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Summary: The idea to create pictorial narratives seems to have occurred long after humans learned to produce iconic images, that is, depictions based on visual similarity to external objects. In Scandinavia, e.g. in Gärde, Sweden or Stykket and Bøla, Norway, early Mesolithic images (e.g. rock carvings from before c.5000 BCE) often feature animals that are solitary or without suggestion of causal or narrative relations to other figures, although they sometimes are grouped by proximity or are superimposed on each other. Notable is also the almost complete absence of human figures. However, in subsequent Neolithic configurations (after c.5000 BCE), there are renderings of human agents involved in various forms of interaction with each other or with animals, often within distinguishable 'scenes' or compositions. In this paper we outline the emergence of pictorial narratives in Scandinavian rock carvings. In particular, we focus on some of the first depictions of human agency as displayed in Nämforsen, Sweden (c.5000–1800 BCE). Further, we present an analysis of occurring human‐animal relationships, interpretable as early attempts to create narrativizing images. [ABSTRACT FROM AUTHOR]

We aimed to survey the findings of phenomenological studies built up in the field of diabetes care in Sweden. This is a meta-synthesis of phenomenological studies on experiences related to diabetes in Sweden focusing on learning to live with diabetes. We proceeded by reference to the seven phases of Noblit & Hare. We examined papers from seven phenomenological studies on learning to live with diabetes in Sweden. From the papers, which describe the experience of living with diabetes, three overarching themes were selected—perception and awareness of the body; integration and responsibility; and presence of others who provide support. From those describing the expert's experience, an overarching theme emerged—encouraging reflection in persons with diabetes. We interpreted each of these themes in phenomenological terms and compared them with theories in Japan. Persons with diabetes take responsibility for coping with a range of things brought on by the illness and learn to live with diabetes. Experts support these persons so they can see their world objectively and critically scrutinize it. By building a model of diabetes care in Japan that references Scandinavian human science, it will be possible to find new approaches that support learning at the existential level. [ABSTRACT FROM AUTHOR]

Landscapes and their management are at the center of many of the sustainability challenges that we face. Landscapes can be described as social-ecological systems shaped by a myriad of human activities and biophysical processes, interacting across space and time. Managing them sustainably requires considering this complexity. Resilience thinking offers ways to address complexity in decision-making. In this paper, we analyse the learning and impact on a diverse group of local actors from participating in a participatory resilience assessment. The assessment, focused on sustainable landscape management in the Helge å catchment, Sweden, produced concrete knowledge outputs, describing ecosystem service bundles, a future vision, conceptual system models, and a strategic action plan. Follow-up interviews indicate that the process and its outputs supported the participants' learning process and helped them to articulate complexity thinking in practice. The outputs, and the exercises to produce them, emerged as complementary in supporting this articulation. Furthermore, they helped build participants' capacity to communicate the diverse values of the landscape to others and to target leverage points more strategically. Thus, it supported the application of resilience thinking in landscape management, especially by generating learning and fostering complex adaptive systems thinking. [ABSTRACT FROM AUTHOR]

This paper explores learning trajectories in becoming 'rural women' in Sweden, by using a biographical and socially-situated learning perspective. The data is based on in-depth biographical interviews with three young women who moved between rural and urban areas, and finally decided to return to a rural area. The findings show three learning phases: the mythical, the questioning and the self-positioning phase. Furthermore, the paper identifies four types of learning spaces of urban and rural areas: an imagined, a career-related, a cultural-emotional and a biographical learning space. The paper offers valuable insights about everyday life learning and identity development in young adulthood, and how stereotypes of rural areas negatively impact on young adults' views of themselves and their life choices.Keywords: young female, rural/urban dived, countryside returnees, learning space and trajectories, biographical learning. [ABSTRACT FROM AUTHOR]

