kelompok jenis kelamin perempuan usia 20-40 tahun, berpendidikan SMU, jumlah yang bekerja hampir sama dengan yang tidak bekerja, didiagnosis skizofrenia, sebagian besar klien mengalami harga diri rendah, sedangkan koping keluarga inefektif dialami oleh seluruh keluarga yang mendampingi klien saat konseling. Faktor predisposisi sebagian besar faktor herediter, kegagalan, dan faktor ekonomi, sedangkan faktor presipitasi sebagian besar diakibatkan oleh putus obat antipsikotik, kegagalan, dan faktor ekonomi. Terapi spesialis keperawatan jiwa individu yang paling banyak dilakukan adalah Cognitive Therapy, sedangkan terapi spesialis keperawatan jiwa yang paling banyak dilakukan adalah terapi Family Psycho Education. Jumlah klien yang tuntas melakukan terapi hampir sama dengan yang tidak tuntas melakukan terapi. Penelitian ini diharapkan dapat memberikan gambaran karakteristik klien dan terapi spesialis yang dilakukan serta untuk membuat suatu bentuk pemberian terapi spesialis keperawatan jiwa yang optimal terhadap kendala-kendala yang ada.   Abstract  Therapy Specialist Nursing Psychiatric Specialist Therapy. Mental Hospital of West Java province since July 2013 opening poly psychiatric counseling at Grha Atma involving nurse specialist psychiatric nursing. Research conducted using survey research with a quantitative method using cross sectional. The purpose of this study was to identify the characteristics of the client and family are consulted in poly counseling, psychiatric nursing specialist therapy that is widely used and successful psychiatric nursing specialist therapy to clients and families. Most of the client and family counseling based on those referrals come from mental health specialists in outpatient clients at Grha Atma. In this study it was found that the largest group is the age group 20—40 years, female gender, the majority of high school educated, almost the same amount of work with that are not work, the majority of diagnosed schizophrenia, most clients experience low self-esteem while ineffective family coping experienced by the whole family who accompany clients when counseling. Predisposing factors largely hereditary factors, failure and economic factors, while most of the precipitation factor due to antipsychotic drug withdrawal, failures and economic factors. Therapeutic nursing specialist individual soul is the most widely performed while therapy Cognitive Therapy specialist psychiatric nursing is the most widely performed therapy Family Psycho Education. Number of clients who completed therapy similar to incomplete therapy. This study is expected to provide an overview of client characteristics and treatment specialists who performed as well as the constraints that exist to make a form of therapy specialist psychiatric nursing optimal.  Keywords: polyclinic counseling, client and family characteristic, psychiatric nursing specialist ther

N. Roper, W. Logan, A. Tierney

A. Hinshaw, C. Smeltzer, J. Atwood

Closs Sj, F. Cheater

K. N. Kajermo, G. Nordström, Åsa Krusebrant et al.