När unga behandlas inom ramen för institutionell tvångsvård finns det några aspekter som är avgörande för behandlingsresultatet; att personalen arbetar samstämmigt och i enlighet med relevanta metoder samt att de upprättar en främjande relation till den unge. Det krävs en kombination av dessa aspekter för att på bästa sätt ge den unge förutsättningar att främja sin utveckling. Föreliggande studie syftar därmed till att undersöka hur personal på tre särskilda ungdomshem, drivna av Statens Institutionsstyrelse, ser på metodtillämpning, relationella aspekter och samstämmighet. Studien bygger på en kvantitativ del som innefattar en enkätundersökning där behandlingspersonalen besvarar hur de ser på dessa aspekter, samt en kvalitativ del där institutionschefer, avdelningsföreståndare och annan personal delger sin syn på hur metodanvändning, samstämmighet och relationella aspekter förhindrar eller möjliggör adekvat behandling. Av materialet framkommer att metodanvändningen uppfattas, av personalen, vara ett hinder för de olika verksamheterna.

Rabies kills about 55 000 people every year and more than 90% of infected humans are considered getting the disease from dog-bites. To control the disease and eventually eliminate human rabies, the most efficient and economic method is to keep the dog population vaccinated. The objective of this thesis was to evaluate the situation of canine rabies in two urban areas in Lilongwe, Malawi, where canine rabies is enzootic. In each area 200 household-interviews were conducted in September and October 2013. Focal points were awareness of the disease, human incidence as well as vaccination coverage in the dog population.

Aim & Questions at issueThe aim of our study is to study how special teachers/special educationalists in schools of Stockholm look at the phenomenon ADHD/DAMP. We have looked into their view on the diagnose, compared to the two different kinds of research visions about the diagnosis who are known in Sweden today. How do the special teacher/special educationalist work with the diagnosed children?This is our questions at issue:? Is there any optimal learning situation for children with ADHD/DAMP?? Is there something that distinguish all children with ADHD/DAMP?? What is positive and negative about giving the diagnose ADHD/DAMP to children?? Is there any external factors that influence that there is so many more children today who has been given a diagnose?? How does special teachers/special educationalists look on amfetamin-treatment?MethodWe have done qualitative interviews with special teachers/special educationalists in the city area of Stockholm. These have been worked up one by one and then been compared and evaluated together.ResultAll special teachers/special educationalists mentioned that when you educate children with ADHD/DAMP, a structured life underlies the possibility for the children to provide knowledge.

Immune-mediated haemolytic anaemia (IMHA) is an immune-mediated destruction of erythrocytes and is one of the most common haematological diseases diagnosed in dogs. The haemolysis is a type II immunoreaction and is initiated by IgG or IgM antibodies or complements. This retrospective study includes 63 dogs suffering from primary IMHA. The study was based on information from records from the Swedish University of Agricultural Sciences, Department of Small Animal Clinical Sciences in Uppsala and from the Animal Hospital in Strömsholm. The aim of the study was to evaluate the progress of the disease, treatment and the prognostic factors in different breeds, gender and age. Following criteria were used for the dogs to be allowed in the study: the dogs were diagnosed with anaemia, the anaemia was regenerative and autoagglutination and/or spherocytes were seen in the blood. About 50 % of the dogs in the study were diagnosed with IMHA within 2-6 years of age. Wire-haired dachshund was remarkably one of the most common breeds in this study together with Cocker and Springer spaniel.

