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810 Uppsatser om Drug therapy - Sida 6 av 54

Effekter av befintliga och eventuella framtida läkemedelsbehandlingar på morbiditet och mortalitet hos patienter med hjärtsvikt.

Background:  Heart failure is a multidimensional phenomenon with high mortality. Heart failure is treated with angiotensin converting enzyme (ACE) - inhibitors or angiotensin receptor blockers (ARBs) that counteract neurohormonal stimuli that occur in heart failure, as well as providing vessel dilatation, which reduces symptoms and the need for hospitalization and increases survival. Despite this, only about 50% of heart failure patients survive 6 years after diagnosis with Drug therapy, and as heart failure is increasing globally, due to improved care and treatment and increasing life expectancy of the population, there is a great need for new drugs such as LCZ696 that acts by dual inhibition of the renin - angiotensin - aldosterone system and neprilysin inhibition.Objective: The aim of this literature study was to evaluate the efficacy of current treatment and possible future treatments on mortality and morbidity in heart failure patients.Results: The examined articles show that treatment with ACE inhibitors in patients with symptomatic heart failure reduces the risk of total mortality by 16% over 3.5 years, reduces all-cause mortality or hospitalization due to heart failure with NNT (number needed to treat) = 10.4 over 3.5 years and increases median survival by 9.2 months over 12.1 years in patients with asymptomatic heart failure. Treatments with high-dose ACE inhibitors reduce mortality and hospitalization because of cardiovascular causes and hospitalizations from any cause by NNT = 30 over 3 years. Beta-blockers reduce sudden death and total mortality and cardiac death or non - fatal myocardial infarction with NNT = 38 and NNT = 23, respectively, over 12 months.

Föräldrar till vuxna narkotikamissbrukare och deras kontakter med socialtjänsten

The objective of this thesis was to study how parents of adult drug addicts experience their contact with the social welfare office, what elements affected the parents degree of satisfaction with the contact with the social welfare office, and whether the contact meant any help for them. Six parents of adult drug addicts were interviewed..

"Här finns ingen tid att förlora" : professionellas tankar kring gravida missbrukare

The purpose of this paper has been to examine the ways in which professionals describe their work with pregnant drug-addicts. The paper raises the following questions;· How does the deviant behavior, that using drugs during pregnancy can be described as, affect the professionals in their work with pregnant drug-addicts?· How do the professionals experience their own role, and the roles of other professionals?· In what ways do they work in order to reach a favorable result with these clients?The paper is based on qualitative material, gathered through 14 interviews with professionals. By using theories of deviant behavior and attachment-theory between a child and its mother, our intention was to analyze the empirical results.From our interviews we have learned that the professionals consider some factors as more important than others for a favourable result in their work with pregnant drug-addicts. Such factors are for example the significance of a cooperation between different authorities and ethical awareness in meeting with the client..

Läkemedelssökning i vårddokumentationssystem : En användarcentrerad utveckling av läkemedelssökning i vårddokumentationssystem

This thesis examines the problems related to IT in the Swedish healthcare system, specifically the drug searching part of the electronic healthcare systems used in Sweden. The question formulation is divided into two questions: What parameters and functions are of greatest importance when performing a search on drugs, and how should these be presented in a graphical user interface? Thus the purpose is to answer these questions through developing a design concept, in the form of a prototype, which describes how a drug search can be carried out.The entry point is a central quality checked drug database that is managed and owned by Swedish county councils and regions. The problem is attacked through user-centered methods where interviews of physicians and developers, in conjunction with observations, are used to give an overview of the problem area as well as to specify a requirements specification for the prototype that this thesis aims to develop. The thesis result is a requirements specification in combination with a prototype that exemplifies how drug searching can be performed, the prototype is based the requirements gathered from the interviews with the user group of physicians..

Från droger till förvandlande gemenskap : En studie om de sociala nätverkens betydelse utifrån LP-verksamhetens eftervård

The aim with our study was to understand former addict´s experience of social networks from the Lewi Pethrus foundation (LP foundation) aftercare. The method we have used is qualitative semi-structured interviews. We have interviewed eight persons, four men and four women. They have all been in contact with the LP foundation and are today drug free. The result of the study has shown that the fellowship, in the different social networks have been very important to maintain a drug free life.

Behandlingseffekt av rituximab jämfört med infliximab vid reumatoid artrit

The aim of this study was to compare the effect between the drugs rituximab and infliximab in rheumatoid arthritis (RA). RA is an autoimmune disease that affects the peripheral joints and is associated with exacerbations. Various immune reactions in the body cause inflammation of the joints which further results in cartilage and bone damage. The diagnosis is made by the classification system "The 2010 American College of Rheumatology (ACR) / European league against rheumatism (EULAR) classification criteria for rheumatoid arthritis", which is an update of the older system called "The 1987 American College of Rheumatology classification criteria for RA". Approximately 0.5-1% of the population is developing the disease, but it varies slightly between different parts of the world.

Bedömningsmatriser i Idrott och hälsa : En studie av läraresuppfattningar

In this study we have examined in which way the horse is used in Equine Assisted Therapy, and what effects the treatment staff experience and describes that the interaction with horses has on girls who self-harms. Our Empirical data was collected through qualitative methods such as interviews, participant observation and informal interviews with a total of six different informants, from five different activities with Equine Assisted Therapy for girls who self-harms. In the analysis we have assumed symbolic interactionism, a theory focusing on the human as a social being, where the self-image alters in the social interaction with other human beings. We interwove this theory with the Biophilia hypothesis, an explanatory model concerning human?s relationship to animals and nature.The conclusions we have found in the results are:Equine Assisted Therapy is a complementary treatment comprises both horseback riding and exercises which is not based on the horsebackEquine Assisted Therapy almost always involves three parts, the therapist, the client and the horse.

