Background: High demands are today placed upon Swedish elderly care nurses as more elderly live with multimorbidity while the hospital bed capacity is becoming lower. Aim: The aim of the study was to explore nurses? perception of decision-making in situations with acutely ill patients in nursing homes and which factors may influence the decision about transferring patients to the emergency department or not. Method: This is a qualitative study with a phenomenographic approach. Semi-structured interviews have been conducted with 11 nurses working in nursing homes. The data analysis was based on Dahlgren and Fallsberg (1991) data analysis. Result: Three different description categories were presented, which describes variations of the nurses? perceptions.Feeling comfortable in making the decision; which involved the nurses feeling confident in the decision-making about transferring patients to the emergency department or not.Hesitant in making the decision; which described how nurses perceived the decision-making as problematic, with regard to transferring patients to the emergency department.Many wishes to consider in taking the decision; which explained how nurses? decision-making was influenced by requests from the patients or from people close to them.Conclusion:  The study reflected how  supporting and aggravating factors could influence how nurses in nursing homes perceived the decision-making and how nurses have to take in consideration different opinions concerning the decision making process of transferring patients to the emergency department or not.

Bronchiolitis is a common performance decreasing disease in horses (Bracher et al, 1991¸Dixon et al, 1995) Its medical treatment includes inhalation therapy with corticosteroids and b2-adrenoceptorer stimulators. Use of both these medicines is prohibited for sport horses and athletes. Because the facemasks used for inhalation therapy are not airtight, there is a risk for leakage of these medicines. We wanted to see if cross exposure of nearby horses can result during normal recommended treatment of a horse, and assess if this could result in doping positive urine sample from the person treating the horse and from horses in the same airspace. We did a pilot study with four healthy horses. The experiment was divided into four parts.

Abstract  The development and onset of diseases such as cardiovascular disease (CVD) and Type 2 diabetes are closely linked to genetics and lifestyle factors including physical activity and diet. A cluster of metabolic disorders called the metabolic syndrome (MetS) is a high-risk factor in developing these diseases. Acording to the International diabetes institute, one fourth of the worlds adult population has MetS. These individuals are twice as likely to die from CVDs compared to individuals without MetS. Physical activity (PA) and exercise has been shown to provide a number of positive effects that are considered to reduce the risk of developing sickness and premature mortality among both men and women of all ages, independent of other risk factors.

Den här uppsatsen skrivs mot bakgrund av dels att det pågår en stark urbanisering världen över, dels att bilismen har blivit en fråga om hållbara resurser. I syfte att ge ökad förståelse för varför dagens städer ser ut som de gör beskrivs bilismens genombrott i Sverige, och de förändringar som detta har inneburit för stadens gaturum och för fotgängarens upplevelse av gaturummet.Med hjälp av relevant litteratur skildras hur bilen, mer eller mindre ohämmat, på ett relativt hänsynslöst sätt tar plats i staden. När ett hierarkiskt trafikledssystem blir norm breddas körbanorna, byggnader rivs och gaturummen löses upp. Fotgängare och cyklister tvingas bort från gatorna till separerade gång- och cykelvägar. Resultatet blir sålunda ökad framkomlighet för bilismen på bekostnad av andra trafikanter.Genom en fallstudie av Nobelvägen i Malmö undersöks i ord och bild vilka konsekvenser bilismens genombrott har fått för upplevelsen av gaturummet sett ur fotgängarens perspektiv.

Trees in urban environment are exposed to extreme conditions, foremost the ones that grow in the hard packed soil along our streets. They are also exposed to damaging insects and fungal diseases both local and new ones spreading from South Europe. The global warming with warmer temperatures provides a longer growing season, making it easier for insects and fungus to establish a habitat. Based on these facts new tree species need to be available for future urban plantings.To determine what these trees would be an interview study began. Six people were selected who have experience in the field of urban environment planting.

We have made a litterature study about pain in animals. In this studie we have brought up areas like sign of pains in animals, pain relief and the care perspective. Pain is perceived when body tissue is damaged or nearly damaged by stimuli. Nociceptors, which are receptors placed at nerve endings, responds to a provocation of pain and transmit an impulse along the nerve to the brain via the spinal cord. Pain is urgent or chronic, and can be divided into nociceptive pain (somatic pain and visceral pain) and neuropathic pain. Different pain mechanisms can arise, such as referred pain, which is when signals of pain are referred to other parts of the body.

Background: Cancer disease is one of the most common diseases in Sweden andradiotherapy is one of the regimens available for the treatment of cancer. Radiotherapycan be delivered as single treatment or be divided into several fractions that last forweeks. Radiotherapy can cause side effects that may occur during or at the end oftreatment. Information and communication is an integral part of all treatments and care.The oncology nurse should attempt to ease for the patients to communicate, participatein the care, receive information and enhance the ability to self-care.Aim: The aim of the study was to examine the patients? needs for communication andinformation with oncology nurse during their meeting through radiotherapy.Method: This pilot study was conducted on six patients with different cancer diagnosis.It was a qualitative study, were data was collected through individual interviews usingsemi-structured questions.

Bakgrund: Fibromyalgi drabbar två till tre procent av befolkningen och är ett kroniskt smärttillstånd utan känd orsak. Majoriteten av dem som drabbas är kvinnor. Sjukdomen syns inte utanpå och det finns därför en risk att drabbade blir missförstådda av människor i sin omgivning och av sjukvårdspersonal. Syfte: Att med den här litteraturstudien beskriva hur kvinnor med fibromyalgi upplever sin livssituation. Metod: En litteraturstudie baserad på elva kvalitativa vetenskapliga artiklar.

