Effektiviteten av manualiserad Motivational Interviewing prövades i en experimentell design. Gymnasieelever med hög frånvaro (n=89) blockrandomiserades till antingen två sessioner Motivational Interviewing eller någon av de två kontrollgrupperna, som erhöll validerande samtal respektive ingen intervention. Den beroende variabeln utgjordes av förändring i frånvaro som rapporterades av de deltagande skolorna. Utöver detta användes School Refusal Assessment Scale för att undersöka orsaker till frånvaron. University of Rhode Island Change Assessment användes för att mäta motivation enligt Prochaska och DiClementes förändringsmodell.

The focus of this project was to characterize the occurrence of ESBL-­?producing bacteria in two irrigation water ponds in Southern Sweden. Samples were taken from two ponds nearby each other, from which analyses were made based on levels of community and individual isolates. Community samples were used for attempts for characterization of resistance patterns in irrigation water using the Omnilog PM-­?plate system. The growth of community microbiota in the presence of the following antibiotic substances was assessed; amikacin, gentamicin, kanamycin, penicillin G, ampicillin, piperacillin, trimethoprim, potassium tellurite and ciprofloxacin. Isolates were pure cultured using semi-­?selective media: LB, Rainbow Agar, mEnterococcus, 0.1 TSA and VRBD. A total of 177 isolates were isolated randomly. Each isolate was identified using the Omnilog GENIII-­?system of biochemical characterization. Further, the isolates were tested on Brilliance ESBL-­?agar for their ability to grow. Out of the total number of isolates, 30 were selected, preferably Enterobacteriaceae or Pseudomonas spp., based on their high similarity to library strain during the identification in the Omnilog-­?system. These were further characterized using Etest-­?sticks. Three selected strains were picked for further analyses using exogenous isolation for attempts to simulate horizontal gene transfer, and Omnilog PM-­?panels containing various antibiotics of interest. Selections of samples were chosen for molecular tests targeting plasmid-­?borne resistance genes CTX-­?M1, CTX-­?M2 and SHV. The method for assessing community-­?resistance patterns showed ambiguous data that was difficult to interpret; further optimization is recommended. For all tested PM-­?plates, generally greatest differences between substances were found among wells with the strongest concentration of antibiotic substance. A total of 175 isolates displayed ability to grow on ESBL-­?agar. Etests confirmed ability of isolates to resist many ?-­?lactam antibiotics and many were clinically resistant to certain substances. No plasmids were transferred during exogenous isolation. During molecular tests, a few matches were found for the CTX-­?M1 gene. Isolates analyzed with Omnilog PM-­?plates showed resistance to most compounds tested. The isolates showed greatest resistance toward penicillin G, ampicillin, amikacin, kanamycin and trimethoprim. In the study, it was established that resistance among bacteria was frequently occurring in the irrigation water, and ?-­?lactamase producing bacteria was very common. Extended studies are needed to assess the frequency-­? and occurrence of horizontal gene transfer (HGF) in this environment. Although some potential corresponding data is found, it is at this point not possible to determine whether the resistances are due to antibiotics used in veterinary medicine, human medicine or one additional reason is travel and trade. in irrigation water using the Omnilog PM-­?plate system. The growth of community microbiota in the presence of the following antibiotic substances was assessed; amikacin, gentamicin, kanamycin, penicillin G, ampicillin, piperacillin, trimethoprim, potassium tellurite and ciprofloxacin. Isolates were pure cultured using semi-­?selective media: LB, Rainbow Agar, mEnterococcus, 0.1 TSA and VRBD. A total of 177 isolates were isolated randomly. Each isolate was identified using the Omnilog GENIII-­?system of biochemical characterization. Further, the isolates were tested on Brilliance ESBL-­?agar for their ability to grow. Out of the total number of isolates, 30 were selected, preferably Enterobacteriaceae or Pseudomonas spp., based on their high similarity to library strain during the identification in the Omnilog-­?system. These were further characterized using Etest-­?sticks. Three selected strains were picked for further analyses using exogenous isolation for attempts to simulate horizontal gene transfer, and Omnilog PM-­?panels containing various antibiotics of interest. Selections of samples were chosen for molecular tests targeting plasmid-­?borne resistance genes CTX-­?M1, CTX-­?M2 and SHV. The method for assessing community-­?resistance patterns showed ambiguous data that was difficult to interpret; further optimization is recommended. For all tested PM-­?plates, generally greatest differences between substances were found among wells with the strongest concentration of antibiotic substance. A total of 175 isolates displayed ability to grow on ESBL-­?agar. Etests confirmed ability of isolates to resist many ?-­?lactam antibiotics and many were clinically resistant to certain substances. No plasmids were transferred during exogenous isolation. During molecular tests, a few matches were found for the CTX-­?M1 gene. Isolates analyzed with Omnilog PM-­?plates showed resistance to most compounds tested. The isolates showed greatest resistance toward penicillin G, ampicillin, amikacin, kanamycin and trimethoprim. In the study, it was established that resistance among bacteria was frequently occurring in the irrigation water, and ?-­?lactamase producing bacteria was very common. Extended studies are needed to assess the frequency-­? and occurrence of horizontal gene transfer (HGF) in this environment. Although some potential corresponding data is found, it is at this point not possible to determine whether the resistances are due to antibiotics used in veterinary medicine, human medicine or one additional reason is travel and trade..