As the integration of digital technologies in higher education continues to increase, there is a need to understand how to best support university teachers as designers of technology‐enhanced learning (TEL) in order to support students to achieve academic success. In this study, we have examined the Faculty Pedagogical Developer Initiative at KTH Royal Institute of Technology in Sweden, an innovative project to support a bottom‐up change process of teachers as designers of TEL, with the intent to strengthen the professional pedagogical development for the faculty. Data were collected from interviews and official documents. Actor–network theory was applied for the analysis. The results suggest that the initiative stimulated both practical implementation of digital technology in educational programmes and also spurred a debate about teachers as designers of TEL between these pedagogical developers and other teachers across different schools and subjects at KTH. However, there are important social, organisational and technical challenges that should be considered when developing support for university teachers as designers of TEL. This paper concludes that this process requires a deep understanding of four interrelated elements: information, technology, organisation and social arrangements. Practitioner NotesWhat is already known about this topic Faculty interest in applying technology in innovative ways has evolved.Teachers are rarely involved as participatory designers in the TEL contexts.Collaboration among teachers in the TEL design process is an effective strategy.What this paper adds It uncovers dynamics of the bottom‐up change approach of university teachers as designers of TEL interventions.An insight into how the available technology plays a part in transforming teachers' practices.Deeper knowledge about the usefulness of actor‐network theory in empirical HE research.Implications for practice and/or policy There is a need for a critical perspective on supporting university teachers as designers of TEL.Bottom‐up approaches to the faculty pedagogical development in TEL should be continuously supported from the top.Bottom‐up initiatives should be driven by teachers who are recognised for their teacher excellence and trusted among the faculty. [ABSTRACT FROM AUTHOR]

Lately, theme parks have emphasized the learning and edutainment aspects of their business. This has created new opportunities for theme parks and schools to cooperate. Research has shown that learning at science centers, a similar form of learning arena, tends to be out of context and that the learning outcomes are meager. High Chaparral, in southern Sweden, is a theme park primarily focusing on the American 1870s. With 160,000–170,000 visitors each year, the theme park is one of the largest arenas for history communication in Sweden, alongside traditional cultural heritage institutions. This paper presents an analysis of students, mainly aged 10–12 years, visiting the park. In the park, the children are presented with various fact- and skills-oriented activities. While the children enjoy the activities, they do not align the presentations with their school history education. Rather, the children relate them to their own everyday life experiences, and the idea of 1870s America they take from the park is, to a high degree, informed by popular TV and movie Westerns. While the theme park seems fun for the children, the findings of this analysis show that the park's theme is not easily connected to the Swedish history curriculum for the studied group of students. In particular, the park does not align with the constructivist ideals of the Swedish curriculum. This does not mean that learning possibilities are absent. The park contains multifaceted leaning opportunities, but given the park's present focus, these are not fully developed. [ABSTRACT FROM AUTHOR]

Context: Teaching intimate examinations to medical students has been recognised as difficult because of the anxious feelings that the students may experience. For their professional development, previously incorporated understandings need to be relearned: how to transgress boundaries that regulate intimacy and physical closeness, learning to examine and touch other peoples' bodies, and talking about things that are otherwise taboo. Objectives: This paper compares how students learn to perform two intimate examinations: (i) the digital rectal examination (DRE) of the prostate, and (ii) the bimanual pelvic examination (PE) and analyses how norms and expectations affect how students learn to approach them. Methods: This study is based on ethnographic work: in‐depth qualitative interviews with two urologists and nine medical students in semesters four, eight and 11 of a medical education programme in Sweden, observations of three learning sessions where 16 students performed the PE on professional patients, and 2 days of observations at a urology outpatient clinic. Results: The educational approach to the PE and DRE differ. The PE is taught as sensitive and to be handled with care, using a well‐documented learning concept including interpersonal and technical skills. The patient's exposed position in the gynaecological chair, possible previous negative experiences of PE or sexual exploitation are taken into account. In contrast, there is no educational concept for teaching the DRE. The students perform their first DRE on a clinical patient. The DRE is also handled with care, but with less sensitivity. The patients' possible previous negative experiences are not discussed and are thus made invisible. Conclusions: Well‐established routines in performing the PE help doctors and students to be attentive to patients' emotions and previous experiences, and remind them to perceive the examination as sensitive. Aligning the teaching of the DRE with that of the PE will improve how the male prostate patient is approached. The authors demonstrate that when comparing the digital rectal exam (DRE) with the bimanual pelvic exam (PE), the lack of articulated routines for teaching the DRE becomes apparent. Aligning the teaching of the DRE with that of the PE will improve how the male patient is cared for. [ABSTRACT FROM AUTHOR]