Arbetsterapeutiska interventioner för personer med begränsad handfunktion på grund av artros eller reumatoid artrit

Syftet med denna studie var att genom en litteraturstudie beskriva arbetsterapeutiska interventioner för personer med begränsad handfunktion på grund av artros eller reumatoid artrit (RA). Datainsamlingen har skett genom sökning i databaser utifrån i förväg av författarna ställda inklusions och exklusionskriterier. Tolv stycken artiklar inkluderades i studien och analyserades genom en kvalitativ innehållsanalys. I analysen framkom fem olika kategorier av arbetsterapeutiska interventioner. Kategorierna är ortoser, värme/kyla, information/utbildning, styrke- och rörelseövningar och ADL-träning.

Olika kommuner - olika förutsättningar? : En jämförande studie av två olika kommuners missbrukarvård och dess konsekvenser för klienten

Our main purpose has been to describe and compare two community's ways of organising and executing the social welfare sectors drug and alcohol abuse programs. We also wanted to explain the similarities and differences we found with the help of an organisations theoretical perspective. A second purpose has been to try to find out if the difference affects the clients possibility to receive equal care.To find out how the community's organise and execute their drug and alcohol programs, we interviewed two social workers in leading positions in Landskrona and Ängelholm. We have further more, to find out if the differences we found influencing the clients possibility to recieve equal care, completed an inquiry with fictional cases that all of the involved social workers, at each community, built an opinion upon.Our main result showed more simmularities than differences in our two community's ways of organasing and executing their drug and alcohol programs. We judged the clients possibility to adequate care to be equally sufficient no matter where he sought care, since our study showed that the social workers choice of approach did not differ significantly between the two communities, even though we found differences in their way to organise and execute the social welfare sectors drug and alcohol abuse programs..

Exponeringsrisker i samband med inhalationsbehandling av häst :

Bronchiolitis is a common performance decreasing disease in horses (Bracher et al, 1991¸Dixon et al, 1995) Its medical treatment includes inhalation therapy with corticosteroids and b2-adrenoceptorer stimulators. Use of both these medicines is prohibited for sport horses and athletes. Because the facemasks used for inhalation therapy are not airtight, there is a risk for leakage of these medicines. We wanted to see if cross exposure of nearby horses can result during normal recommended treatment of a horse, and assess if this could result in doping positive urine sample from the person treating the horse and from horses in the same airspace. We did a pilot study with four healthy horses. The experiment was divided into four parts.

Upplevd livskvalitet hos personer med MS

Many persons with long-term illness experience a decline in their quality of life. Perceived Quality of Life is a subjective term based on prior personal experiences and is highly individual. The aim of this qualitative study was to investigate perceived Quality of Life in persons with Multiple Sclerosis and to get knowledge if physical therapy changes a person?s quality of life. Three women and three men with a range of disability were interviewed in depth.

Återhämtning från alkohol och drogproblem : - en fenomenologisk studie av fyra människors återhämtningsprocesser

The aim of this study is to increase understanding about addiction recovery. More specifically, we want to know what people who have had problems with alcohol and/or other drugs perceive as helpful and important for their recovery process and how we can understand this process.The study was conducted by means of qualitative semi-structured interviews with four people who have had alcohol and/or other drug problems. The analysis is based on a transtheoretical model of change from addictive behaviours, coping, interactionist theories and also a recovery perspective, inspired by research on recovery from mental illness . Main findings are that recovery from addiction can be understood as an individual process that takes place in a social context and can follow expected phases, although there are large individual differences in the process. Through the recovery process it has been of importance to the participants in the study to redefine themselves and their problems, get support from others, find ways to cope with their problems, get involved in meaningful activities and to expand their social roles.

Har ungdomars deltagande i organiserade fritidsaktiviteter och framtidstro betydelse för normbrytande beteende?

Title: Has youth participation in organized extracurricular activities and future expectation relevance for antisocial behavior? Zetterberg, E. (2015). Has youth participation in organized extracurricular activities and future expectation relevance for antisocial behavior? Bachelor thesis in Public Health science.

"När jag får ångest och känner att nu behöver jag skära mig, då kan jag gå till hästen? : En studie om hästunderstödd terapi som behandlingsmetod för flickor med självskadebeteende

In this study we have examined in which way the horse is used in Equine Assisted Therapy, and what effects the treatment staff experience and describes that the interaction with horses has on girls who self-harms. Our Empirical data was collected through qualitative methods such as interviews, participant observation and informal interviews with a total of six different informants, from five different activities with Equine Assisted Therapy for girls who self-harms. In the analysis we have assumed symbolic interactionism, a theory focusing on the human as a social being, where the self-image alters in the social interaction with other human beings. We interwove this theory with the Biophilia hypothesis, an explanatory model concerning human?s relationship to animals and nature.The conclusions we have found in the results are:Equine Assisted Therapy is a complementary treatment comprises both horseback riding and exercises which is not based on the horsebackEquine Assisted Therapy almost always involves three parts, the therapist, the client and the horse.

Vårdhundens effekter på äldres hälsa och välbefinnande : -En litteraturöversikt

Background: With increasing age follows higher risks of conditions and illnesses which can cause a decrease in health and wellbeing. A meaningful social environment can positively impact the physical health of older people. Dogs are increasingly being used for different purposes within health care and animal assisted therapy aims to improve people?s physical, social, emotional and cognitive function.Aim: The purpose of this study was to determine the effects of animal assisted therapy on older people?s health and wellbeing.Methods: A literature review where searches for academic articles in databases PubMed, Cinahl and PsychInfo were performed. The searches resulted in 14 articles which were selected for further review.

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