Background:  Heart failure is a multidimensional phenomenon with high mortality. Heart failure is treated with angiotensin converting enzyme (ACE) - inhibitors or angiotensin receptor blockers (ARBs) that counteract neurohormonal stimuli that occur in heart failure, as well as providing vessel dilatation, which reduces symptoms and the need for hospitalization and increases survival. Despite this, only about 50% of heart failure patients survive 6 years after diagnosis with drug therapy, and as heart failure is increasing globally, due to improved care and treatment and increasing life expectancy of the population, there is a great need for new drugs such as LCZ696 that acts by dual inhibition of the renin - angiotensin - aldosterone system and neprilysin inhibition.Objective: The aim of this literature study was to evaluate the efficacy of current treatment and possible future treatments on mortality and morbidity in heart failure patients.Results: The examined articles show that treatment with ACE inhibitors in patients with symptomatic heart failure reduces the risk of total mortality by 16% over 3.5 years, reduces all-cause mortality or hospitalization due to heart failure with NNT (number needed to treat) = 10.4 over 3.5 years and increases median survival by 9.2 months over 12.1 years in patients with asymptomatic heart failure. Treatments with high-dose ACE inhibitors reduce mortality and hospitalization because of cardiovascular causes and hospitalizations from any cause by NNT = 30 over 3 years. Beta-blockers reduce sudden death and total mortality and cardiac death or non - fatal myocardial infarction with NNT = 38 and NNT = 23, respectively, over 12 months.

Uppsatsens syfte var att få kunskap och förståelse för vilka attityder högskolestudenter kan ha till psykisk sjukdom och personer med psykiska funktionshinder. De forskningsfrågor som besvarades var: Hur resonerar studenter om psykisk sjukdom och personer med psykiska funktionshinder? Hur i det vardagliga talet reproduceras studenternas attityder till psykisk sjukdom och personer med psykiska funktionshinder? För att besvara forskningsfrågorna genomfördes samtal i fokusgrupper med högskolestudenter från olika utbildningsprogram. Resultatet visade att studenterna hade ambivalenta attityder och att attityderna var situationsbundna. Studenterna associerade psykisk sjukdom som något negativt vilket de relaterade till medias påverkan.

The main objective of this study was to investigate the possible design of a horticultural therapy program in Swedish correctional treatment facilities. In the USA the use of horticultural therapy in offender rehabilitation is much more frequent compared with Sweden. The aim of these programs typically contains education for inmates. Research has been made indicating that these programs can have positive effects on psychosocial behavior and on vulnerability to substance abuse among incarcerated offenders. In this study the examples of these programs was categorized and analyzed from three perspectives; Vocational, social and therapeutic horticultural programs.

Det område som undersöks i detta examensarbete är pedagogisk anpassning inom idrott och hälsa för elever med ADHD (Attention Dificit Hyperactivity Disorder). Syftet med undersökningen är att genom användning av vetenskapsteoretiska utgångspunkten ?Grundad teori? undersöka vilka metoder, pedagogiska anpassningar, lärare säger att de använder för att få elever med ADHD att lära sig i ämnet idrott och hälsa i dagens skola. Detta empiriska material jämförs sedan med vad forskningen inom området visar, för att på så sätt visa ifall forskningen når ut till verksamma lärare eller inte. För att kunna göra dessa jämförelser, har vi intervjuat åtta lärare i idrott och hälsa från fyra olika rektorsområden i en mellanstor stad i södra Sverige.

The wild boar Sus scrofa population in Sweden has increased rapidly in the last decades which has led to conflicts among stakeholders, for example due to crop damages in agriculture. Thus, there is an urgent need of quantified goals and effective strategies for wild boar management. To develop such strategies, knowledge on population dynamics is fundamental. In this study a deterministic matrix model was used to estimate population growth, based on previously published data. The exponential growth rate for a wild boar population was calculated to 1.48.

Syftet med denna studie var att beskriva vilka behandlingsformer det finns för överviktiga barn och barn med fetma samt vilka effekter de har på kroppsvikten.Metoden som användes var en litteraturstudie av deskriptiv ansats och sökningen av vetenskapliga artiklar skedde via databaserna PubMed och High Wire Press. Det var 19 stycken studier som svarade mot studiens syfte och frågeställning och inkluderades i studien.Av de behandlingsformer som presenterades i studien hade kirurgi- och läkemedelsbehandling den största effekten på barn med fetma. Studien påvisade att de kombinerade behandlingsformerna inriktade på beteende och kostförändringar tillsammans med fysisk aktivitet och som involverade hela eller delar av familjen hade den största effekten på barn med övervikt. Pågick den kombinerade behandlingen mer är ett år kunde man se en positiv viktutveckling med en minskning av BMI på de barn med övervikt som deltog.De övriga behandlingsformerna som presenteras visar var och en av dem en god effekt under behandlingstiden men avtar efter avslutad behandling.Slutsatsen författaren drar av denna studie var att de barn som behandlas tillsammans med familjen under en längre tid och lär sig hur man förhåller sig till kost och fysisk aktivitet, har störst chans att slippa gå in i vuxenvärlden som överviktig..

