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Welfare states in Europe and around the world are experiencing growing numbers of people with limited or unclear rights to public welfare within their borders. These are refugees, undocumented migrants, EU-migrants and other groups of displaced or deprived people seeking a better life. In Sweden, this situation is trying the highly held principles of social and human rights, as charities are becoming an increasingly important complement to rights-based public welfare services. This article will show how eight different City Missions in Sweden are seeing a new role for themselves in an emerging social landscape. The findings will be analysed in terms of social and human rights, using the classic theories of T. H. Marshall as well as more recent research.

Background
This article charts the relationships between the model of evidence-based practice (EBP), healthcare markets where providers are increasingly competing through the adoption of EBP-certified interventions, and the cultivation of experiential knowledge within self-help and mutual aid groups (MAGs). After 35 years of neoliberal reform, service user involvement in research, service provision and evaluation, and patient-centered care has been operationalised in increasingly measurable ways. In seeking to value and incorporate service user experiences, current models of EBP do not unpack the heterogeneity within experiential knowledge.


Aims
This article explores a more meaningful use of experiential knowledge than the cursory and tokenistic treatment it is often given.


Objectives

Propose, illustrate and theorise the concept of 'deep experiential knowledge' (DEK)
Identify ways that the acknowledgement of DEK are useful in healthcare policy, governance and the clinical encounter


Methods
Drawing upon case study vignettes, we analyse MAGs as epistemic communities of problem solvers.


Findings
Deep experiential knowledge is a robust and collective form of knowledge, generated over time in the long-term members ('old-timers') and collective knowledge of MAGs. Five characteristics of deep experiential knowledge are proposed.


Discussion
By rendering DEK amenable to the logic of EBP, we outline potential benefits of foregrounding DEK in the conduct of healthcare research, policy and governance, and the clinical encounter.


Conclusions
DEK constitutes an authority that distinguishes different degrees of experiential knowledge of healthcare problems. Attending to DEK helps untangle some of the challenges posed by EBP for and to successful service user involvement.

According to the Energy Efficiency Directive executed by the European Union, each member state is obliged to set a national target on energy efficiency. This requirement constitutes the basis for governments to formulate policy measures directed towards industrial companies. Such policy measures, along with the demand for cost-effective production to remain competitive on the market, motivates industrial companies to improve their energy efficiency. The aluminium industry is energy intensive and consumes substantial amounts of electricity and fossil fuels, resulting in both direct and indirect greenhouse gas emissions. This paper presents a study of the production of an aluminium product in Sweden in terms of implemented energy efficiency measures in the supply chain and potential areas for further improvement. Most previous studies have focused on energy efficiency measures in individual companies (value chains). However, this paper presents and analyses energy efficiency measures not only in each individual company but also in the entire supply chain of the product. The supply chain studied starts with secondary aluminium production followed by the production of a part of an automobile motor and ends with installing the motor detail in a car. Empirical data were gathered through a questionnaire and a focus group. The study shows the great potential for further energy efficiency improvements in the value chains of each individual company and in the whole supply chain. The work shown here is a part of a larger research project performed in close cooperation with the Swedish aluminium industry.

Using industrial excess heat in District Heating (DH) networks reduces the need for primary energy and is considered efficient resource use. The conditions of Swedish DH markets are under political discussion in the Third Party Access (TPA) proposal, which would facilitate the delivery of firms' industrial excess heat to DH networks. This paper estimates and discusses the untapped potential for excess heat deliveries to DH networks and considers whether the realization of this potential would be affected by altered DH market conditions. The results identify untapped potential for industrial excess heat deliveries, and calculations based on estimated investment costs and revenues indicate that realizing the TPA proposal could enable profitable excess heat investments.

