Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

AimThe purpose of this study is to investigate whether there is scientific evidence that exercise and/or manual therapy can improve function, in terms of increased mobility and strength on shoulder impingement-like symptoms among athletes. Another aim is to investigate whether these interventions can reduce shoulder pain.MethodA systematic review was conducted in the databases PubMed, CINAHL, PEDro and Amed. A total of thirteen articles were selected for further review and compilation. They were then graded for level of evidence according to the PEDro scale and the Swedish Council on Technology Assessment (SBU).ResultsThe systematic review shows that there is strong scientific evidence that acupuncture and heat can reduce pain in athletes diagnosed with supraspinatus-tendiopathy. There is limited scientific evidence that exercise increases strength, limited scientific evidence that stretching increases mobility and insufficient scientific evidence that a combination of treatments, with both exercise and stretching, reduces pain and increases function in overhead athletes.ConclusionsExercise and manual therapy can reduce pain and/or improve function in terms of increased mobility and strength in athletes with shoulder impingement-like symptoms.

Syfte: Att undersöka hur sjuksköterskor på medicinska vårdavdelningar värderar sina arbetsuppgifter och hur de upplever sin psykosociala arbetsmiljö.Metod: En kvantitativ, komparativ tvärsnittsstudie. Enkäter delades ut till 57 sjuksköterskor på två medicinska vårdavdelningar på Akademiska sjukhuset.Resultat: Trettiofyra sjuksköterskor (60%) besvarade enkäten. Få sjuksköterskor upplevde sitt arbete som lugnt och rofyllt och flera sjuksköterskor uppgav att de sällan eller aldrig hinner med det som ska utföras under ett arbetspass. Sjuksköterskorna uppgav överlag att det är mycket viktigt att känna till sina patienters vitalparametrar. Den arbetsuppgift som påverkades mest av hög arbetsbelastning var dock att känna till sina patienters urinproduktion, vilket endast 17 sjuksköterskor (50%) uppgav att de hinner med.

In this essay dog as a compatible model were put against human. The major histocompatibility complex (MHC) genes were compared between dogs, human, cat and mouse. To evaluate dog as a model and study similarities and differences was the aim with this review. Dog as a model contributes to understand mechanisms behind autoimmune diseases and showed clearly histological similarities between human and dogs concerning the skin disease mucous membrane pemphigoid (MMP)/cicatricial pemphgioid (CP). Further genetic evidence motivated the choice of using dog as a comprehensive model when the MHC-complex correlated with hypothyroiditis in Doberman dog as it does in human. Physiological similarities with low levels of thyroid hormones (T3 and T4) together with high level of thyroid releasing hormone (TSH) were found in the same way as in human.

Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

Background: Sleep-disturbances in persons with Alzheimer´s disease are prevalent. They are characterized as increased frequency and duration of awakenings, decreased slow-wave sleep, REM-sleep and increase of day-time napping. Depression and lower quality of life are associated with sleep-disturbances. Altogether a significant source of stress for caregivers and an important factor in institutionalization. Non-pharmacological treatment alternatives are rare.Method: Single-case A-B-C design, with non-concurrent multiple baselines, a pilotstudy.Aim: To explore if an educational program on sleep, sleep disturbances and behavioural change directed towards caregivers improved sleep, depression and quality of life in persons with Alzheimer´s disease living at home.

Föreliggande studies syfte var att undersöka behandlingseffekten av ett Internetbaserat självhjälpsprogram med e-poststöd, för personer med olika typer av ångestproblematik. Ett ytterligare syfte var att undersöka behandlingsresultaten när deltagaren själv fick förfoga över behandlingens upplägg och innehåll. Huvudkomponenten i behandlingen utgjordes av sammanlagt 16 moduler hämtade från tidigare Internetbehandlingar riktade mot social fobi, paniksyndrom, generaliserat ångestsyndrom samt depression.Behandlingsgruppen utgjordes av 27 individer som varit kontrollgrupp i en tidigare behandlingsstudie. För samtliga deltagare pågick behandlingen tio veckor. Beroendevariabler utgjordes av självskattningsformulären Clinical Outcome in Routine Evaluation ? Outcome Measure, Beck Anxiety Inventory, Montgomery Åsberg Depression Rating Scale ? Self Rated, Quality Of Life Inventory, resultat på SCID-intervjuer samt kodning av totala symtom.

The field rehabilitation in veterinary medicine has expanded over the past ten years. Animalswith disorders in the musculoskeletal system are often treated. The methods used lacksufficient scientific documentation; however claim to affect the animal's function in a positiveway. In order to investigate the efficacy of different rehabilitation modalities, it is important touse validated evaluation tolls. Therefore, a literature study on pain, pain-scales and functionaltest was performed together a pilot study on a functional test.The aim of the present pilot-study was to investigate a functional test, "Bioarth functionalevaluation scale", used in veterinary medicine.