The purpose of this study was to get a client perspective of the different ways to exit from a different role as a drugabuser, and furthermore, how to maintain a drugfree life.The questions of issue were:- What kind of social-psychological conceptions rules the process?- Which motive powers are essential to maintain drug-independence?- Are there any difficulties on the path to social adaptation?Our research was based on interviews with eight persons; five men and three women, from a treatment home in the south of Sweden. The method we used was semi-structured and with a thematic questionnaire. We chose this form due to the fact that we did not want to influence the interviews, as we wanted to know the persons opinions.The result of our study showed that the interviewed persons have some difficulties to adjust in the society and to find new friends especially the interviewed persons with maintenance treatment. Marginal problems as, for example, the lack of not having a work or a home can complicate a further development for the group with maintenance treatment.

The aim of this thesis has been to investigate women's experience of the Methadone maintenance treatment and what help they believe they need to be able to recover and to improve their social life and whether the medical- and social workers share the similar view.Our method of investigation has been qualitative interviews with four women in the program, two nurses and a counsellor at the methadone clinic and two social workers, who have female clients in the program.The questions at issue were:* how did the women describe their life situation during treatment, compared to the situation they had while they were addicted to narcotics,* did the women experience that the treatment they get in the methadone maintenance program is giving them a better social life situation,* did the employees at the clinic and at the social office share the similar view about the treatments as the female patients?Main problems seemed to be; meeting new non-addictive friends and finding something to do. We could se that, in different ways, they need more support. It wasn't always clear to the people who work with them whose responsibility it was, depending on workplace and/or personality..

A young adult is defined to be in the ages 16?25 and it is during these years that they step in to the job market. Many young adults feel pressured by society to have a job and to keep it. There are motivational factors such as money, activity level, variation, social contacts and personal development that drives the young adult to want a job. The purpose of the study was to examine which motivational factors are significant and the difference between the genders.

This study uses qualitative research consisting of six semi-structural interviews of treatment workers who, in various capacities, have worked with men who use violence against their female partners. The purpose has been to show what the treatment counselor understand to be the reasons behind the men?s violence, what kind of backgrounds and problems they believe these abusers have and, lastly, how they view the male abusers as clients. The empirical data was analyzed through four perspectives and explanatory models derived from the past thirty years of Scandinavian research on the reasons behind men?s violence against women.

The aim of this study was to describe the importance of diet and physical activity related to Diabetes Mellitus (diabetes). Method used was a descriptive literature study based on empirical studies. The study shows that diet, physical activity and lifestyle-changes are very important factors when it comes to preventing and treating of diabetes. By the right diet and physical activity the treatment with medications in some cases can be superfluous and people with the disease could live longer and be healthier during their lifetime. Nurses have the responsibility to educate, inform and make sure that the diabetic patient gets the best care as possible specially suited for this individual patient.

Introduction: Anxiety and depression are common among patients enrolled in psychiatric outpatient care. Ear Acupuncture is an alternative form of treatment that has been shown to relieve anxiety and depression in previous studies.Aim: To evaluate ear acupuncture as a group treatment for depression and anxietyMethod: A psychiatric outpatient clinic has been offering group treatments with ear acupuncture for anxiety and depression for 5 weeks. Participants of the study have answered self-rating scales Montgomery Åsberg Depression Rating Scale, Beck Anxiety Inventory and Sheehan Disability scale before and after the treatment period. Material was collected in the period 2008-2012 and has been analyzed in SPSS.Results: Data from 31 patients were included in the study. The results from the study showed a significant difference, between the measurements before and after treatment, with a reduction of the average values in the three different scales.Summary: From this study, it is difficult to draw any conclusions about the effect of ear acupuncture.

The aim of this paper is to examine the youth library PUNKTmedis' work methods to adapt itself to the youth. Improved communication with this user group is the starting point for the new work methods. We have chosen to view the increased cooperation between the library and the youth as an adjustment to market demands. We have noticed the possible existence of an antagonism between on the one hand the traditional role of the public library of adult education and on the other hand an adjustment to the market demands. Adult education and the adjustment to market demands is seen as contributing to the image of PUNKTmedis.

This thesis deal with tick burden on roe deer (Capreolus capreolus) fawns, in relation to age, weight, hind foot length, and as well as to vegetation and habitat on bed sites. Roe deer fawns (N = 25) were captured from May 27 to June 27. Samples of ticks were collected and tick burden were estimated. Of all sampled ticks the nymphs and adults were Ixodes ricinus, while the larvae were not identified. 4.4 % of the sampled ticks were larvae, 55.0 % nymphs, 26.8 % adult females, and 13.8 % adult males.

The return of large predators to regions where they were previously extirpated has created a need for knowledge about their effect on prey species, not only their lethal but also their behavioural or risk effects. In this study the behavioural risk effects of brown bear (Ursus arctos) were tested on fallow deer (Dama dama), roe deer (Capreolus capreolus), red deer (Cervus elaphus), moose (Alces alces) and wild boar (Sus scrofa). This was done by using patches of fur to simulate the presence of the novel predator (brown bear), a novel nonpredator (reindeer (Rangifer tarandus) and no fur as control. These three treatments were then compared. The response variables measured were increased vigilance, decreased feeding time and change in patch use.