AbstractThe organization of the health care system in Sweden has been subjected to investigations and discussions in order to make it more effective. The aim is to create a better public health care and to economize on the financial resources. In the year of 2003 an amendment of the Swedish law made it easier for municipalities and county councils to make own solutions and agree about how health service should be organized in the best way. This resulted in a number of test projects. In this paper I will focus on one of these test projects which took place in Borlänge and was based on collaboration between the municipality and the county council in Dalecarlia.

The progress of the health among the elderly has a major meaning for the needs of care, nursing and social services. The health of the elderly has improved but fall and fall accidents are a major problem. Acute diseases, activities and environment risks are often related to fall accidents. The aim of the study was to describe health care staffs? opinions about fall risk and fall prevention.

This study aimed to describe children?s experience of living with overweight or obesity, by using a literature-review. The study includes eleven articles, data is from children between ages 5-15 year. The result occurring were in the areas; Quality of life and self-esteem, Social company, Body concept and weight reduction and Psychological unhealth. BMI above what is recommended gives a negative influence on quality of live and self-esteem.

The aim of this study was to examine nursing personnel?s knowledge about oral health care and attitudes towards the free assessment of the oral status done by the dental service for elderly and handicapped persons in a municipality in the south part of Skåne, and also how personnel experience the free assessment of the oral status done by the dental service and how it functioned at the facilities. The study was carried out by sending out 150 questionnaires to nursing personnel at six special housing facilities. 73% (110 personnel?s) answered the questionnaires.

Background: First Line Managers are expected to create a health promoting work environment. Research has shown that the prerequisites for accomplishing a health promoting leadership are not always the best. Aim: The aim was to elucidate the prerequisites for a health promoting leadership as First Line Manager at a University hospital in Sweden based on competence, role, support structures and own durability. Results: First Line Managers at the chosen hospital seems to have rather good conditions for conducting a health promoting leadership. All respondents did have a university degree and most thought that their competence corresponded well with the role.

Bakgrund: Fetma är ett folkhälsoproblem som har ökat dramatiskt de senaste två decennierna. För att behandla extrem fetma har magsäcksoperationer blivit en allt mer vanlig metod. De hälsoekonomiska aspekterna av operation har ännu inte studerats i Sverige. Syfte: Studiens syfte var att belysa hälsoekonomiska aspekter av magsäcksoperationer som intervention mot fetma. Metod: Metoden var en litteraturstudie.

The purpose of this study was to investigate whether social counselling via chat conversations could meet the criteria for a professional conversation, and how the six social workers who were interviewed felt that it had affected the profession and the clients who are seeking their help.Communication, professionality, power, roles and regions are the key topics of this study. A hermeneutic approach has not only influenced the interviews but also the content analysis that was used to encode the results.The interviews revealed that the chat conversations was a successful tool but not entirely without difficulties. The initial contact making between the client and the social worker favours the client, since she/he remains anonymous and that was the main advantage of the method. The biggest concern however was that in the anonymity it is not possible to report cases that the social worker are obligated to. The changing of forum does not necessarily affect the professionality but due to the faceless chat conversation an entire dimension of communication disappears because the loss of body language.

An important task for Region Skåne is to allocate resources to the health care districts. From 1999 to 2002 Region Skåne used needs-based resource allocation as a model for allocating resources. In a needs-based resource allocation individuals with the same socioeconomic and demographic characteristics are assumed to have the same level of need and are therefore allocated the same amount of resources. During the period of needs-based resource allocation a matrix model was used as a method. In the matrix model individuals were divided into cells after each combination of the socioeconomic and demographic variables.

The aim of this thesis was to study how social workers in social services in several municipalities perceive that they interpret the concept of domestic violence and how they believe they would act when it comes to different types of domestic violence. The thesis has focused on three types of violence; physical, psychological and economical. Seven social workers were interviewed with a thematised interview guide and six vignettes. The theoretical perspectives applied in the analysis were the process of normalization and the continuum of violence. The results showed that the social workers did not interpret domestic violence unanimous, and they had different ideas of how they would act in the vignettes.

I am a practising classical soprano. After more than 20 years of professional singing, I re-trained my voice according to principles of the old Italian school of singing. In this essay, I examine the origins and priciples of bel canto, with special focus on appoggio and chiaroscuro, two key ingredients in the bel cantao tradition. I explore the relationship between science and the craft of singing, and what modern voice science has to say about the efficiency and health aspects of this technique, I also describe the profound effect it has had on me as an artist..

Today, there are more than 12 000-14 000 farms worldwide using an automatic milking system (AMS). Studies have shown that transition to AMS affects the udder health of cows adversely, recognized primarily as elevated somatic cell counts. There are several reasons for this, for example the greater variation in milking frequency seen in AMS. On one hand, short milking intervals may lead to bad teat condition of the cows due to the stress the milking procedure exposes the teats to. Too long milking intervals, on the other hand, seem to predispose for milk leakage, which is, in turn, a risk factor for the development of mastitis.

Syftet med min studie var att utvärdera ett första steg i ett treårigt pilotprogram i karriärvägledning på gymnasiet. Karriärvägledningen genomfördes i två klasser på Hotell- och restaurangprogrammet. Målet med karriärvägledningen var att elever i mindre grupper skulle få chansen att identifiera och formulera sina behov, intressen, egenskaper och förutsättningar för att se sin egen karriärutveckling och ta ansvar för sin karriärprocess. För att försöka få en djupare förståelse för hur faktorer som intresse av valt program, trivsel och studiemotivation påverkat elevernas karriärutveckling, intervjuades åtta elever. Som ett sammanfattande svar på min frågeställning, blir svaret att samtliga faktorer har en stor inverkan på elevernas karriärutveckling.

Hur samverkar de nationella folkhälsomålen med fysisk planering, och på vilket sätt kan folkhälsomålen beaktas för att förbättra förutsättningarna för ökad fysisk aktivitet hos barn? Denna studie är en fallstudie i Hjo kommun. Studien tar utgångspunkt i kommunens folkhälsoproblematik som visar att det finns en hög förekomst av övervikt hos barn. Intentionen är att undersöka vilka organisatoriska processer som kan underbygga det kommunala arbetet med folkhälsomålen, liksom att ta reda på vilka faktorer i den fysiska miljön som skapar förutsättningar för barns fysiska aktivitet. Avsikten med studien har varit att skapa ett underlag för Hjo kommuns översiktliga planering.

The present study examines the effect of a nine-hour Acceptance and Commitment Training (ACT) intervention for teachers who experience stress. Twenty-two teachers from four different counties in southern Sweden were randomly allocated to an ACT intervention (n=15) and a control group (n=7). The ACT condition received three three-hour sessions of ACT over a six-week period, and the control group received a three-hour stress lecture at one occasion. At a follow-up four-weeks after completed intervention, ACT participants showed significant in-group differences on stress, psychological flexibility, general health, and burnout. At a between group comparison, only psychological flexibility was significantly enhanced at the follow-up.

Background:Borderline personality disorder is a complex mental disorder that has become increasingly common in those individuals who seek care today. These individuals are often perceived as being different by society and the health care system, because of the prejudice and lack of knowledge that exists around mental illness and borderline personality disorder. Aim: Highlighting adults experiences of living with a diagnosis of borderline personality disorder. Method: Literature study with qualitative approach. Seven articles were chosen to be read, reviewed and analyzed.