Previous research has shown that children with multiple disabilities have been able to learn to make choices. Practising choice making is a good way to introduce an intervention using Alternative and Augmentative Communication (AAC). Choice making with objects should then be trainded before choice making with pictures. The present study is a single subject experimental design and was accomplished at a center for children with disabilities in Tanzania during 12 weeks. The primary purpose was to examine if the number of choices made by two boys with cerebral palsy increased after communicationintervention with objects and pictures.

The conservation of great apes faces many challenges, one of which is the threat of infectious disease outbreaks. Zoonotic transmission of respiratory diseases from humans to wild great apes has recently been confirmed. Since respiratory disease is one of the major causes of death in both gorillas and chimpanzees, this gives reason for major concern. Little is known about the risks of disease transmission from humans to great apes in natural environments, and there is a need for systematic risk evaluation. Researchers, conservation staff and tourists spend time in very close proximity of wild great apes, sometimes during long time periods, which poses a potential risk of disease spillover. However, the presence of researchers and tourists has been shown to decrease the risk of poaching, making the matter increasingly complex.

Introduction: Good hand hygiene practice is the single most important measure to reduce the spread of bacteria and viruses in healthcare. For nurses, this has become more important as the spread of multidrug-resistant bacteria in hospitals is increasingObjective: To identify factors that are important for adherence to hand hygiene among health care workers with patient contact.Method: Systematic literature review. Original articles were searched in PubMed and Cinahl.Results: Factors of importance for compliance was profession, lack of time, knowledge/education, physical work environment, attitudes toward hand hygiene, and dry hands.Conclusion: More education, less workload and more visible placement of hand disinfectant containers are examples of actions that could lead to the improvement of staff hand hygiene and reduce the incidence of healthcare associated infections. Due to the fact that health care workers around the world have different training and approaches, the result of this study may be difficult to use. To increase adherence to hand hygiene, a similar study limited to a specific country, such as Sweden, would therefore be interesting to carry through.Keywords: hand hygiene, Infection Control, Compliance..

Folkhälsovetenskapligt program.

The subject of this study was to research whether or not the effect of job insecurity on self reported health differs between good and bad times in the economic climate. Two different years of a national health survey from the Swedish institute of health (FHI) served as data, with 2007 representing good economic climate and 2009 doing the opposite. Both years consisted of data from a national health survey distributed to 20 000 random individuals in Sweden, where 2007 had 5738 valid cases and 2009 had 10 373. A quantitative method was used to determine the difference, consisting of a three variable cross tabulation with chi2-analysis as well as a model of binary logistic regression for each of the two years.The cross tabulation found a significant difference between the two years, with those reporting job insecurity having less of a chance to report bad health during the year representing bad economic climate. While the logistic regression showed the same tendency, the two years could not be significantly differed from each other in that part of the analyzes.With this in mind, the conclusion from the whole test was that no significant difference could be found between the years regarding the health effect of job insecurity..

The public health care sector has come under increasing pressure to cut down costs, maximize productivity and satisfy patients' needs during the 1990s and onwards. As a way of "getting more for less" quality management has been introduced. Originating in the private manufacturing industry, quality management has a strong focus on productivity and efficiency, aspects which are measured in quantitative terms. However, there are strong concerns that quality management is a means of speeding up the marketization of public health care by introducing core values much different from the ethic and medical norms that traditionally underpin health care organizations.This essay focuses on how quality management has been introduced to, and transformed by, public health care. A theoretical framework based on new institutionalism is constructed, and translation theories are used as a way of illustrating how the medical institutional environment, in fact, changes the concept of quality management.

Background: Home health care means that patients receive care in their home. Äldrevårdsenheten in Uppsala County treats people, over 65 years, in the patient's home and because of the fact that the quality of care from the patient´s perspective not have been studied previously, this study as part of the quality control of the business.Aim: The aim of this study was to investigate how patients, and family members, who receive care within the Äldrevårdsenheten in Uppsala County experiencing the care provided in the home.Method: Interview study with qualitative analysis.Results: Patients who are cared for within the Elderly Care Unit in Uppsala County Council has a positive experience of home care. Being cared for in the home creates a sense of security and calm in the patients rather than the stress and fear of long waits in the emergency department and planning advice from medical appointments . In contrast, perceived lack of physicians in home care and accessibility to health care staff.Conclusion: In general, patients in the Elderly Care Unit in Uppsala County Council very pleased with the opportunity to the treatment they received at home. However, there are some weaknesses that need improvement. .

