One must consider cost effectiveness when deciding how resources within the health sector should be distributed. Quality adjusted life years (QALYs) are used to measure the value of different medical treatments. QALY is based on utility maximization theory, which suggests that a QALY is always a QALY regardless of who receives it. Therefore, a produced QALY is worth the same regardless of the age or the initial health of the patient. Previous research has shown that these assumptions do not seem to fit the real preferences of individuals.

Immigration is today happening in Sweden to a great extent and this requires a higher level of demands within the transcultural nursing. With this fact as a base to our literature review the aim of the study was developed. This was to investigate how immigrants with diabetes mellitus type 2 experience health and to find out the importance of knowledge related to the patients compliance of given advise and prescriptions. On the basis of the aim the following questions of issue was formulated: How do immigrants with diabetes mellitus type 2 experience their health and what knowledge do they possess concerning their illness? and Within which areas of the immigrants life is it important for the nurse to gain knowledge in order to affect and oblige him or her? A critical review of nine scientific articles emerged in three themes that answer the questions of issue.

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.

Bakgrund: Forskning pa?visar pa? skolor som arbetsplats en o?kad stressniva? och minskat va?lbefinnande. Fokus i denna studie var utifra?n detta att underso?ka hur rektorn i sin ledarrollresonerade kring motivation och personalens va?lbefinnande pa? arbetsplatsen ur ett salutogent perspektiv samt att se om rektorns fo?rsta?else av dessa begrepp ansa?gs vara ett redskap i den kommunala grundskolan fo?r att utveckla sin personal.Syfte: Studien utforskade hur rektorer i kommunala grundskolan uppfattade att de motiverade sin personal och skapade va?lbefinnande pa? arbetsplatsen.Metod: Elva kvalitativa intervjuer med rektorer gjordes. Data analyserades genom en kvalitativ inneha?llsanalys.

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.

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.

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.

Bakgrund: Hälso- och sjukvården har traditionellt haft en inriktning på att behandla uppkommensjukdom som redan är manifest hos individen. Man har dock de senaste decennierna börjat arbetamed en mer uttalad hälsofrämjande profil och många förespråkar, av olika skäl, det förebyggandearbetssättet som ett komplement till det sjukdomsbehandlande. Det tyngst vägande skälet är attöka patienternas livskvalitet och förbättra upplevelsen av vården. I Sverige finns ett nätverk förhälsofrämjande sjukhus och vårdorganisationer sedan 1996 som arbetar med hälsofrämjandeprocesser. Nätverket ingår i ett globalt WHO-arbete.Syfte: Uppsatsens syfte är att genom att göra en processutvärdering bedöma kvaliteter ochegenskaper i det hälsofrämjande arbetet på utvalda sjukhus inom Nätverket för HälsofrämjandeSjukhus och Vårdorganisationer.

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.

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.

This bachelor thesis discus how store managers at Clas Ohlson motivate their co-workers at their everyday work.Motivation at work is essential, since engaging co-works makes the everyday routine work more effective. Otherwise that type of work can easily lead to unhappiness at the workplace which leads to less motivated workers, poor performance, even less motivated workers and this will start a negative circle.Other studies has shown that to in order to be pleased at a workplace and to keep qualified co-workers, the leaders needs to have knowledge in how they can use different techniques to increase staff motivation, but still motivation is not considered being an economic means of control. This has made me think about how leaders can motivate their workers at their everyday work.The questions at issue are:o How can leaders motivate co-workers in everyday work,o Which preferences the leaders consider control the individual motivation ando Which methods they can use to increase the motivation in the routine work.The purpose with this thesis is to study how leaders use their leadership to motivate workers to perform everyday work with more enthusiasm. To answer the question I have interviewed store managers at Clas Ohlson.In this thesis I have used a qualitative method, and I have compared relevant theories with the interviews I have done. Thus primary data has been gained through one-to-one interviews but also through mail interviews.

Bakgrund: Forskning pa?visar pa? skolor som arbetsplats en o?kad stressniva? och minskat va?lbefinnande. Fokus i denna studie var utifra?n detta att underso?ka hur rektorn i sin ledarrollresonerade kring motivation och personalens va?lbefinnande pa? arbetsplatsen ur ett salutogent perspektiv samt att se om rektorns fo?rsta?else av dessa begrepp ansa?gs vara ett redskap i den kommunala grundskolan fo?r att utveckla sin personal.Syfte: Studien utforskade hur rektorer i kommunala grundskolan uppfattade att de motiverade sin personal och skapade va?lbefinnande pa? arbetsplatsen.Metod: Elva kvalitativa intervjuer med rektorer gjordes. Data analyserades genom en kvalitativ inneha?llsanalys.