Syftet med uppsatsen var att undersöka och beskriva hur man arbeta med mentalisering/ reflektiv funktion i olika familjeterapeutiska metoder. Uppsatsen bygger på intervjuer med sex erfarna familjeterapeuter med olika inriktning som besvarar generella frågeställningar samt beskriver hur de skulle arbeta med ett kliniskt exempel.Resultatet visar att familjeterapeuterna, oavsett tidigare kännedom om begreppen tänker likartat kring mentalisering och reflektiv funktion i sitt kliniska arbete, och att alla utom en terapeut väljer snarlika förhållningssätt i arbetet med det kliniska exemplet. Slutsatsen är att mentalisering/reflektiv funktion är något som familjeterapeuterna ser som vägen till att skapa förändring och att familjeterapeutiska metoder kan användas för att arbeta med och förstärka mentalisering och reflektiv funktion.The purpose with this essay was to examine and describe how to work mentalizing and enhancing the reflective function with various family-therapeutic methods. The essay consists of interviews with six experienced family therapists with various orientations who answers general questions and describes how they would work with a clinical example.The essay concludes that the family therapists, regardless of previous knowledge of these concepts, think alike about mentalizing and reflective function in their clinical work. All except one also choose a similar approach in their work with the clinical example.

Uppsatsens syfte var att beskriva hur arbetsterapeuter resonerar kliniskt vid bedömning av arbetsförmåga hos personer med neuropsykiatriska funktionsnedsättningar. För denna studie användes en kvalitativ ansats. Semistrukturerade intervjuer genomfördes med fem arbetsterapeuter som jobbar mot arbetsmarknaden. Frågeområdena inspirerades av clinical reasoning ?three track mind? där procedural, interactive och conditional reasoning utgör de tre olika tankemönstren.Resultatet redovisades i fyra kategorier och ett övergripande tema som beskriver arbetsterapeuternas kliniska resonemang: Att forma en frågeställning, Att välja bedömningsmetod, Att utforma en slutrapport och Yrkeskompetens.

The main purpose of this study was to study the heredity of osteochondrosis (OC) in fetlock-, hock- or stifle joints within the Swedish half-bred population, using data from the regional animal hospital in Helsingborg. A large number of horses with clinical symptoms, for example lameness, are radiographed every year at the regional animal hospital in Helsingborg. In addition, many clinically healthy horses are radiographed in order to be sold (inspection radiographed / export radiographed). This study is based on electronically stored data from horses in both of these groups of patients that underwent joint radiography at the regional hospital in Helsingborg during the years 1992-1999. The first file (inspection file) contained 1035 observations from 983 horses that had their fetlock-, hock - or stifle joints radiographed for inspection or export. The other file (clinical file) contained 6121 observations from 3800 horses that were radiographed due to clinical symptoms in the fetlock-, stifle or hock joints.

Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one. Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.

Malassezia otitis in dogs is a common cause of visit to a veterinary service. In otitis externa due to Malassezia overgrowth the dog has a higher number of yeast organisms and/or a local inflammatory response to the micro organism. Common clinical signs include pruritus, erythema, swelling and increased exudate production. Clinical symptoms and results from cytology of ear swabs from the ear canal is the mainstay for diagnosis. Any underlying condition has to be identified and corrected to avoid relapse. The treatment options for infective otitis externa are based upon topical administration of eardrops containing antibiotics, steroids and antifungals.

The purpose of the study was to investigate whether or not Icelandic horses are less severely affected in clinical symptoms of cough or decreased performance than other breeds of horses. A breed variation in chronic respiratory disease severity was suspected based on clinical experience at the Institution for surgery & medicine, large animal, SLU Uppsala. A retrospective journal study of 17 Icelandic horses and 17 Swedish Standardbred horses with chronic problems with cough and/or decreased performance compared several measurements of disease severity. The clinical signs, physical examination and laboratory testing results compared were respiratory rate, abdominal breathing, lung auscultation, endoscopy results, broncho-alveolar lavage (BAL) results and the blood gases pO2 and pCO2. All parameters were available for all 34 individuals except for the blood gases, which were analysed, in only four Icelandic horses and four Swedish Standardbred horses. The only parameters that appeared different between the two groups were respiratory rate and pO2. The four Icelandic horses, which had blood gases analysed, had more severe hypoxemia.

Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one. Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.

