Background:It is estimated that one in ten children witness domestic violence. It is of importance that children grow up in a safe environment. When they grow up with domestic violence they can lose very important skills which can be hard to gain back. Children respond to domestic violence in different ways depending on their age. Aim: The aim of this study was to enlighten children's experiences of domestic violence in their home.

Internet's entry into our home has changed our communication capabilities. As a result more and more services in the digital world are available. Besides e.g. shopping, gaming and general information, different social networks now offer preventive and therapeutic health-oriented services. When being asked by several young people, with whom I have been working in a clinical setting, to offer conversations over the Internet that enables both to see and to hear each other in real time, I decided to conduct a pilot study which is presented in this paper. The aim was to investigate the feasibility of offering supportive therapy using video calls over the Internet.

Background: Delirium is a common condition among elderly patients who are being treated in a hospital environment. However, a large number of patients are wrongly diagnosed. The highest risk categories to develop delirium are elderly people and postoperative patients. By understanding the patients´ experiences the nurse can formulate the care to make it easier for the patient. Aim: The aim of the literature review was to illuminate elderly patients´ experiences of delirium in connection with a hospital visit.

The market of electronic commerce is under constant growth and change. New technology makes it possible for the consumer to obtain digital products in a quick and easy manner. Record companies adjust more and more to this ever changing environment. The purpose of this thesis was to evaluate how Swedish retailers of MP3 work with bundling strategies. A case study was conducted on two Swedish retailers, CDON and Homedownloads.

Diabetes mellitus type 2 and chronic obstructive pulmonary diseases (COPD) are two of the most common diseases in the world and the amount are increasing. The treatments of these diseases are self care and a change of lifestyle. For this to be successful there is a need for the person to have knowledge about the diseases and a motivation for making changes in his or her lifestyle. Most of this information is given by the district nurse at the health centre. It is important to get a better knowledge of these persons experiences and how they used the information given to them.

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.

It?s known that the drug information patients get at discharge from hospital is often insufficient. Patients? ignorance of which drug they use and how to take them can lead to drug related problems, can cause suffering and heavy expenses.The aim of this study was to shed light on the patients? understanding for drug information, which was given at discharge from hospital. The literature survey was used as a method and based upon a systematic choice of scientific articles, which were found in different databases during the period of April 1 to May 31, 2008.

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.

When a child is diagnosed with diabetes the whole family is affected. The effect of the illness often means drastically changes to their daily life. The aim of this study has been to describe the experiences of the parents´ having a child fallen ill with diabetes. The study has been done as a general literature study. The procedure has been to systematically search, critically investigate and summarise results from different studies made on the chosen area of subject.

The purpose with this essay is to investigate which factors that are decisive for nurses? propensity for incident reporting. The study uses a descriptive cross-section design. Included are nurses that works at a care unit and who have worked as a nurse for > 1than one year. The survey was sent out to all nurses embraced by the criteria within a subdivision at a hospital in the middle of Sweden.

Traumatic deaths hit relatives hard and a fast and professional encounter can make crisis management easier. The purpose of this literature review is to find partly how relatives after traumatic deaths are taken care of and how nursing staff fulfil the relatives' needs and also how nurses prepare themselves before this encounter with the realatives. The method in this study consists of a literature review. This was done through critical examining a number of articles within this area. The result shows how a nurse could encounter relatives after traumatic deaths.

Background: Diabetes Mellitus Type 1 is increasing among children on large parts of the world. The disease strikes not only the child but affects the whole family. The parents are those who are responsible for the child?s treatment and well being. Purpose: The purpose of the literature review was to describe how parents to children with Diabetes Mellitus Type 1 experience and handle the situation around the child?s disease.

A literature study abot the patient´s experience of the meeting with the nurse.

Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

Syftet med denna studie var att beräkna preliminär prevalens för sjukdomen multipel skleros (MS) i Värmland, med prevalensdag 21 december 2002, och jämföra den med andra prevalensstudier i Sverige. Utifrån patientjournaler vid länets sjukvårdsinrättningar noterades basala och medicinska data på ett registreringsformulär. För klassificering av MS har Poser ?s kriterielista tillämpats och granskningen av journaler har utförts av specialist neurologer. Prevalensen för definite/probable MS i Värmland, baserad på siffror som var insamlade augusti 2004, var 151/105 (95% CI 136-165), för kvinnor var prevalensen 211/105 (95% CI 187-235) och för män 89/105 (95% CI 73-105), vilket innebär att MS var 2,37 gånger vanligare för kvinnor.