Dystrofia myotonika Typ 1 (DM 1) är en kronisk, progressiv och ärftlig neuromuskulär sjukdom. För patienten innebär det en livslång sjukdom där försämring sker över tid och där även flera i familjen är eller kan vara drabbade. Patienter med DM 1 är i behov av regelbunden uppföljning gärna varje år. För att kunna tillgodose patientens behov skapades på Neuromuskulärt centrum, Sahlgrenska sjukhuset Göteborg, en sjuksköterskemottagning. Syftet med föreliggande litteraturstudie, var att kartlägga kunskapen om sjuksköterskemottagningar samt belysa mötet mellan patient och sjuksköterska.

This thesis intends to analyse conditions for a successful implementation of consociational democracy, as a democratic model in Afghanistan. The lack of critical reviews regarding the democratisation-process in Afghanistan initiated the purpose of this study.Lijpharts democracy model was used as the basis in the comparative study. Along with empirical evidence regarding how the complex process of democracy in Afghanistan is progressing, the study investigated whether the identified conditions occurred or not.The choice of which democracy model to use can be crucial for the democratic possibilities to even survive and become established in conflict-affected communities. The principle of consociational democracy is that it is an empirically based normative model that aims to organise the state in a way that works against the risks of majority domination and oppression against the minority.The empirical case study revealed that a majority of the conditions were not met, which then can counteract the possibilities for consociational democracy in Afghanistan. The study has critically examined the prospects for the success of consociational democracy in Afghanistan, and it can be assessed that there is a limited probability for a successful applying of this model..

Through analysis of the work of scheduling the doctors at the hospitals of Sundsvall,Gävle and Karolinska in Stockholm this thesis presents some conclusion about howand why a computer system would benefit these very tasks. The reason for doing thisis mainly to save money through more efficient scheduling, but also to minimizeerrors and maximize comfort for scheduler and doctor alike.Scheduling consists of collecting doctors? requests, assessing the need of staff,distribute the available doctors and make sure all tasks are covered throughout thescheduled period of time. The work is often very complex and involves manyvariables ranging from competence to personal whishes and economical constraints.Solving these problems takes a lot of time and energy which could be better spentcuring patients.The conclusion of this thesis is that there is reason to develop such a system to savetime and optimize resources. A description of the system is found in numerous lists ofroles, tasks and prototype sketches which combined shape the content andfunctionality.

A major part of the Swedish population suffers from myocardial infarction. A wish in the study is to give nurses an increasing knowledge about what patients with myocardial infarction wish to be informed about so that the nurses can meet these patients as good as possible.The aim is to show what nurses need to inform heart patients about to prevent anxiety and fear after hospital care.The method used was literature reviews where seven articles were reviewed according to Polit, et. al., (2001). The databases used were Cinahl and ELIN.Results: There is a dissonance between what the patient and what the nurse is ranking to be the most important item to be informed about after a myocardial infarction. The patients prioritize information about symptoms and lifestylechanges.

Smoking is a health problem with a negative impact on virtually all body organs. Smoking can cause, for example, lung cancer, cancers in other organs and cardiovascular disease. There is also a social aspect of smoking. If individuals have many smokers in their environment, the risk to start smoking is increased, and for those who already smoke the chance of quitting will be less. Many municipalities today face smoke-free working to reduce smoking and passive smoking adverse effects.

AbstractIn 1998 the Swedish legislation was sharpened, and active educationalists were legally bound to report any suspicion of child maltreatment. Nevertheless, there are a number of unrecorded cases of maltreated children, and research reveals that less than half of these children are reported to social services (Olsson, 2001). The purpose of the present study was to illustrate the problems with the mandatory reports in schools, as well as to study how educationalists proceed when they suspect that a child is maltreated. The method consisted of semi-structured interviews with five educationalists. The results revealed complex problems regarding educationalists mandatory reports.

Den insulinlika tillväxtfaktorn II (IGF II) är ett proteinhormon som reglerar cellers proliferation, tillväxt, migration, differentiering och överlevnad. Den utövar sin biologiska funktion via IGF I-receptorn. Dess tillgänglighet för bindning till IGF-1R regleras av en familj bestående av sex IGF-bindarproteiner (IGFBPs). IGF II kan också inducera mitos via en alternativt splitsad variant av insulinreceptorn (insulin receptor isoform A (IR-A)). De cirkulerande nivåerna av IGF II kontrolleras genom IGF II-receptorn, som saknar signalfunktion och är homolog med mannos-6- fosfatreceptorn. Tystad prägling av IGF II-genen är en återkommande observation vid en utvecklingsrubbning kallad Beckwith-Wiedemanns syndrom, vilket innefattar okontrollerad tillväxt och i många fall en njurtumör hos barn, Wilms? tumör. Tillväxthämning ses vid mutationer i genlocuset hos IGF II och den närliggande genen H19 vid en annan utvecklingsrubbning, Silver-Russells syndrom.