Laminitis has crippled horses through times and many cures have been used to treat it. Since the mechanism of the disease is yet not fully understood, treatments are only ways to alleviate the pain and at best, slow down the pathological process enough to make time for improvement. This paper is a retrospective study of 71 horses treated by a protocol at Hästsjukhuset Strömsholm. The protocol implies three visits at zero, five and fifteen weeks. At each the horse is evaluated and treated by a veterinarian.

International Society for Clinical Densitometry (ISCD) rekommenderar att precisionsbestämning av bentäthetsmätning görs på varje klinik för att bedöma reproducerbarheten. Bentäthetsmätning görs för att diagnosticera osteoporos, följa upp behandling och förutsäga frakturrisk. I studien användes Dual energy x-ray absorptiometry (DXA) för att utföra dubbla mätningar på redan inbokade patienter på klinisk fysiologi, Skånes Universitetssjukhus (SUS), Lund. 105 patienter ingick i studien. Mätningarna utfördes på helkropp, totalhöft, lårbenshals och ländrygg.

Abortion during late gestation is often caused by placental dysfunction such as placentitis. To prevent this from happening the placenta can be monitored pre partum so treatment can be started at an early stage. Methods for monitoring the placenta include hormonal monitoring, presence of clinical signs of placental dysfunction and ultrasonographic evaluation of the fetus and the placenta. Transrectal ultrasonography provides a very good image of the caudal portion of the allantochorion where an ascending placentitis normally establishes. An increased combined thickness of the uterus and the placenta, CTUP, has been associated with placental failure. This study included ten Swedish standardbred trotter mares in late gestation. They were monitored by transrectal ultrasonography of the placenta two times with approximately a month in between. CTUP was measured on each examination.

In veterinary medicine, penicillin is the most used antibiotic in Sweden. Two dosage forms of penicillin are available in Sweden for use in horses, sodium benzylpenicillin (Na-pc) and procaine benzylpenicillin (proc-pc). Proc-pc is the most used dosage form and is used for intramuscular administration which allows horse owners to treat an animal at home under veterinary instruction. Na-pc is only approved for intravenous use in horses. Penicillin is normally well tolerated by horses but a serious, sometimes life-threatening, adverse reaction called penicillin shock may occur.

The Sister Kenny Research Center is part of the Sister Kenny Rehabilitation Institute locatedat the Abbott Northwestern hospital in Minneapolis, USA. The Sister Kenny RehabilitationInstitute provides rehabilitative services, treating more than 70,000 patients a year.The Sister Kenny Research Center strives to optimize the service to patients by nurturingnew innovations in rehabilitation care and treatment. Research projects are conducted ininterdisciplinary so-called Clinical Innovation Teams. As the Sister Kenny Research Center isrecently started, it did not prior to this thesis project have a design process or structured way ofworking in design projects.The outcome of this thesis project is a comprehensive innovation strategy package with a set oftools to enhance the innovativeness at the Sister Kenny Research Center. The strategy packageconsists of three interlinked parts:?A design process adapted to the work environment at the Sister Kenny Research Centerensuring projects are conducted in a structured and innovative manner.?An Innovation Handbook describing the design process to the Clinical Innovation Teamsand providing step-by-step guidance to designing.

The purpose of this work is to find out how present manager contracts are set up in Landstinget Västmanland (the county council of Västmanland), explore managers? perception of these contracts and why managers have chosen leadership. The work has also reviewed the question if managers need to have a relationship or expertise to the activities they lead and which qualifications are needed in such case. The survey was conducted in two divisions in which nine interviews were held with managers at all levels. In addition to this a questionnaire including the 87 managers in the divisions were held.

The purpose of the present study was to study if the systemic blood pressure in cats significant increases due to stress associated with a visit to a veterinarian clinic. We also wanted to investigate the clinical utility of two different methods for indirect blood pressure measurements in cats by assessing how easy they were to use and how reliable measurements they provided. The methods that were used were oscillometric (Memo Diagnostic) and ultrasound-doppler technique (Minidop). The blood pressure was measured in both clinical environment and home environment. Fifty cats were used in the study, from which measurements were impossible to obtain in one cat.

Joint injury (inflammation) or osteoarthritis is the most common cause of poor performance in the athletic horse. Osteoarthritis is the ensuing degeneration of joint cartilage due to inflammation/injury. The single most important factor in the inflammation cascade of joint injuries is interleukin-1 (IL-1). Until recently, these injuries have been treated with products like hyaluronic acid, cortisone and polysulphated glycosaminoglycans (PSGAG). Several studies have not been able to demonstrate a significant difference in the clinical improvement of joint injuries treated with hyaluronic acid or PSGAG and saline.