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.

Illamående och kräkningar är fortfarande en vanlig biverkning i samband medcytostatikabehandling. Detta påverkar patientens livskvalitet och det dagliga livet. Illamående ärett subjektivt symptom som endast patienten själv kan beskriva och skatta. Syftet med dennalitteraturstudie var att beskriva evidensbaserade omvårdnadsinterventioner som sjuksköterskan kananvända sig av vi cytostatikautlöst illamående hos patienter med cancer. Metoden var enlitteraturstudie baserat på vetenskapliga artiklar sökta via databasen Cinahl, PubMed och manuellsökning.

This study was made on former agricultural areas that had been planted with spruce or pine, in the county of Västerbotten. The goal of the project was to investigate suspected deficiency of boron in these areas. Several objects have been reported for possible deficiency and some of these have the characteristic symptoms of boron-deficiency. The hypotheses are that 1) Boron deficiency is present at several of the investigated objects. 2) Planting of forest on cultivated postglacial sediments leads to a successive podzolisation with a decreasing content of organic matter in the mineral soil, due to decomposition, and a decreasing pH in the soil, even on locations that have been added lime. To be able to confirm or reject the hypotheses a number of tests were performed.

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.

The Lodgepole pines susceptibility to Heterobasidion spp. was investigated in three parts ofthis study. In the first part, discs from freshly cut stumps were collected and analyzed to seeif the fungi can spread and grow naturally in Lodgepole pine stands. In the second part, rootsamples were collected from Lodgepole pines planted in former infected Norway sprucestands to see if the fungi can spread through root contacts. For the third part, new stumpswas created and artificially infected with spores of both the S?type (H.

Construction production always contains different disciplines whose priorities andinterests can be very diverse. Good communication and coordination are essential tominimize misunderstandings and achieve good quality in the end result. This makesplanning a central part of the production management. In a world where conditionscan change as often as daily, being well prepared increases the opportunities to stayflexible and decrease negative effects of the changes.This study has been done in association with Skanska Foundations district North inStockholm in order to investigate how visual planning can be used in the productionmanagement to optimize the coordination and the quality.The history of Lean started at Toyota, but the concept are now spread over theworld and are used wide outside of the car industry nowadays. What?s challengingabout Lean in foundation projects is to embrace a long-term perspective and invest insolutions that are profitable in the longer term, instead of solve problems by onlytreating the symptoms.A holistic perspective is crucial in order to truly understand Lean.

Syftet: Syftet var att belysa hur patienter med cancer upplevde livskvalitet i den palliativa vården. Bakgrund: I Sverige dör cirka 20 000 personer av cancer årligen. Den palliativa vården inkluderar vård av alla patienter vid livets slut, där syftet är att tillgodose patientens fysiska, psykiska och existentiella behov för att upprätthålla hög livskvalitet. Metod: En allmän litteraturstudie ur ett patientperspektiv genomfördes ikombination med en induktiv innehållsanalys. Resultat: Studien visade att patienterna upplevde att fysiska och psykiska symtom påverkade deras livskvalitet i den palliativa vården.

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).

Klimakteriet är en naturlig process i kvinnanslivscykel där kroppen genomgår fysiologiska förändringar på grund av omställningari hormonnivån. Samtidigt är klimakteriet en utvecklingsrelaterad transition. Enligttransitionsteorin sker övergångsprocesserna inom en bestämd tidsram, följer enriktning och leder till förändringar i identitet, roll, relationer ellerbeteendemönster. Kunskap om dessa skeenden ochvad som påverkar kvinnors beteende under transitionen är en förut-sättning föratt sjuksköterskan skall kunna hjälpa dem att nå en hälsosam transition. Syftet med litteraturstudien var att belysa faktorer som påverkar val avkvinnors copingstrategier.

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.