Swedish industry, which has one of the lowest electricity prices in the European Union, will face higher electricity prices due to the Union's electricity market liberalization. Rising electricity prices, together with a larger use of electricity than other European countries, pose a threat to industrial activity in Sweden. The Swedish foundry industry, with large proportions of energy costs in relation to the added value, is particularly sensitive to higher electricity costs. The aim of this paper is to study the effect of higher electricity prices on the Swedish iron-and steel foundry industry, quantify an energy efficiency potential for a medium-sized Swedish iron foundry resulting from a thorough industrial energy audit, and investigate what impact they have on the energy cost. ; Original publication: Patrik Thollander, Magnus Karlsson, Mats Söderström, Dan Creutz, Reducing industrial energy costs through energy efficiency measures in a liberalized European electricity market- Case study of a Swedish iron foundry, 2005, Applied Energy, (81), 2, 115-126.http://dx.doi.org/10.1016/j.apenergy.2004.07.006. Copyright: Elsevier B.V., http://www.elsevier.com/

AbstractThis article identifies two different perspectives used when studying self‐help groups: the professional treatment perspective and the voluntary action perspective. An outline of the perspectives leads to a discussion of their consequences for self‐help group research. The authors categorize about five hundred scientific publications from all over the world on the basis of the perspectives they present on self‐help groups; the results indicate that different perspectives seem to be preferred in different countries and when discussing different subjects. Finally, the authors suggest questions and concepts that the perspectives generate, and they emphasize the importance of being aware of which perspective is used in the study of self‐help groups.

Only one fifth of children aged 11–17 years are physically active for 60 min (min)/day. As physical activity (PA) levels track from childhood to adulthood, it is important to establish healthy PA behavior early in life. This study aims to evaluate whether daily school PA is associated with objectively measured PA independently of other socioecological factors. This study includes 209 children (120 boys) aged 9.8 ± 0.6 (mean ± SD) years from four government-funded schools in Sweden. One school including 113 children (70 boys) had 40 min of daily school PA (intervention) and three schools including 96 children (50 boys) had 60 min of school PA/week (control). PA was measured during four serial days with accelerometers. General PA (GPA) was defined as mean counts per minute (cpm). Socioecological factors were collected by questionnaires, and anthropometric traits by measurements. Analysis of covariance (ANCOVA) was used to test whether sex, age, relative age, body height, fat mass, lean mass, screen time activity, parental educational level, parental attitude towards PA, parental PA, sibling(s)' PA, living in a house or apartment, and whether the child was allocated to 40 min daily school PA or 60 min school PA/week, was independently associated with GPA. Daily GPA was found to be 686.9 ± 211.9 cpm. Independently of the other included factors, daily school PA was associated with +81.8 (15.7, 147.8) cpm compared with 60 min PA/week. This study infers that daily school PA is an appropriate strategy to promote PA in 10-year-old children, independently of different socioecological factors.

Only one fifth of children aged 11–17 years are physically active for 60 min (min)/day. As physical activity (PA) levels track from childhood to adulthood, it is important to establish healthy PA behavior early in life. This study aims to evaluate whether daily school PA is associated with objectively measured PA independently of other socioecological factors. This study includes 209 children (120 boys) aged 9.8 ± 0.6 (mean ± SD) years from four government-funded schools in Sweden. One school including 113 children (70 boys) had 40 min of daily school PA (intervention) and three schools including 96 children (50 boys) had 60 min of school PA/week (control). PA was measured during four serial days with accelerometers. General PA (GPA) was defined as mean counts per minute (cpm). Socioecological factors were collected by questionnaires, and anthropometric traits by measurements. Analysis of covariance (ANCOVA) was used to test whether sex, age, relative age, body height, fat mass, lean mass, screen time activity, parental educational level, parental attitude towards PA, parental PA, sibling(s)' PA, living in a house or apartment, and whether the child was allocated to 40 min daily school PA or 60 min school PA/week, was independently associated with GPA. Daily GPA was found to be 686.9 ± 211.9 cpm. Independently of the other included factors, daily school PA was associated with +81.8 (15.7, 147.8) cpm compared with 60 min PA/week. This study infers that daily school PA is an appropriate strategy to promote PA in 10-year-old children, independently of different socioecological factors.