The determination of the optical properties of biological tissue is an important issue in laser medicine. The optical properties define the tissue´s absorption and scattering behaviour, and can be expressed by quantities such as the albedo, the optical thickness and the anisotropy coefficient. During this project, a measurement system for the determination of the optical properties was built up. The system consists of a double integrating sphere set-up to perform the necessary reflection and transmission measurements, and a computer algorithm to calculate the optical properties from the measured data. This algorithm is called Inverse Adding Doubling method, and is based on a one-dimensional transport model.

Animals can be ill and need veterinary care for many reasons. The conditions can be more or less emergent, some can even be life-threatening. When an animal is in a life-threatening condition you can save the animals life just by having the right equipment near-by and ready to be used. This literature-study help you, as an active working veterinary nurse, with which these conditions are that can show up in your emergency ward and what you should have near-by to give animals with acute life-threatening conditions the care they need. The author also looked at work tasks at the emergency ward and found out that in Sweden it is not defined who can and/or should execute them. Interviews were also done with nine of the largest small-animal hospitals in Sweden to compare the studies found with the Swedish emergency wards.

The aim of this study was to develop, implement and evaluate a mindfulness- and acceptance-based smoking cessation program in group (MRG). MRG was developed into an intervention consisting of 6 group sessions during 35 days including individual homework assignments. 8 of 10 participants completed the program. In order to evaluate the effect of MRG a quasi-experimental design with pretest and double posttest (second posttest at 1 month) was chosen. At second posttest, 50 percent (of 8 completers) were non-smokers, and the rest showed a decrease in smoking at a rate between 45 and 75 percent.

BACKGROUND: Exercise on Prescription (EoP) means that a doctor writes out a customized form of exercise to the patient instead of medicine, or in combination with medication. The activity becomes a part of the treatment. Since many today do not follow recommendations for physical activity occurs in the long term a number of public health diseases. EoP promotes health and prevents disease. AIM: The aim of this paper is toexamine whether EoP from a patient perspective perceived to be an efficient and effective method of treatment.

The purpose of this study was to find out what are the information needs of the nurses and if the hospital library can satisfy these needs, and see how the hospital library reaches the nurses with their information provision. The main questions are: what kinds of service exist at the hospital library? What kinds of needs have the nurses concerning the hospital library? How are the needs satisfied by the hospital library? What marketing strategies are used by the hospital library to reach out to the nurses? Is it enough to achieve the goal? The method in this study was a case study with the emphasis on the qualitative interviews. The study was conducted at the hospital library at Södra Älvsborgs Sjukhus in Borås. The interviews concerned the nurses views on the hospital library, information needs and marketing.

Föreliggande arbete utfördes i Helsingborg. Forskningsansatsen var en kartläggning av vården hos målgruppen personer med diagnosen allvarlig psykisk störning dömda till rättspsykiatrisk vård. Syftet med studien var att undersöka och beskriva patienternas och personalens syn på vårdkvaliteten vid en rättspsykiatrisk öppenvårdsmottagning genom att utgå från patienternas uppfattning. Sammanlagt 26 semistrukturerade intervjuer genomfördes med båda grupperna samt fem intervjuer med personal inom socialförvaltningen. Resultaten visar på god samstämmighet och höga skattningar av rättspsykiatrisk personal och patienter där personalen genomsnittligen skattat något högre än patienterna.

