Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

AbstractTitle: Serial recall of two-voice lists: Words are not perceptually organized by voice.The present study examined how voice affects the perceptual grouping of words in short-term memory that are auditory presented. Three different voice-lists were used: single-voice, alternating-voice and split-voice. In single-voice lists all words were presented in the same voice. In alternating-voice lists words were presented alternately in a male and a female voice. Finally, in split-voice lists words were presented grouped four and four in a male and a female voice.

Bakgrund: Patienter som ska genomgå elektiva operationer kan uppleva preoperativ oro och ångest. Preoperativ oro kan grundas i bristande information, tanken på att mista kontrollen samt vistelse i okänd miljö. Det vilar ett stort ansvar på sjuksköterskan då hon ska möjliggöra optimal delaktighet i vård och behandling för patienten samt uppmärksamma patienter som inte själva uttrycker ett omvårdnadsbehov. Syfte: Att sammanställa kunskap om vilka omvårdnadsåtgärder som kan minska patienters preoperativa oro vid elektiva operationer. Metod: Litteraturstudie, baserad på två kvalitativa och åtta kvantitativa artiklar.

The aim was to identify if the veterinary nurse is as competent as the veterinaian in placing a nasoesophageal feeding tube. The aim was also to identify the complications with malnutrition and the advantage and disadvantage of the procedure. This essay is based on several interviews with both veterinary nurses and veterinaries. 16 persons were asked 4 short questions in conjunction with an intensive care/emergency and surgery congress in Gothenburg in February 2013. In addition 4 major hospitals that provided intensive care were asked to answer 5 more detailed questions, one answer from a veterinary and one answer from a veterinary nurse was requested.

The aim of this study was to determine which type of fluid to use in trauma care to improve patient survival. The method used was a systematic review, where a total of 18 studies were reviewed and 13 included in the results. The inclusion criteria used in this study were Randomized controlled trial, or studies relevant for the purpose, written in English and published during the last ten years. The studies were identified in the PubMed data base. The results showed that in trauma with hypovolaemia, colloid infusion has a better effect than infusion of crystalloid fluid on blood pressure and colloid infusion reduced the body's cascade systems in a beneficial way. Colloid infusion administered to head injury patients lowered their intracranial pressure more than crystalloid infusion.

Bakgrund: För att kunna ge en tydlig beskrivning av patientperspektivet gällande erfarenheter av bemötandet inom ambulanssjukvården och på akutmottagning är det viktigt att ta hänsyn till människors förväntningar på bemötande inom ambulanssjukvården. En ambulanssjuksköterska måste kunna visa engagemang och empati och kunna tolka och förutse patienters olika behov.Syfte: Att beskriva patienters erfarenheter av bemötande inom ambulanssjukvården och på akutmottagning.Metod: En litteraturstudie med systematisk ansats där studier (n=20) med kvalitativ metod inkluderats. Artikelsökningarna gjordes i databaserna CINAHL och PUBMED.Resultat: I resultatet framkommer tre teman; "det första upplevda bemötandet på akutmottagningen".Slutsats: Vid ett behov av akutsjukvård är ambulanssjukvården och akutmottagningen på ett sjukhus de första vårdinstanser som patienter kommer i kontakt med. Hur patienterna upplever bemötandet inom dessa instanser är avgörande för hur deras förtroende påverkas för deras fortsatta vård..

During recent decades several studies have investigated how different social roles and socialization processes between women and men affects our attitudes, values and priorities to environmental problems. Many empirical studies among the general public, indicates that women tend to show a greater environmental concern than men, because of women?s different health- safety- and risk perception. Even though the results are well established among the general public, when investigating if elected women in public offices tend to express a higher environmental concern, than do men, the results are not that clear. By using a dataset covering all the 290 municipalities in Sweden, this study aims to investigate if there is any correlation between the amount of female representatives in the municipality and the amount of emissions of CO2e per capita.

Introduction: Anxiety and depression are common among patients enrolled in psychiatric outpatient care. Ear Acupuncture is an alternative form of treatment that has been shown to relieve anxiety and depression in previous studies.Aim: To evaluate ear acupuncture as a group treatment for depression and anxietyMethod: A psychiatric outpatient clinic has been offering group treatments with ear acupuncture for anxiety and depression for 5 weeks. Participants of the study have answered self-rating scales Montgomery Åsberg Depression Rating Scale, Beck Anxiety Inventory and Sheehan Disability scale before and after the treatment period. Material was collected in the period 2008-2012 and has been analyzed in SPSS.Results: Data from 31 patients were included in the study. The results from the study showed a significant difference, between the measurements before and after treatment, with a reduction of the average values in the three different scales.Summary: From this study, it is difficult to draw any conclusions about the effect of ear acupuncture.