The EU has established so-called 20–20–20 targets, which in relation to energy mean that each Member State shall improve energy intensity levels by 3.3% annually, leading to a reduced primary energy use of 20% by the year 2020, calculated from a projected level based on the primary energy use in 2005. Sweden has established a less ambitious target of 1.7% annual energy intensity improvement through 2020. The aim of this paper is to evaluate, ex-ante, the EU 2020 primary energy target for the Swedish industrial sector. An applied backcasting methodology is used. The assessment made in this paper is that actions that lead to between 31.6 and 33.2 TWh/year reductions in energy end-use are needed if the EU target is to be achieved. Results from this paper shows that the current energy policy instruments are not sufficient to the EU or Swedish targets. Estimations in this paper are that a primary energy target of about 22.3 TWh/year is reasonable. The paper concludes by presenting a roadmap on how the Swedish 2020 target can be achieved through: i) energy management; ii) energy-efficient technology; and iii) energy supply measures, with an approximate cost of 280–300 MEUR or 75–80 kWh per public EUR. Three major additional policy measures are needed compared with the current policy: including all energy carriers, not just electricity, in the Swedish long-term agreements program PFE; setting up networks; and making it possible for third parties, i.e., industry, to deliver excess heat into the monopolized Swedish district heating grids.

The longitudinal and multidisciplinary research project Malmö Youth Sport Study measured the sports results achieved by two cohorts of pupils using a variable named ACHIEVE, dividing the pupils into three categories (an elite group competing at the national or international level, a group competing at the district level, and a third group either not competing at all or below district level). This was assessed three and six years after baseline at age 13. An additional hypothetical measure, based on information from the athletes' trainers, predicted the category the pupils were expected to belong to after twelve years (age 25). Social variables related to the ACHIEVE variable are sex, socio-economic position of the parents, ethnicity, completed secondary sports school, sports capital, and quartile of birth. After three years, 28% of the pupils belonged to the elite group and after six years, 26%. Thirty-two and 48%, respectively, had abandoned their elite efforts. The elite group remained fairly stable over time but fewer girls than boys advanced to the elite group. The pupils at the school have a homogenous middle-class background. We found little evidence that socio-economic factors affected ACHIEVE. Nearly all parents had been engaged in sports, either competing or as coaches. On admission to the school, there was a pronounced relative age effect (RAE). This remained after three years as the age was significantly different between the three groups but was reduced after six years. According to the prognosis made by the coaches, the elite group would be considerably smaller when the subjects reached the age of 25. The RAE was again significant in the prognosis. A further follow-up when the subjects are 25 years old will reveal not only what proportion of subjects are actively competing, but also if they are engaged in recreational sports, to what extent the RAE is present, and how accurately coaches can predict success.

Physical activity (PA) may improve brain development, cognition, concentration and academic performance. In this prospective controlled intervention study, we increased the level of PA in 338 children aged 6–8 years at study start, from the Swedish standard of 60 min per week to 200 min per week (40 min daily). The intervention continued in all nine compulsory school years until the students graduated between 2007–2012. All other 689,881 Swedish children who graduated the same years were included as a control group. We registered at graduation eligibility rate for upper secondary school and the final grade score (from 0 to 320 grade points). We also registered the same end points in the 295 students in the index school and in all other 471,926 Swedish students who graduated in 2003–2006, that is, those who graduated before the intervention study started. Before the intervention, academic performance was similar among children in the index school as for all other Swedish boys and girls. With the intervention, the eligibility rate increased for boys in the index school by 7.3 percentage points and the mean grade scores by 13.3 points. This should be compared with a decrease of 0.8 percentage points in eligibility rate and an increase by 2.7 points in grade score in other Swedish boys. No changes were seen for intervention girls, neither in eligibility rates or grade scores. By introducing daily school-based PA in compulsory school, more boys would probably reach the eligibility rate for higher education.