Aim: On the basis of the Swedish 2012 National Patient Survey and its open answers, study how patients experienced the quality of care during hospitalization in a surgical divisionMethod: In this study, 306 patients' responses was compiled and analyzed by qualitative content analysis and reported descriptively in running text.Results: The way patients were treated by staff was experienced by respondents mainly as positive. The staffs? courteous and sympathetic attitudes were appreciated. The food that was served was described as substandard, distasteful and dull. The cleanliness of the hospital departments were reported to be inadequate, particularly in washrooms.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionTitle: Can nutritional support contribute to the healing of pressure ulcers in elderly patients?Author: Anton Kinnander, Sandra SmidelikSupervisor: Elisabet RothenbergExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 12-04-11Background The number of elderly patients with co-morbidity is increasing in the western world. It is therefore reasonable to predict increasing incidence and prevalence of pressure ulcers. One study, published 2009, found that as many as 59 % of geriatric patients within the Swedish health care system had developed pressure ulcers. Symptoms vary from mild erythema to severe deep tissue damage and development of pressure varies from hours to weeks.

The aim of the study was to examine which approach future social workers have regarding specific competence in the meeting with lesbian, gay, bisexual, transgender and queer clients. Previous research shows that LGBTQ people have a low confidence towards social services, police and courts and say they face discrimination and degrading treatment to a greater extent than the heterosexual population. Research shows that education and better skills of LGBTQ culture among professionals can change the situation.The essay is based on a model of cultural competence in working with sexual minorities and people with a transgender expression. The model defines the meaning of an LGBTQ perspective and is designed to improve social work with LGBTQ clients.The study is quantitative and empirical data consists of 203 survey responses from students with a long experience of the social work education. The analysis of the results is based on the cultural competence three principles; attitudes, knowledge and skills.

When facing the fact that high yielding dairy cows has an increasing energy requirements, the practice of adding lipid supplements such as concentrates rich in palm oil and/or palm oil industry by-products become more common. Palm oil containing high levels of C16:0 causes high levels of free fatty acids (FFA) which are linked to larger milk fat globules (MFG) which affect the reaction of lipolysis resulting in rancid flavour and processing problems. Instead of using palm oil, rapeseed oil rich in C18:1 C18:2 can be used. In order to evaluate the effect of added C18:0 and C16:0 on milk lipolysis, 30 Swedish Red lactating dairy cows including 15 multiparous (MP) and 15 primiparous (PP) cows were randomly divided in three groups resulting in 3 10 cow-groups (5 PP and 5 MP cows per group) and fed one out of three concentrate mixtures: control (C), a standard concentrate mixture with no fat added; palmitate (P) as C plus the addition of palmitate methyl ester (10 % in DM basis); and stearate (St) as C plus the addition of stearate methyl ester (10 % in DM basis). Milk yield was registered, and milk samples were collected and analysed for milk composition, FFA content and size of MFG.

SammanfattningDet här arbetet är en litteraturstudie. Arbetet tar upp litteratur om kommunikation i vården främst från humansidan, men även en del veterinärlitteratur. Arbetet tar upp grunden för kommunikation och olika kommunikationsmodeller. Vidare tas sjuksköterskans roll upp och hur den kan påverka relationen till patienten genom professionalism, empati, människosyn och medmänsklighet. Det handlar även om vad litteraturen säger om effekten av behandling som ett resultat av kommunikation samt hur man kan mäta effekten av behandling.

This thesis work aims to describe the prerequisites for a distributed treatment platform for real-time sharing of rounds performed by paediatric oncologists. The work started during the autumn 2004 and is directly aimed at improving the situation for the thirty or so specialist treating children with cancer. The work is not limited to the description of such a platform but also to select suitable software and hardware for the implementation of the platform and further more to coordinate the implementation. The production of several documents describing the platform is also part of this work. The work successfully led to the implementation of such a platform as described in the published article Barnradioterapi på distans Kristenssen et.

Sewage sludge contains plant nutrients and has earlier been utilised as fertilizer to cropland. Unfortunately not only plant nutrients but also heavy metals, pathogens and organic contaminants tend to accumulate in sludge. The suitability to use sewage sludge in agriculture has therefore been subject to several discussions over the years. The Swedish food industry does no longer accept sludge as fertiliser for Swedish producers. In 1999 the Swedish parliament accepted several objectives for environmental protection. In order to prevent environmental pollution and further exploitation of the earth crust, one of these objectives confirm that phosphorous from sewage shall be recirculated to arable land.