Early-age exposure to noise may have long-term health implications of which we have little knowledge of today. Age-specific hearing, learning inadequate coping strategies, and alterations in biological stress regulatory responses could play a role in the long-term health impacts. In Sweden about half a million children in the age between 1–5 years attend preschool. The noise exposure at preschools is intermittent and unpredictable and levels reach up to 84 dB LAeq (time indoors) with maximum levels of 118 dB LAF, mostly due to child activity. To increase the overall understanding of the possible implications of preschool noise environments for children, this paper describes children’s behavioral and emotional reactions to and coping with their everyday sound environment from a teachers perspective. A postal questionnaire study performed in 2013–2014 with answers from 3,986 preschool teachers provided the data. Content analysis was combined with quantitative analysis. Eighty-two percent of the personnel considered that children’s behavior was affected rather or very much by preschool noise. The most prevalent behaviors were categorized into: be heard, be distracted, show negative internal emotions, crowd, avoid, withdraw, be exhausted, and learning. The quantitative analyses confirmed an association between the perceived loudness and noise annoyance at preschool and affirmative reporting on noise affecting the children´s behavior. Age of the personnel, with the youngest age group reporting noise related behavior less often, and age distribution of the class, with 1–5 years old seeming less affected by noise, were also indicated, while pedagogic orientation was not a significant factor. Future studies should address the long-term health effects of these behaviors. [ABSTRACT FROM AUTHOR]

This paper focuses on school situations students experienced as meaningful and how these experiences can guide educational improvement. Participants included 15 students in grade 3 from a Swedish school. In this qualitative study, the data consisted of drawings, multimodal productions, interviews, and field notes. The analysis resulted in four themes: Having the opportunity to learn in different spaces; Being free and able to participate; Experiencing caring and sharing, and Recognizing one's own growth and achievement. The findings suggest that situations students find meaningful involve aspects of both learning and wellbeing. The practical implication for these results is that student-generated qualitative data can help indicate needs for educational improvement. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study is to explore what it means to be able to move in different ways. What does it mean, from the perspective of the learners, to know how to carry out a specific movement? What is there to know and how could this insight contribute to the planning of developing learners' capability to move in different ways? As an example of a ‘new’ way of moving to be learnt, a movement called ‘house-hop’ (i.e. a 360-degree rotation initiated on the ground and completed in the air) was introduced as an object of learning in a physical education (PE) class in a secondary high school in Sweden. The paper explores learners' different ways of moving as expressing different ways ofknowinghow to ‘house-hop’ comprising also certain aspects of the movement being discerned simultaneously by the learners. In this way, an attempt will be made to explicatewhatthere is to know when knowing a movement. Background: Evans initiated a discussion about what ‘ability’ means and how it is recognized and valued within the context of PE which has been further discussed in a growing body of critical research. He also raised the question of which ‘abilities’ the PE subject is supposed to develop while at the same time stating that ‘talk of physically educating the body’ in terms of ‘practical knowledge,' ‘physical literacy’ or ‘kinesthetic intelligence’ has ‘almost disappeared from the discourse of PE'. Rather, physical education in terms of the theme of this paper,capability to move, is reduced to implicit and taken-for-granted ‘standards of excellence,' only reluctantly discussed by PE teachers. There is a need for conceiving capability to move as an educational aim so that it can be explicitly discussed and dealt with in physical education. Theoretical framework and method: The study takes as its starting point an epistemological perspective on capability to move corresponding with Ryle's ‘knowing how,' challenging the distinction between mental and physical skills in regarding the knowing involved in capability to move as comprising interwoven mental and physical processes. Additionally, phenomenography and Variation Theory are used as analytical framework integrated in a Learning Study. Learning Study is a kind of design experiment inspired by the Japanese Lesson Study, where the main aim is to explore an object of learning. Findings and discussion: The findings show different ways of knowing house-hop as well as several aspects to discern in order to know the movement in a powerful way. The knowing involved in house-hopping can be seen assomatic graspingcomprising mental and physical skills as an integrated whole. The paper discusses how this approach to investigating learners' different ways of knowing a new way of moving to be learnt can contribute to the planning of teaching and learning capability to move. [ABSTRACT FROM PUBLISHER]

