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.

Patienter med trycksår lider av både fysisk och psykisk ohälsa. Många av dem är oftast äldre, stillasittande och kanske även undernärda. Författarna ville undersöka hur trycksår kunde förhindras samt läka bättre. Syftet med denna studie var att undersöka betydelsen av korrekt riskbedömning för trycksår så att preventiva åtgärder sätts in i rätt tid. Vidare var författarna intresserade av hur en adekvat näringstillförsel inverkar på sårläkningsprocessen.

Det är av vikt att professioner har en teoretisk grund att luta sig mot och att teorin införlivas i praktiken. Inom arbetsterapin försvåras detta av att professionen har brottats med paradigmskiften, vilket i sin tur har bidragit till en stor mängd av tyst kunskap inom yrket. Syftet med denna studie var att beskriva hur arbetsterapeuter i den kliniska verksamheten resonerar kring användandet av arbetsterapeutisk teori, främst vid användandet av processer och modeller. Sju arbetsterapeuter intervjuades i denna kvalitativa studie. De delgav sina tankar och resonemang angående användandet av arbetsterapeutisk teori i arbetet.

En kvantitativ studie genomfördes som en mindre kartläggning på några orter i Skaraborg. Det framkom i studien att kontinuiteten av vårdpersonal vid behandling av bensår varierar. Kartläggningen genomfördes under en månads tid inom både primärvård och kommuners hemsjukvård. En grupp patienter hade få omläggare medan en annan grupp hade många som lade om bensåret. Nästan alla patienter med bensår i kommunens hemsjukvård hade en patientansvarig sjuksköterska.

Under de senaste 20 åren har läkemedelsanvändning hos äldre fördubblats. Sverige har relativt hög medellivslängd internationellt sett. Idag finns det cirka en halv miljon svenskar som är över 80 år. Allt fler blir äldre bl.a. tack vare läkemedel och behandlingar som räddar många liv.

Objective: To determine the frequency of antimicrobial resistance in bacteria from healthy Swedish dogs and whether they are carriers of methicillinresistant Staphylococcus aureus (MRSA). Material: Samples from skin from the perineal region and from faeces collected in the anus with cottonswab (Copan) from 299 healthy Swedish dogs. Samples were collected at dog exhibitions. Method: Specimens were submitted for bacterial culture where bacteria (Escherichia coli, enterococci and staphylococci) were isolated and identified by current methods. Antimicrobial susceptibility testing was performed with a microdilution method where MIC-values were determined. Staphylococci with high degree of resistance were tested for presence of mecA-gene by PCR.

Rheumatoid arthritis (RA) is an autoimmune disease, which affects mostly women. RA is also a chronic disease and the treatment is focused on moderating the immunological process. RA-patients experience daily pain which affect their prosperity. The aim of this literature study is to illuminate some factors that influence the well-being of patients with RA. The factors that have been studied are pain, nutrition and need of knowledge about nutrition.

The purpose of this study is to make a qualitative evaluation of the MTFC-program (Multidimensional Treatment Foster Care) on the basis of six youth´s experiences of the program. The study will investigate what the youth experienced as positive and negative about the program as well as finding out what has helped them or inhibited them from the aim of getting out of their criminal lifestyle. A secondary purpose of this study is to make the youth´s voices heard in the research world. The research question is: Which factors in the MTFC-program have helped or inhibited the youth towards the aim of getting out of their criminal lifestyle? For this purpose, a qualitative research method has been used where semistructured interviews have been performed on six youth who have gone through the MTFC-program.

The main purpose of this Master Thesis has been to evaluate whether active fund management is profitable on Emerging Markets. The material used to examine this consists of 106 actively managed funds, with varying length during the period 1988-2006 and who uses MSCI Emerging Markets (MSCI EM) as benchmark index. The thesis has been written under the supervision of the Asset Management Department of Länsförsäkringar AB (LFAB) and the Department of Production Economics, Linköping Institute of Technology. Apart from the main purpose, the methodology used is also meant to form a template for in-depth or similar studies, preferably by the assigner of this survey, LFAB.The results shows that the median manager underperforms the MSCI EM throughout the whole period, which leads to the conclusion is that active management on Emerging Markets is not profitable. A grouping of the funds based on tracking error still shows that a majority of the managers in all of the groups underperforms against the benchmark.

