The aim of the study was to investigate the importance of the interaction between the physiotherapist and the patient. Semistructured interviews were carried out with three patients and one physiotherapist. A qualitative design with content analysis was used. The data analysis led to classification of four categories. These were communication, confidence, expectations and participation.

Syftet med denna studie var att beskriva arbetsterapeuters erfarenheter av hemrehabilitering för vuxna med kognitiva funktionsnedsättningar efter förvärvad hjärnskada. I studien deltog tolv arbetsterapeuter med minst ett års erfarenhet av hemrehabilitering, verksamma inom kommuner och landsting i södra och mellersta Sverige. Data samlades in genom semistrukturerade intervjuer med stöd av frågeguide. Det insamlade materialet analyserades med en kvalitativ innehållsanalys och utmynnade i tre kategorier: ?Erfarenheter av att se svårigheter i vardagen?, ?Erfarenheter av att möjliggöra delaktighet i vardagen? och ?Erfarenheter av samarbetets betydelse?.

The connection between body, soul and social surroundings and their influence on health has, in the western world, been known for over a hundred years. The hospital social worker with tasks within the area of the psychosocial perspective is therefore now a part of Swedish healthcare. Yet both international as well as national research and literature show that social workers have a slow professionalizationprocess and difficulties describing their area of tasks and methods. This study aims to explore hospital social workers line of work, what they believe becomes help in their work with patients and put results in relation to professionalization in the medical environment. The results are problematized from perspectives like professionality, power and role.The study includes 86 hospital social workers at Sahlgrenska Universitetssjukhuset in Gothenburg Sweden and it contains both quantitative and qualitative parts.

Mitt arbete handlar om mötet mellan rysk konstruktivism och science fiction. Detta har jag gestaltat i ett textilt rum inspirerad av science fictionkarraktären Doktorn ur Doctor Who. Doktorn är en utomjording av en långt mer utvecklad art och från en mer avancerad civilisation än människorna, som reser i tid och rum i sitt tids-och rymdskepp TARDIS. Jag har designat ett rum som är min textila tolkning av TARDIS innersta. Arbetet kretsar kring tankar om gestaltning av en flerdimensionalitet som bara kan anas, inte ses eller förstås.

Background: Animals are used in several health care areas and have been shown to promote many aspects of patients? health. Animals have potential for use in nurses? health promotion work. Nurses need a deeper understanding of the importance and health-promoting properties of animal-assisted therapy.Aim: The aim was to describe the importance of animal assisted therapy for patients? health.Methods: A literature review was conducted based on ten nursing science studies with both qualitative and quantitative approaches, which were selected after critical review.

The purpose of this study was to examine and try to understand the physical environment focusing on the fenomena of scribble and damage at a high school. More specifically its aim was to find out how the pupils themselves discribe their physical environment, the reasons why there are scribble and damage at their school and how they are treated by the adults at the school bearing in mind the scribble and damage that occur. The study took place at one high-school in the southern of Sweden and the methods used were six qualitative interviewes, a minor inquiry in six classes, fotographing the physical environment and putting up scribble boards on the pupils' toilets. The physcial environment was quite bare and monoton and the pupils often felt bored by it. There were few places where the pupils liked being at.

This study was performed in order to investigate the difficulty in diagnosing retrobulbar disease with ultrasound. A retrospective study was accomplished to investigate the use of ultrasound in patients with suspected retrobulbar problems, and how often the examination is diagnostic. The computer based patient files, at the University of Agricultural Science in Uppsala, were searched for dogs with suspected retrobulbar disease. During 1999-01-01-2004-04-14, 14 patients fulfilling the search criteria were found. The patient records were studied, and the written reports from the ultrasound examinations were compared with the printed pictures from the examinations.

Bakgrund: Tidigare forskning har visat att parrelationer och sexualliv påverkats efter att den ena i förhållandet förvärvat en hjärnskada. Det kan finnas en diskrepans mellan parets olika syn på vad som är problematiskt i förhållandet. Ofta har hjärnskadan medfört att partnern fått ett ökat ansvar och därmed även en rollförändring. Syfte och metod: Syftet med studien är att belysa hur partners till personer som förvärvat en hjärnskada upplever parrelationen med särskilt fokus på det gemensamma sexuallivet. Studien bygger på åtta individuella intervjuer med partners till personer som i vuxen ålder förvärvat en hjärnskada. Resultat: De övergripande resultaten visar att den förvärvade hjärnskadan påverkat parets dagliga liv.