The number of locals in Stockholm who chooses the bike in front of public transport has increased significantly in recent years. The product purchaser of this project, Joakim Victorin at Sigma AB, has a keen interest in cycling, which resulted in a fairly obvious topic of this project; through a web application Sigma AB wanted to make it possible to handle results from professional as well as amateur competitions in cycling.The purpose of this web application is to simplify reporting and handling of competition for both small and bigger bicycle races. By providing the users of the system a platform independent client, any available device may be used.This thesis has followed the development principles which prevail on the ASP .NET MVC 3 concept. When developing the system the Microsoft Visual Studio 2010 development environment was used. The framework and the pattern of ASP .NET MVC 3 is a prominent part of today?s web development.

AbstractThe aim of this study is to highlight the professional?s perspectives and work with young girls who have eating disorder anorexia nervousa. We assume a social constructivist perspective where the professional?s interpretations and perspectives on the issue anorexia considered. The study is based on a qualitative analysis of interviews with seven professionals in the areas of work, social services, school counselor, school nurse, anorexia unit and child and adolescent psychiatry (BUP).From a thematic analysis of the interviews, three themes emerged.

SAMMANFATTNINGDilaterad kardiomyopati (DCM) är en ärftlig, primär hjärtmuskelsjukdom som är mycket vanligt förekommande hos dobermann. Sjukdomens förlopp har tre stadier. Det första stadiet innebär att sjukdomen föreligger men kan enbart påvisas vid histologisk undersökning av hjärtmuskelvävnad. Det prekliniska stadiet innebär att inga sjukdomstecken ses hos hunden, men förändringar, såsom hög förekomst av kammarextraslag och dilatation av vänster kammare, kan hittas med hjälp av elektrokardiografi (EKG) och ekokardiografi. I det overta (kliniska stadiet) uppvisar hunden sjukdomstecken som nedsatt arbetsförmåga, trötthet, hosta samt kachexi.

This thesis concerns partial discharges in stator windings and the possibility of analyzing data using statistical methods. Partial discharges, or PD, are a physical phenomenon in which discharges occur locally due to large electric fields. PD can occur in or adjacent to the insulation of stator windings and causes breakdown of the insulating materials. PD measurement can provide an idea of how widespread the PD activity is. A technique to measure and analyze PD that has become very popular over the last few decades is phase resolved PD patterns.

There are several possibilities for those with an eating disorder, who wishes to get treatment and recover to get help and support. But for those who are not ready to recover, there are not any help to receive. Pro-ana is a youth culture where individuals who want to achieve the anorectic ideal help and support each other. The purpose of this study was to describe and analyse the content and the need for the Pro-ana community on Internet, among young people with eating disorders. More specifically the aim was to find out how young Swedish people uses the Pro-ana communities on Internet.

Apart from recognizing and neutralizing threats, antibodies also have the ability to regulate immune responses against their specific antigen. IgG administered together with erythrocytes is well known to induce >99% suppression. This has been used to prevent haemolytic disease in new-borns since the 1960's, but the mechanism behind it is still not completely understood. The effect on the primary response is well established, but its influence on induction of immunological memory is still heavily debated. In this study adoptive cell transfer of splenocytes to irradiated mice was used to survey the effect IgG has on induction of immunological memory without disturbance from the primary IgG response.

In these days of globalization, with a higher level of openness and interaction over geographical, cultural and economical borders, the importance of the company?s intangible asset, its brand, is gaining importance as a differentiating factor. Building a strong brand and the emphasis on strategic brand management is something that before was given less attention in firms but today we can see a general increase in awareness and relative emphasis in the strategic work of companies.Countries as brands: Is it possible to consider a nation or a country as a brand the same way you consider a product? Well, looking in to the subject it seems to be a rather complex matter and there are many questions to be asked and answer. Nations around the globe are indeed marketing and positioning themselves for several purposes.

Limb-sparing surgery aims to provide a functional pain free leg for the patient after removal of a local tumour in the leg. Reasons to perform limb-sparing instead of amputation can be arthrosis or hipdysplasia or other problems with the locomotor apparatus that makes the patient unsuitable for amputataion. Owner reluctance to amputate is another reason for limb-sparing. This master?s thesis is a case study of a dog with an osteosarcoma in its distal radius. The dog was treated by a limb-sparing method that uses the ipsilateral ulna as a vascularized roll-over autograft.