Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionTitle: Can nutritional support contribute to the healing of pressure ulcers in elderly patients?Author: Anton Kinnander, Sandra SmidelikSupervisor: Elisabet RothenbergExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 12-04-11Background The number of elderly patients with co-morbidity is increasing in the western world. It is therefore reasonable to predict increasing incidence and prevalence of pressure ulcers. One study, published 2009, found that as many as 59 % of geriatric patients within the Swedish health care system had developed pressure ulcers. Symptoms vary from mild erythema to severe deep tissue damage and development of pressure varies from hours to weeks.

The purpose of this study was to describe senior nurses? expectations concerning how a digital information and communication technology systems (ICT) can contribute to the improvement of care leadership and how it can strengthen ties between the school's theoretical world and the practical clinical work-based training (WP) in nursing. The study has a descriptive design with a qualitative approach. The study involved seven leading care nurses. Data were collected through semi-structured interviews.

Heart failure is an illness that requires life-long treatment and often affects everyday aspects of a person?s life. Self-care is a significant part of the treatment. Good self-care resources make it possible for people with heart failure to make the lifestyle changes they often need to maintain or improve their level of health. Self-care means having knowledge of and being able to recognize the symptoms and signs of deterioration that can occur with heart failure, so that the person can take appropriate measures ? and it also means knowing when it is time to seek professional help.

The purpose of this randomized controlled study was to investigate the effect of internet- administered guided self-help for women suffering from psychological problems following traumatic childbirth. The eight-week treatment program consisted of written chapters based on cognitive behavioral therapy. 56 participants were randomly assigned to a treatment group (n = 28) or a waiting list group (n = 28).The results showed that post-traumatic symptoms decreased as a result of the treatment, with large within-group effects measured by both the Traumatic Event Scale (TES) (d = 1.33) and the Impact of Event Scale-Revised (IES-R) (d = 1.3). The difference between the groups was only significant when measured by the IES-R in which case the between-group effect was large (d = 0.97). The proportion of the participants who showed clinically significant improvement was considerably greater in the treatment group than in the waiting list group.

Det föreligger ett ökat behov av placeringar inom sjuksköterskeutbildningens verksamhetsförlagda utbildning. Syftet med den här interventionsstudien är att kartlägga sjuksköterskestudenters tillfredsställelse med lärandemiljön och handledningen i två olika handledningsmodeller. Interventionsgruppen (IG) handleds i par av en handledare i en studentsal, s.k. peer learning och kontrollgruppen (KG) enligt traditionell handledningsmodell. För datainsamlingen har en validerad enkät, CLES + T (Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale) använts.

Background: Patients with cancer of the lung have to endure a quantity of physical, psychological and social difficulties. In their exposed position they are in need of help and support to pull through the situation. With the knowledge of factors effecting lung cancer patients? quality of life, it will be easier to give the help and support they need. Aim: The aim of this study was to describe factors effecting lung cancer patients quality of life from the patient?s perspective.

Heart failure is an illness that requires life-long treatment and often affects everyday aspects of a person?s life. Self-care is a significant part of the treatment. Good self-care resources make it possible for people with heart failure to make the lifestyle changes they often need to maintain or improve their level of health. Self-care means having knowledge of and being able to recognize the symptoms and signs of deterioration that can occur with heart failure, so that the person can take appropriate measures ? and it also means knowing when it is time to seek professional help.

Diagnosis of adhd, the cause and consequence. A study about the teachers thought about it.The purpose of this study was to examine teachers experience and views about children diagnosed with adhd, and what implication and effects it gives to the pedagogy strategies in the classroom.This is a qualitative study based on the experience of six teachers from primary school. My results have been compiled and compared to special educational research about adhd, from three different perspectives.The results showed that the teachers who have been working as teachers for a longer period, think that the problems of adhd occur primarily due to environmental causes, but then also say that they think the individual causes matters. It is also these teachers that talks very well about medication as a treatment to cure adhd symptoms. The teachers who have worked the shortest time, most of them have some special education from the teacher education.