The aim of this study was to examine sexual behavior, contraceptive use, self-rated health, lifestyle factors and the prevalence of HPV vaccination among last year high school students. The study was a quantitative cross-sectional study which was a substudy of the longitudinal study " Pornography, Youth and Health". Results showed that the majority of students had had sexual intercourse (75 %, n=524) and both performed (67 %, n=479) and received oralsex (70 %, n=498). Forty percent (n=282) of the students had had one night stand, a quarter (n=159) anal sex and 29 (n=202) percent sex with a friend. The contraceptive use increased from the first to the last intercourse while the use of condoms decreased.

The purpose of this study is to increase understanding of how nursing home staff at dementia care facilities interpret, treat and manages sexual behavior of patients. Four group interviews were made with a total of thirteen participants from three different dementia care facilities. The collected material was processed and thematized in pursuance of the research questions of the study. The results were analysed using three concepts from queer theory; heteronormativity, the heterosexual matrix and power, as well as an article about how nursing home staff constructs actions of patients. The results showed that staff member?s assessments about the patient?s sexual behaviours depended on their posture towards the norm of what is considered to be acceptable.

De föreställningar om kvinnan som finns idag är alla konstruerade av samhället vi lever i och den interaktion som sker oss människor emellan. När en kvinna går över gränsen för den norm en kvinna anses ha anses hon ofta som onormal och avvikande. När en kvinna intar platsen i en rättssal som tilltalad istället för offer är det intressant att se hur aktörerna i domstolen beskriver kvinnan och hennes brottsgärning. Syftet för denna uppsats var att undersöka vilka beskrivningar om kvinnan som uttrycks i domar från brottsmålsrättegångar gällande dråp och mord i Sverige. Det var sedan av intresse att se om dessa beskrivningar kunde relateras till olika genusföreställningar. Metoden för studien utgick från en kvalitativ ansats och använde sig av en kvalitativ innehållsanalys.

ObjectiveThe aim of this study was to explore nurses' experiences of informing relatives to critically ill patients in the intensive care unit (ICU).MethodThe study was descriptive with a qualitative approach. Nine nurses were interviewed. The study took place in a university hospital in the midst of Sweden. An interview guide was used, designed in consensus with the study questions. Data was analyzed via qualitative content analysis.FindingsMeeting and preparing relatives at the arrival at the ICU seemed valuable and led to safety and participation among relatives.

Due to the developments in today's gender discussions, this essay aimed at investigating the gendered constructions and encouragements to consumption. As a former fashion student I have a special interest in the commercial constructions featured in fashion magazines, especially since advertising, fashion and perceptions of gender have long walked hand in hand. Just as feminism studies have shown femininity being a fluid identity, recent studies of masculinities, media and culture are also showing changes in the depictions of men.The aim was to clarify how fashion magazines encourage men and women to consume products and ideals, and also discuss the gender constructions occurring in the junction of editorial and commercial text (articles and advertisements). The analysis was thereof based on three main questions:-       How is consumption encouraged in male and female fashion magazines?-       What kind of gendered pattern appears in the junction of advertisement and editorial text?-       With regard to the gender constructions, what is the reader encouraged to consume?The theoretical framework of the analysis was based on gender studies and political economy, mostly describing a commercial perception of feminine journalism and a new metrosexual expression in men?s fashion and lifestyle magazines.By using a combination of quantitative (content analysis) and qualitative (semiotics) approach two fashion magazines, Elle and King Magazine (published in May 2013) were used as representatives of fashion magazines in general.The results showed clear differences between the sexes.

This study aims to examine attitudes and conceptions of staff who work with mentally disabled persons, concerning normalization and gender. Six qualitative interviews with such professionals were performed and subsequently analyzed. Since the method of this study is qualitative, no claim of generalizability is made. The interview material has been categorized into themes by means of coding. The result of the study is presented according to those themes.

The female dog has a unique reproductive endocrinology, with high levels of progesterone throughout the 70-day long luteal phase. In this project, markers of glucose metabolism were studied and compared from the aspects of breed group and time in oestral cycle. The parameters studied were: glucose, insulin, progesterone, fructosamine and the newly introduced analysis of HbA1c. Hba1c was also further evaluated and discussed as a diagnostic tool in canine medicine.No differences in terms of glucose markers were found between a group of purebreed dogs of various breeds compared to a group of dogs with high risk of dioestrus diabetes, namely the Norwegian and Swedish elkhounds.No differences were found between the two sample occasions, anoestrus and dioestrus, concluding that there is no need for relating test results to the time of the oestrous cycle in middle-aged intact female dogs.There were statistically significant higher values of all glucose markers in diabetic dogs than in non-diabetic dogs. When it came to HbA1c, however, there was a larger overlap between the two groups, compared to fructosamine.