Children and youth inactivity and sedentary at school is increasing. This means that some of the students have a significant unhealthy lifestyle with physical inactivity, which in turn implies risks of suffering from various diseases, including obesity, type 2 diabetes and cardiovascular disease, all related to a sedentary lifestyle. To prevent illness, it is important that children and young people early get a positive attitude towards physical activity.The purpose of this study was to study the causes of child and adolescent physical inactivity in school, based on teachers 'and parents' perspectives.A qualitative research has been selected. To achieve the study objectives, the author has conducted seven semi-structured interviews, with an appropriate choice of five teachers and two parents with children in school. Data was analyzed with a manifest content analysis.The results show that teachers and parents felt that physical activity is a protective factor for children's health.

Reumatoid artrit är bland de vanligaste av de inflammatoriska ledsjukdomarna och som oftast börjar i händer och fötter. Sjukdomen varierar mycket och ger olika besvär i perioder, men på sikt kan hela kroppen påverkas. Prevalensen är ca 0,5-1% och incidensen 25-30/100000 invånare och år i Sverige. Debuterar i alla åldrar, men vanligast är i åldern 55-60 år. Det är 2-3 gånger vanligare hos kvinnor än män.

Objective: In recent years there has been an increasing interest within the clinical (medical) science in measuring people?s health. When estimating quality of life, present practise is to use the EQ-5D questionnaire and an index which weighs the different questions. The question is what happens if the individuals estimate there own health, would it differ from the public preferences? The aim is to make a new prediction model based on the opinion of patients and compare it to the present model based on public preferences.Method: A sample of 362 patients with unstable coronary artery disease from the Frisc II trial, valued their quality of life in the acute phase and after 3, 6 and 12 months.

The purpose of the present study was to investigate the cow-level association between acute hoof lesions and the somatic milk cell count in dairy cattle. Cows from three loose-housed Swedish dairy herds were enrolled in the study if they had an acute hoof lesion treated by a veterinarian or professional hoof trimmer during the preceding year, according to farmer records. Studied lesions were sole ulcer, dermatitis, interdigital necrobacillosis and hoof abscess, in each case causing lameness. For each hoof-diseased cow, 0 to 3 healthy cows were included, matched with respect to herd, breed, parity and lactation stage. Cell counts were obtained from monthly test recordings from one month before to three months after the hoof-lesion diagnosis, and log-transformed.

AbstractAim: The aim of this study was to describe cancer patients? experiences of quality of life and wellbeing in relation to yoga practice.Method: A descriptive qualitative study with semi structured interviews was carried out during the fall of 2009 at the University of Uppsala. Informants in the study were cancer patients who were participating in the yoga/psychotherapy group at the clinic of oncology at the Akademiska hospital in Uppsala.Result: Five out of six informants experienced that their quality of life and their wellbeing improved by practicing yoga. One informant had mixed feelings which were not due to the yoga practicing, but to the place where it was practiced. For her this place was associated with illness.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: A vegetarian diet, a possible treatment complement for relief of symptoms ofrheumatoid arthritis? A systematic review.Author: Alexandra Ahlsén and Caroline ForsbergSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2012Background: Rheumatoid arthritis (RA) is a chronic remitting polyarthritis that is relapsing.Symptoms are inflammation of the joints with pain, stiffness and degradation of joint tissue.In some cases, also other parts of the body are involved. The treatment consists ofmedications to reduce pain, inflammation and degradation of joint tissue. Today, the offerednutritional treatment is primarily focused on meeting energy requirements and nutrient needs.The diet has also been discussed as symptomatic treatment, and one of the factors believed toinfluence the symptoms is meat.Objective: To assess the evidence as to whether a vegetarian diet affects the symptoms ofrheumatoid arthritis, and if so, to suggest how it can be implemented in practical dieteticswork.Search strategy The databases used in the literature search was PubMed, Scopus, and AMED.The search words used were: "rheumatiod arthritis", "vegetarian", "vegan", "diet", "meat" and"animal protein".Selection criteria: Studies investigating a vegetarian diet on the symptoms of RA wereincluded. Only RCT, clinical trial, controlled clinical trial, human studies and original articlesin English or Swedish were included.

Bakgrund: Demens är ett sjukdomstillstånd som innebär en bestående nedsättning av kognitiva funktioner. Därför behöver personer med demenssjukdom och närstående stöd för att klara vardagen bättre. Syfte: Syftet var att tillsammans med en personalgrupp vid en dagsjukvårdsenhet utarbeta ett underlag för en kommande utvärdering av ett projekt vars syfte var att ge stöd i relationen mellan personer med demenssjukdom och deras närstående. Metod: Studien genomfördes med deltagarbaserad aktionsforskning med en fokusgruppsintervju och en enskild intervju. Deltagarna var en personalgrupp på en dagsjukvårdsenhet. Resultat: Dagsjukvårdsenheten önskade stödja relationen mellan personer med demenssjukdom och deras närstående. Stödet planeras genomföras vid fem tillfällen under fem veckor. Dessa fem tillfällen har olika teman som handlar om hur paren kan hantera vardagen på ett annat sätt.