Background: Patients with heart failure is a patient group growing in numbers, the most common treatment focuses on reliving symptoms and the only cure is heart transplantation. Objective: Aim of the study was to illuminate patients' experiences of living with heart failure at his home. Method: Qualitative design, with a manifest content analysis. The results are based on 12 scientific articles.  Results: Patients with heart failure find that the disease is limited to their daily lives through mental illness and physical symptoms.

Serum thymidine kinase 1 (TK1) activity is used as a tumor marker in disease monitoring in veterinary and human medicine. TK1, an intracellular enzyme, is involved in a salvage pathway of DNA precursor synthesis. TK1 is used in DNA precursor production by catalyzing the transfer of the gamma-phosphate-group from a phosphate-donor to the 5?- hydroxyl-group of thymidine forming thymidine-monophosphate. Nucleoside monophosphosphates are finally converted into thymidine-triphosphates. TK1 activity significantly rises in the G1 and the S phase of the cell cycle.

Speech anomalies have been described as characteristic symptoms forthe 22q11 deletion syndrome. However, research on speech and voice in adultswith the syndrome is still scarce. Previous research has indicated that speech andvoice anomalies seen in children with the syndrome might have neurologicalcauses. The aim of this study is to investigate speech and voice in a group ofadults diagnosed with the 22q11 deletion syndrome, with extra focus onanomalies with possible neurological cause. The researched group consisted of24 adults between the ages 19 to 38 with a verified 22q11-deletion, 16 womenand 8 men.

In studies of serum, in the early 1930s, from patients with pneumonia, a factor was found. It could agglutinate certain pneumococcal species. This factor, which later became known as C-reactive protein (CRP), increased sharply during the early and middle stages of the disease. CRP was identified as an acute phase protein and found especially in bacterial infections. CRP is synthesized in the liver by stimulation of interleukin 6 (IL-6), which is produced by the monocytes, and consists of five non-covalently bound subunits.The aim of this study was to compare two different analytical instruments (Vitros 5.1 FS Ortho-Clinical Diagnostics and QuikRead CRP Orion Diagnostica) for CRP analysis.

Diagnosis of adhd, the cause and consequence. A study about the teachers thought about it.The purpose of this study was to examine teachers experience and views about children diagnosed with adhd, and what implication and effects it gives to the pedagogy strategies in the classroom.This is a qualitative study based on the experience of six teachers from primary school. My results have been compiled and compared to special educational research about adhd, from three different perspectives.The results showed that the teachers who have been working as teachers for a longer period, think that the problems of adhd occur primarily due to environmental causes, but then also say that they think the individual causes matters. It is also these teachers that talks very well about medication as a treatment to cure adhd symptoms. The teachers who have worked the shortest time, most of them have some special education from the teacher education.

In the report parasites in the gastrointestinal tract and easily visible external symptoms of disease in capercaillie, (Tetrao urogallus), was taken into account. The study was based on results from the examination of 62 fresh faecal samples, collected in spring 2003, and postmortem examination of 22 frozen birds that were collected between 1999 and 2003. All of the samples principally were from the north of Sweden. In total, 4 species of parasites, but no significant symptoms of disease were found. In the faeces low levels eggs of the roundworms Capillaria spp. (125 epg) and Ascaridia spp.

The purpose of this study is to find out, explore and see how children with neuropsychiatric problems like ADHD/DAMP are portrayed and treated in five fictional children?s books written by writers who all are related to ADHD issues, except for one writer.I have done a text analysis performed on five children?s books which can be found in libraries in most of the libraries in Sweden. The analysis shows varying results between the five books followed by a general conclusion about how children with concentration problems are being presented in these chosen children's literature. The main problematic of this study is to examine how these characters are being represented and treated within the scopes of school, family relations and how ADHD/DAMP symptoms are portrayed. This study focuses on analysing how the actual ADHD/DAMP behaviour is being reflected and better understanding for the reader to understand the symptoms of ADHD.Another fact is what kind of relations these children with neuropsychiatric dysfunctions are portrayed when facing with other persons, such as family and friends and how ADHD/DAMP is affecting them daily basis.