The purpose of the study was from the perspective of young people that has completed a stay at HVB-home. The respondents are between 15-21 years both boys and girls. The basic questions were: How do the respondents look upon this HVB-homes service process? How do the respondents look upon this HVB-homes service contents? How do the respondents look upon this HVB-homes service regarding available information and how the staff is available? What positive and negative experience do they have from their stay at the HVB-home? We also wish to get a picture of what is important to change to improve the quality on this HVB-home. To receive answers to those questions we formed a questionnaire.

The purpose of the study was from the perspective of young people that has completed a stay at HVB-home. The respondents are between 15-21 years both boys and girls. The basic questions were: How do the respondents look upon this HVB-homes service process? How do the respondents look upon this HVB-homes service contents? How do the respondents look upon this HVB-homes service regarding available information and how the staff is available? What positive and negative experience do they have from their stay at the HVB-home? We also wish to get a picture of what is important to change to improve the quality on this HVB-home. To receive answers to those questions we formed a questionnaire.

The purpose of the study was from the perspective of young people that has completed a stay at HVB-home. The respondents are between 15-21 years both boys and girls. The basic questions were: How do the respondents look upon this HVB-homes service process? How do the respondents look upon this HVB-homes service contents? How do the respondents look upon this HVB-homes service regarding available information and how the staff is available? What positive and negative experience do they have from their stay at the HVB-home? We also wish to get a picture of what is important to change to improve the quality on this HVB-home. To receive answers to those questions we formed a questionnaire.

The purpose of the study was from the perspective of young people that has completed a stay at HVB-home. The respondents are between 15-21 years both boys and girls. The basic questions were: How do the respondents look upon this HVB-homes service process? How do the respondents look upon this HVB-homes service contents? How do the respondents look upon this HVB-homes service regarding available information and how the staff is available? What positive and negative experience do they have from their stay at the HVB-home? We also wish to get a picture of what is important to change to improve the quality on this HVB-home. To receive answers to those questions we formed a questionnaire.

The purpose of the study was from the perspective of young people that has completed a stay at HVB-home. The respondents are between 15-21 years both boys and girls. The basic questions were: How do the respondents look upon this HVB-homes service process? How do the respondents look upon this HVB-homes service contents? How do the respondents look upon this HVB-homes service regarding available information and how the staff is available? What positive and negative experience do they have from their stay at the HVB-home? We also wish to get a picture of what is important to change to improve the quality on this HVB-home. To receive answers to those questions we formed a questionnaire.

Introduction: Each year 1200-1300 patients are diagnosed with head neck cancer. Treatment that involves radiotherapy can cause severe side effects for example trismus that affects quality of life.Purpose: To study health-related quality of life in patients who have undergone radiation treatment for head and neck cancer and participated in a intervention group who received training intended to prevent trismus or in a control group who received standard treatment.Method: This is a prospective study in which data is collected from 66 patients participating in a randomized study aiming to evaluate a training program to prevent trismus. Thirty three participated in the intervention group and thirty three in the control group. Both patient groups assessed health related quality of life (HRQOL) with EORTC QLQ C30 and QLQ-H&N35, at start and end of the radiation treatment, and at 3 and 6-months after completing radiation treatment.Results: There is no difference between the intervention and control groups regarding symptoms, functional status and global health, except for intake of nutritional supplements.  For both groups almost all scales measuring HRQOL deteriorated under the radiation treatment. However, 3 and 6 months after end of radiotherapy HRQOL had improved and had returned to the baseline values.

Aim: Through the review of scientific articles, this study aimed to identify which oral health-related quality of life instruments that have been used in studies to measure the oral health-related quality of life in older individuals and the application of such instruments. Method: The study is based on a systematic literature review, where 14 articles have been chosen and evaluated against a checklist. Result: The oral health-related quality of life instruments that have been used on individuals, 65 years and older, are OHIP-49, OHIP-14, OHIP-20 or OHIP-EDENT, GOHAI and OIDP. The instruments are used to examine factors associated with the oral health-related quality of life. Significant associations have been identified, among other things, between the number of teeth in static occlusion, dry mouth and the quality of the dentures, and oral health-related quality of life. Social and cultural associations have also been revealed. Conclusions: Today there exist several well functioning instruments that are used for research purposes.

Dementia is a concept that describes different conditions when memory and cognitive abilities degenerate. Approximately 140 000 persons in Sweden suffers from some kind of dementia. Many are stricken with behavioral and psychological symptoms of dementia, BPSD. The aim of this study was to illuminate nursing staff?s experiences of caring for persons suffering from dementia and BPSD within municipal and institutional care.