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..

Mammary gland neoplasia is one of the most common diseases in the bitch and the most common neoplastic disease. More than 13 % of the female dog population in Sweden suffers from mammary tumors during their lifetime. The disease can affect bitches in all ages but most often middle aged and older dogs. Some breeds such as Poodle and English Setter are predisposed for the disease. The aim of this study was to evaluate if it is possible to improve the post surgical healing process by using a pressure pad.

Bakgrund: Distriktssköterskearbetet är väldigt självständigt och mångsidigt. Distriktssköterskor möter patienter som lider av olika sjukdomar eller skador. De flesta kan inte klara de psykiska och fysiska påfrestningar och blir utbrända. Studier visar att med handledning kan tid för reflektion och bearbetning av bl. a stress möjliggöras vilket leder till mer trygghet och välbefinnande i yrkesrollen.Syfte: Syftet med denna studie är att undersöka om det finns behov av omvårdnads-handledning för distriktssköterskor för att minska stress i deras arbete.

Syftet med studien var att ur ett genusperspektiv undersöka upplevelserna hos individer i kontakt med psykiatri och/eller socialtjänst. Förutom genus användes begrepp som livskvalité, återhämtning, makt och stigmatisering för att förstå brukarnas och personalens upplevelser. Studien, som var en tilläggsstudie till Milton Projekten, utfördes i tre kommuner i södra Skåne. Populationen var 76 brukare ur vilken ett slumpmässigt sample på 42 personer drogs, varav 17 brukare deltog. Utöver brukarna intervjuades 13 personer ur personalgruppen.

Medicinering vid sjukdomstillstånd i det främre segmentet av ögat hos häst är ofta tidskrävande och komplicerat för djurägaren. Syftet med studien var att undersöka om ett nytt tekniskt hjälpmedel, en spiral som kallas OphthaCoil, fungerar för långtidsmedicinering hos häst. Två olika designer på spiraler utvärderades. Efter en ögonundersökning placerades en spiral i nedre konjunktivalsäcken och hästen observerades till dess spiralen trillade ur. Resultaten visar att ingen av de använda designerna låg kvar tillräckligt länge för att kunna användas för en längre tids behandling.