Infertilitet är ett globalt hälsoproblem och 15 % av par i fertil ålder lider av ofrivillig barnlöshet.En del av infertila par genomgår infertilitetsbehandling men behandlingen leder inte alltid tillbarnafödande. Syftet med den här studien var att öka kunskaper om kvinnors upplevelser avmisslyckad infertilitetsbehandling genom att syntetisera resultaten av tidigare kvalitativa studierinom området. Metoden metasyntes användes i studien. För att hitta relevanta artiklar användesdatabaserna ``Pub Med`` och ``Scopus``. Åtta artiklar som svarade mot syftet valdes ut.

Prisons are for many an unknown world, and few know about the prison culture which includes unwritten rules, power structures, interactions and relationships between inmates and correctional employees.While many think that Swedish prisons are too comfortable,inmates are facing extreme stress due to surveillance and detention, by depriving inmates their possibility to shape their own lives. When the inmates is deprived of control over their own life?s the penal system have great power to shape and to influence the inmates.The purpose of this paper is to investigate prisoners' experiences of treatment and exercise of power in prisons. Starting point is to examine what are the kinds of relationships between prison officers and inmates from a power perspective, if there is any difference between the closed and open prisons and how the inmates affected by the structures that exist.Based on my overall purpose, and with my informant´s stories which revealed a number of similar points, four main headings were developed; Mass media and society´s view, and unknown world, interaction between inmates and prison officers and consequences.Prison officers with the role as a contact persons as well and other staff which work close to the inmates play a significant role by supporting through motivational interviewing and can help the inmates to gain insight about their life situation and actions. My informant?s underlined that a good contact person can either help or discourage.Inmates who contributed with their experiences express that there is a big difference between open-and closed prisons.

In Sweden the voluntary socialwork is a complement to the public authorities. The voluntary organisations has become more important considered helping people in different situations of need.The aim of this study has been to examine the voluntary organisations meaning for individuals.The aim was reached through interviews by five guests from different organisations. We have also interviewed two employees from the different organisations to find out if there is any differences in their way of work.This study indicates that the organisations means a lot for the individuals. The social network, something to do during the day, a kind treatment but also the milieu are factors that seems important for the individuals. The organisations even creates a feeling of connection and satisfy other kind of needs.

AbstractAim of the study: Aim of the study was to investigate whether there were any connections in time between different parts of care in patients with cardiac arrest and hypothermia treatment and cognitive and physical function six months after cardiac arrest and to investigate neurological outcome related to primary registered cardiac arrest rhythm after six months and if there were any changes in cognitive and physical functions as well as self-related health between discharge from hospital and six months after cardiac arrest.Method: The study included 39 patients admitted to three Swedish hospitals between 2008-2011. Cognitive and physical function was evaluated with Cerebral Performance Cathegory, CPC completed with Mini Mental State Examination, MMSE for cognitive function and Bartels Index, BI for physical function and Euroqol-VAS for evaluating the self-related health.Result:  A significant connection was shown between time to start hypothermia treatment and BI, patients with longer time showed improved physical function after six months.Majority of the participants (66,7 %) had Ventricular fibrillation/Ventricular tachycardia, VF /VT, as primary registered cardiac arrest rhythm and in this group CPC and BI was significant better compared with the asystole /Pulsless Electrical Aktivity, PEA group.CPC, MMSE, BI and Euroqol-VAS were all improved over time.Conclusion: Participants with VF /VT as primary registered cardias arrest rhythm had significant better cognitive and physical function 6 months after hypothermia-treated cardiac arrest compared with participants with asystole/PEA as primary registered rhythm. This shows the importance of access to defibrillators in public places in the society and in hospitals and optimal education of lay people and medical staff. Cognitive and physical function and self-rated health improves over time, which might be a very important reason to convey patients, relatives and medical staff to continue cognitive and physical rehabilitation. Keywords: Cardiac arrest, hypothermia, cognitive and physical function, wellbeeing.