Creative remake assignments using garments and textile refuse are common educational projects to promote environmental and sustainability actions. However, very little empirical research has been carried out on the learning processes of remake projects. In this article, the aim is to examine how students learn with garments and textile refuse when engaging in a remake project. The exploration is conducted in a Swedish crafts class, educational sloyd, as a case. Practical epistemological analysis and the concept of transactant are used to analyse and be attentive to the learning process. The findings show how students transact with the idea of a product, the material’s capabilities and the remake techniques. Further, the transactants show what participates and makes the learning process turn in specific directions, which is further discussed in the paper. Based on this empirical research, we may increase our understandings of how the learning processes is made in the remake project, and that knowledge can help us understand, and thus improve the quality of remake projects in relation to the environmental and sustainability aims. [ABSTRACT FROM AUTHOR]

Purpose - The purpose of this paper is to investigate the challenges of using ICT in secondary schools in Sweden from teachers' perspectives. Design/methodology/approach - The research followed a qualitative research approach. First, a conceptual framework was developed based on previous research. Then, four teachers, teaching in six different subjects in secondary schools in Sweden, participated in semi-structured interviews that consisted of open-ended questions exploring their views on the challenges of using ICT in secondary schools. Findings - According to the results, the authors found that the biggest challenges were associated with the perspective of teaching and teaching preparation. Most challenges from previous research have been re-confirmed by the interviewees in this study. In addition, some new challenges were identified in this study. For instance, the results indicated that it was time consuming to find plagiarism of students' exercises, and there was a lack of ICT training of digital resources provided by the schools. Originality/value - The investigation of using ICT in secondary schools is of scientific significance because it enriches the understanding of strengths and challenges of using ICT in educational activities. In particular, this research aims to shed light on challenges that teachers may face when using ICT in secondary schools. This research can also contribute to making future strategic plans for the use of ICT in secondary schools. [ABSTRACT FROM AUTHOR]

Background: Increased health research capacity is needed in low- and middle-income countries to respond to local health challenges. Technology-aided teaching approaches, such as blended learning (BL), can stimulate international education collaborations and connect skilled scientists who can jointly contribute to the efforts to address local shortages of high-level research capacity. The African Regional Capacity Development for Health Systems and Services Research (ARCADE HSSR) was a European Union-funded project implemented from 2011 to 2015. The project consortium partners worked together to expand access to research training and to build the research capacity of post-graduate students. This paper presents a case study of the first course in the project, which focused on a meta-analysis of diagnostic accuracy studies and was delivered in 2013 through collaboration by universities in Uganda, Sweden and South Africa.Methods: We conducted a mixed-methods case study involving student course evaluations, participant observation, interviews with teaching faculty and student feedback collected through group discussion. Quantitative data were analysed using frequencies, and qualitative data using thematic analysis.Results: A traditional face-to-face course was adapted for BL using a mixture of online resources and materials, synchronous online interaction between students and teachers across different countries complemented by face-to-face meetings, and in-class interaction between students and tutors. Synchronous online discussions led by Makerere University were the central learning technique in the course. The learners appreciated the BL design and reported that they were highly motivated and actively engaged throughout the course. The teams implementing the course were small, with individual faculty members and staff members carrying out many extra responsibilities; yet, some necessary competencies for course design were not available.Conclusions: BL is a feasible approach to simultaneously draw globally available skills into cross-national, high-level skills training in multiple countries. This method can overcome access barriers to research methods courses and can offer engaging formats and personalised learning experiences. BL enables teaching and learning from experts and peers across the globe with minimal disruption to students' daily schedules. Transforming a face-to-face course into a blended course that fulfils its full potential requires concerted effort and dedicated technological and pedagogical support. [ABSTRACT FROM AUTHOR]