Syftet med denna systematiska litteraturstudie var att beskriva faktorer som påverkade uppkomsten av hot och våld inom psykiatrin. Till resultatet har författarna använt sig av tjugoen vetenskapliga artiklar som hämtats ur Högskolan dalarnas databaser ELIN, Academic Search Elite samt Cinahl. Sökord i olika kombinationer har använts för att få fram relevant litteratur till studien. De sökord som användes var violence, nursing, mental health nurses, aggressive patients, aggressive behaviour, psychiatric units, patients, factors, prevention, aggression, nurses, psychiatric, management, psychiatry och causes. Även manuell sökning i tidskrifter har gjorts.

Retinoscopy, also known as skiascopy, is an objective method for assessing therefraction of the eye. This method has been used for a long time, both in animalsand human patients. According to the literature, it has been postulated that it is notnecessary to obtain cycloplegia before the examination in lower mammals. Someauthors even mention that it can make the examination more difficult. Therefore itis not recommended.

International trade in services has increased over the past 30 years as a result of progress in information and communication technology, increased focus on services from the manufacturing sector and the establishment of trade associations.The international market for healthcare services, also referred to as medical tourism, is growing more and more. Patients increasingly seeking treatment at other countries healthcare systems because of long queues within their own country or because it exists better prices for the same care abroad. However, this type of service exports occurs at a limited extent in Sweden.The purpose of this study is to highlight and analyze the conditions for Swedish service companies to export healthcare services. This, includes the challenges and opportunities that exist to expand the exports of these services.The approach for this study has been in the form of interviews with two market actors and written responses, from the same interview guide, with three market actors. These market participants are the so-called Care companies which export healthcare services in various counties, and the membership organization Swecare who work with export promotion activities for its members in the Swedish healthcare sector.

The equine hoof is often manipulated in purpose to achieve a better stride or to reduce the weight on damaged tissue. The living tissue in the hoof can?t store energy as glycogen and is therefore depending on a continuous supply of glucose for its energy production. The purpose of the study was to determine if wedging (i.e. elevating) the heel could influence the hooves glucose and lactate consumption/production. Five standardbred horses were trained to trot on a treadmill without getting physical or mentally tired.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Sahlgrenska AcademyAt University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: The obesity paradox, myth or truth in adults with cardiovascular disease.Author: Louise Svensson och Amanda NilssonSupervisor: Fredrik BertzExaminer: Ingrid LarssonProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 30, 2013Background: It has long been generally accepted that obesity is a risk factor for many diseases. Despite this, new research indicates that a higher BMI could be a protective factor for those with a chronic cardiovascular disease. This discovery is called the obesity paradox and could change the perception of patients' BMI in both public health and clinical work.Objective: The objective of this systematic review article is to examine the scientific evidence for the existence of the obesity paradox in chronic cardiovascular disease, i.e. if a BMI >25 kg/m2 is associated with lower mortality among adults with chronic cardiovascular disease.Search strategy: The databases used in the literature study were PubMed, Summon, Scopus and Cochrane. The keywords were: obesity paradox, cardiovascular, heart, male, BMI, intentional weight loss, cardiovascular mortality and mortality heart failure.Selection criteria: Studies, which had an adult population classified after BMI that suffered from chronic cardiovascular disease and had all-cause mortality and cardiovascular mortality as endpoints, were included.Data collection and analysis: Ten studies were included.

Scrapie is an infectious neurologic disease in sheep caused by prions, corresponding to transmissible spongiform encephalopathies (TSEs) in other species. The prion is presumably constituted of PrPSc, the misfolded form of the normal endogenous prion protein, PrPC, which is found in practically all cells in the body. PrPSc can induce a conformational change in PrPC and misfold it as an imprint of itself; this is how prions amplify and spread. The process of conformational change is poorly understood and there might exist intermediate forms between PrPC and PrPSc. Bioassay using mice has traditionally been the golden standard in prion studies but is limited by cost and time.