Rotavirus causes diarrhea in young mammals all over the world, including infant humans. The diarrhea leads to severe dehydration that can be fatal if left untreated. The dehydration can be treated with fluid therapy and the infection heals itself. Despite the relatively easy treatment half a million children under the age of five dies every year due to diarrhea caused by rotavirus. Rotavirus sorts into the family Reoviridae and is a double-stranded RNA virus with a segmented genome.

Skin temperature is detected through signals in unmyelinated C-fibers and thin myelinated A?-fibers in the peripheral and central nervous system. Disorders in thin nerve fibres are important and not rare but difficult to diagnose by the most common neurophysiological methods. In this pilot study different methods for quantitative sensory testing, QST, were compared to give some ideas about which method could be the most efficient to use in order to point out injuries of the sensory system in clinical practice. The comparison was made between Békésy (separate warmand cold thresholds) and Marstock test (combined warm and cold thresholds).

The aim of this essay is to examine which help a group of women with eating disorders had from thier treatment in daycare in 2004. The aim is to examine how the women have experienced this treatment and how they live today. The central questions are: what was their life situation like before the treatment, what was their experience of the treatment, how could the treatment have been better and how are their lives today? The method is based on qualitative interviews with seven women who were all in the same treatment for eight weeks at Capio AnorexiCenter in Malmö. The women have also redone tests that were done right before and right after the treatment.

Morbid jealousy is a relatively common problem that often results in relational conflicts, frequently involving violence. Eventually many relationships break down as a consequence of these conflicts. Despite of this morbid jealousy is considered to be under-researched. As regards the treatment of morbid jealousy there is however some evidence that cognitive behaviour therapy is a worthwhile treatment, and there is also a growing body of evidence that jealousy, normal as well as morbid, is an evolutionary adaptation. This study integrates an evolutionary psychological approach with cognitive behaviour therapy in the treatment of morbid jealousy.

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

Bakgrund: Omhändertagande och omsorg ses vanligen som en uppgift för kvinnor, vilket gör att rollen som sjuksköterska kan vara svår att hantera för män. Andelen män i vården har under de senaste decennierna förblivit låg. Det finns idag en påtaglig önskan att jämna ut könsskillnaderna inom sjuksköterskeyrket. Ett viktigt steg i att attrahera män till sjuksköterskeutbildningen är att skapa tilltalande miljöer för den manliga sjuksköterskestudenten. Metod: Empirisk studie med kvalitativ ansats. Som datainsamling genomfördes intervjuer. Materialet analyserades med Graneheim & Lundmans kvalitativa innehållsanalys. Syfte: Att undersöka hur manliga sjuksköterskestudenter i ett kvinnodominerat yrke upplevde bemötandet från patienter och kollegor under sin verksamhetsförlagda utbildning (VFU). Resultat: Det framkom att manliga sjuksköterskestudenter generellt upplevde bemötandet positivt från såväl patienter som kollegor. Dock lever många traditionella uppfattningar av att män är läkare och kvinnor sjuksköterskor kvar hos huvudsakligen patienter som gör att manliga sjuksköterskestudenters omvårdnadskompetens kan bli i ifrågasatt. Konklusion: Studien indikerar på att det goda bemötandet som manliga sjuksköterskestudenter upplever är på grund av att de är eftertraktade och män blir därför en uppskattad minoritet.

AbstractPain among patients in their final stage of life is a commonly occurring problem. Results fromthe Swedish Register of Palliative Care (SRPC) indicate that validated instruments forassessing pain are rarely used. Nurses' insufficient knowledge of pain and pain treatmentmethods may be a cause of maltreatment of patients who suffer from pain.The goal of this study was to determine whether training within the area of pain, painassessment and pain assessment instruments increases the use of validated pain assessmentinstruments utilized by nurses working in care homes for patients in the final stage of life inthe city of Uppsala.Method: A quantitative and quasi-experimental design was selected to perform the study.The intervention study that was used consisted of one training session where onequestionnaire was given before and one after the time of training. Register data were collectedfrom the SRPC given the question of pain assessment before and after the intervention.Results: The study showed that nurses more often used pain assessment instruments after thetraining session. The results also showed that nurses to a greater extent than before alternatedbetween the two validated pain assessment instruments that were introduced at the trainingsession.Conclusion: The results showed that when nurses at care homes are given training in the areaof pain and pain assessment they absorb and use the newly acquired knowledge in theirclinical work..