The Clinical Pathology Laboratory at SLU in Uppsala has analysed several blood samples from Dachshunds with severe anemia. As there are no previous studies on this topic, a study was performed to evaluate if Dachshunds are more prone to severe anemia compared with other breeds. In addition, a retrospective case study on Dachshunds with severe anemia was done to search for common risk factors or diseases. Hemoglobin values in samples from 1272 Dachshunds and 2269 German Shepherds analyzed from September 1994 to October 2007 were used to compare the frequency of severe anemia in Dachshund and German shepherd. The samples were identified by laboratory information system.

Bipolar disorder is a severe, affective illness which causes a person to alternate between episodes of pathologically elevated mood (mania) and depression ? in between these episodes the mood is normal. The length and intervals between the episodes are highly variable among the ill, as are the severity which is divided into two major subgroups: bipolar I and II. Bipolar I disorder is the most severe because of the patient?s inability to realize that he or she is currently in a manic phase, in the case of bipolar II disorder, the patient is aware that he or she has an abnormally raised mood, a state which is called hypomanic state instead of manic.

Syftet med föreliggande systematiska litteraturstudie var att belysa brister i omvårdnaden av patienter med borderline personlighetsstörning (BPS) och vad bristerna beror på. Vid Högskolan Dalarnas fulltextdatabas Elin och PsycInfo söktes vetenskapliga fulltextartiklar som omfattade BPS och omvårdnad. Av 35 artiklar valdes 14 ut varav 9 kvalitativa och 5 kvantitativa. Dessa artiklar kvalitetsprövades med 28 kriterier från granskningsmallar modifierade efter Forsberg och Wengström (2003), Willman, Stoltz och Bahtsevani (2006). Av artiklarna framkom att den viktigaste aspekten i omvårdnaden utgjordes av personalens patientbemötande.

This thesis has been performed at Clinical Chemistry at Sahlgrenska University Hospital in Gothenburg. The purpose of the project was to investigate new and alternative ways to determinate synthetic cannabinoids by gas chromatography-mass spectrometry. Currently, the possibilities to quantify synthetic cannabinoids are very limited. This can lead to an increased use of synthetic cannabinoids as the risk of detection is low, which may be known by drug users. The synthetic cannabinoids are sold mixed with different herbs and have varying names like Spice Gold, Spice Silver, K2, Smoke and Pot-pourri.The synthetic cannabinoids analyzed were JWH-018 and JWH-073, which are commonly found in seized Spice material.

Problemställning: Forskningen om stöd till personer som erhållit den medicinska diagnosen demenssjukdom är bristfällig. Även hur olika vårdteam med sjuksköterskor kan använda stödet, ordinera oberoende och få ordinerat beroende omvårdnadsåtgärder behöver kartläggas och vidareutvecklas. Vad erbjuds för stöd direkt till och hur kan sjuksköterskan stödja personer med demensdiagnos. Syfte: Syftet var att belysa stöd för personer med demenssjukdom.Metod: Studien genomfördes som en litteraturöversikt och baserades på 15 vetenskapliga artiklar. Dessa granskades, analyserades och kategoriserades för att finna stöd för personer med demenssjukdom.

The aim of the study was to study how a today journal system is applied in homecare. The aim was also to examine if a portable journal system could make any effectiveness on the nurse's work and secure the quality of care. The study is a part of a project called Grensebroen which connects public health care, economic industry and university to a network beyond the borders. The primary goal of this cooperation was to develop technological means of assistance which could simplify nursing on daily basis. An empirical study on homecare was made in a district were long distance travels were common for the nurses in duty.