Bakgrund: Medicintekniken blir bara mer avancerad för vart år. Sjuksköterskan använder medicintekniken dagligen i omvårdnaden. Patienten är ett subjekt, vilket betyder att den är mer än en kropp. Medicintekniken kan när den används på fel sätt av sjuksköterskan, ändra synen på patienten och göra den till ett objekt.Syfte: Syftet med denna studie var att beskriva sjuksköterskors erfarenheter av hur det är att arbeta med medicinteknik i omvårdnaden och hur sjuksköterskan anser att medicintekniken inverkar på omvårdnaden.Metod: Kvalitativ innehållsanalys användes enligt Graneheim och Lundman (2004). Data samlades in genom intervjuer med sju sjuksköterskor som arbetade på akutmottagningen.Resultat: I analysen skapades olika kategorier: Omvårdnadskompetens, krav, kvalité, förhållningssätt och omvårdnadsfokus.Konklusion: Sjuksköterskan är beroende av medicintekniken för att omvårdnaden ska fungera.

1995 startade medlemmar ur Swedish Oral Medicine Society tillsammans med Institutionen förData och Informationsteknik på Chalmers tekniska högskola projektet MedView. Projektets syfte äratt utveckla modeller, metoder och datorbaserade verktyg för att stödja kliniker i deras dagligaarbete och forskning. 2005 lanserades webbcommunityn SOMWeb och projektet gick in i sin andrafas med fokus på nätbaserad kunskapshantering. Den virtuella mötesplatsen togs emot väl och detbeslutades att satsa vidare på ökad funktionalitet via Internet.Denna rapport beskriver utvecklingen av en webbapplikation som möjliggör åtkomst av denmedicinska bilddatabas som byggts upp under MedView-projektet. Som utgångspunkt förapplikationens funktionalitet och innehåll står skrivbordsapplikationen MedImager.

Cardiac arrhythmias and heart diseases can result in a limited performance capacity which could lead to anxiety and depression. Objective: The aim of this study was to investigate the prevalence of symptoms of depression among patients with cardiac arrhythmias. The intention was also to explore differences between men and women in the occurrence of symptoms of depression. Furthermore, the prevalence of symptoms of depression among patients with cardiac arrhythmias was compared with a Swedish general population. Method: For two weeks MADRS-S, a self-rating scale for depression, were distributed at a medicine ward where patients with cardiac arrhythmias are treated, at a hospital in Sweden.

The aim of the study has been to investigate physiotherapists? view on a new method of treatment in physiotherapy. In this case we have studied Whole Body Vibration training as an example of a new method of treatment. Semistructured interviews were performed with five physiotherapists. The study was carried out as a qualitative content analysis study.

Hemoglobin is an oxygen binding protein in erythrocytes. Hemoglobin is composed of four polypeptide chains. During the fetal stage the type of hemoglobin called fetal hemoglobin (HbF) dominates. After birth HbF is replaced by adult hemoglobin (HbA). HbF persists in concentrations less than 1%.

Results from previous studies have shown that people with depression tend to have impaired executive functions, although it's not clear whether this is also true for mild depression in young people. The main purpose of this study was to investigate the relationship between mild depressive symptoms and executive functions in young individuals. 60 participants, between 18-33 years of age, took part in this study. They were divided into two groups; a "depressed group" (n = 8), with mildly depressed subjects, and a "none-depressed group" (n = 52). The depressed group was significantly impaired on several executive tests, namely TMT A (p = 0,025), TMT B (p = 0,040), FAS (p = 0,002), WAIS-R Digit Span Backwards (p = 0,047) and CWTa - subtest colour naming (p = 0,001), which evaluated abilities such as shifting, verbal fluency, working memory, attention and mental flexibility.

Veterinary hospital care and advanced veterinary services are rapidly growing industries. As of January 1, 2010, veterinary nursing became a licensed vocation, the title of veterinary nurse became protected, and the act regulating competence among the professions of the veterinary field was extended. These changes, along with increased demands and expectations from owners, have given rise to greater demands on the staff's qualifications and have increased the need for well-educated staff with expertise in several different areas. The aim of this study was to find out what the licensed veterinary nurse can do in terms of rehabilitation for the hospitalized equine patient suffering from orthopedic injury. This has been carried out through qualitative interviews with veterinary surgeons experienced in treating such patients, and also by reviewing the relevant literature.