In order to tap the energy saving and climate mitigation potential of buildings, transaction costs of implementing energy efficient technologies need to be better understood and ultimately reduced. The objective of this paper is to identify and analyze the nature and scale of transaction costs resulting from the application of the passive house concept in energy efficient renovations. Related conceptual choices are also discussed. This study explores learning strategies as a potential to reduce transaction costs. It focuses on transaction costs borne by building owners and building developers in the planning and implementation phases of a passive house-oriented renovation in Sweden. Results reveal three main sources of transaction costs: due diligence, negotiations and monitoring. The analysis shows that transaction costs are non-negligible and for individual cost sources the scale can be three times higher than for conventional renovations. To reduce transaction costs, various learning strategies such as study visits, demonstration projects, new forms of meetings and new channels of (written) information were found. These strategies have the potential to half transaction costs of future renovation projects. [ABSTRACT FROM AUTHOR]

The stumbling-block in voice therapy is the patient's generalization of the new voice behavior in everyday life. Traditionally voice therapy is based on demonstration, i.e. during the therapy session the speech therapist uses her own voice and body to demonstrate for the patient how to produce voice in different training tasks. During the last decade a new voice therapy strategy, the Verbal Instruction Model (VIM), has been developed by the author. In VIM the speech therapist uses verbal instructions instead of demonstration when conveying the training tasks to the patient. Our clinical experience has shown that VIM seems to help getting over the stumbling-block of generalization. However, evidence for VIM voice therapy outcome remains to be scientifically studied and confirmed. The purpose of this paper is to describe VIM voice therapy and to discuss therapy strategies in the light of motor learning principles. [ABSTRACT FROM PUBLISHER]

The biosphere faces an uncertain future! Embracing change, uncertainty and complexity calls for creative transformative pathways. Biosphere stewardship provides a novel multi actor approach towards sustainability. Despite the critical role of individual environmental stewards, biosphere stewardship emphasizes the importance of collective action, and therefore governance. Biosphere stewardship denotes novel governance configurations with the capacity to effectively approach to sustainability transformation. In this paper we seek to advance understanding of how biosphere stewardship actively shapes trajectories of change to foster social-ecological resilience and human wellbeing. Considering the crucial role of governance and more specifically its two pillars of collaboration and learning, we conduct our study of biosphere stewardship through the lens of adaptive co-management. We first set out a framework for diagnosing and analyzing the process of biosphere stewardship. Secondly, we provide evidenced-based insights from applying the framework in four UNESCO biosphere reserves situated in Canada and Sweden to shed light on how active collective shaping of biosphere stewardship occurs and what it produces. In view of the lack of framework for environmental stewardship, we suggest that the present study makes a considerable contribution by providing an appropriate holistic and systemic framework with operational measures. The study also highlights how the comprehensive and consensual understanding of stewardship is proving to be a means of catalyzing biosphere stewardship by enabling effective crafting of policy design and strategic interventions. Moreover, the application of the framework to four case studies reveals the importance of the governance process attributes (collaboration and learning) in mediating outcomes from biosphere stewardship. Finally, the framework provides the basis to address new stewardship enquiries, which require further research in this field. • We present a framework for diagnosing and analyzing biosphere stewardship process. • We provide insights from applying the framework in four UNESCO biosphere reserves. • The framework helps understand how biosphere stewardship shapes transformation. • Consensual understanding of stewardship can catalyze biosphere stewardship process. • Collaboration and learning mediate outcomes from biosphere stewardship. [ABSTRACT FROM AUTHOR]