The objective of this thesis was to examine and analyse how various directors within old-age care, the resident-coordinator, nursing-staff, and the dementia-team apprehend the organisation of dementia nursing homes in the municipality. Our questions were the following:How important is it that the care-receivers are examined and diagnosed?Do the respondents experience difficulties with non-differentiated dementia nursing homes?Which are the advantages and disadvantages for care receivers/patients and nursing-staff if dementia care homes are differentiated according to the care-receivers dementia diagnosis and phase of illness?Are there alternative solutions to the way the municipality organise the residence for carereceivers today that might improve the situation for care-receivers/patients and nursing-staff?How does cooperation or the lack of it mint the conditions for care in dementia nursing homes?Which goals does the municipality have for the organisation of dementia care?Our approach was a qualitative method consisting of interviews to answer the objective of this thesis and our questions. Our findings are supported by a sociological analysis of organisations. Our findings show that there is a conflict of interest between the principle of permanent residence which imply that the care-receiver should not have to move against her or his will and between the use of differentiated dementia nursing homes.

The aim of this Master?s thesis is to examine the information needs of gay, lesbian and bisexual adolescents? when they are coming out. I also examine what kind of information they seek and where they might find this information. The purpose is also to examine what role the public or school library plays. The study is conducted through qualitative interviews with gay, lesbian and bisexual adolescents?.

The aim of this Masters thesis is, partly, to examine the information needs of lesbians: what discernable information needs they have, how they seek information and which information sources they use. The purpose is also to examine what part fiction plays regarding the information needs mentioned above and how fiction indexing could improve retrieval. The study is conducted through ten qualitative interviews with lesbians as well as through textual analysis. The theoretical framework includes queer theory and theory concerning information needs and uses. The results indicate that lesbians have evident information needs that mostly concern identity.

Rheumatoid arthritis is an autoimmune disease, where joints are attacked by the own immune system, leading to chronic inflammation and destruction of bone and cartilage. Inflammation is a complex process, controlled by many different substances. One of them is adenosine, which has anti-inflammatory properties. In this project, three polymorphisms in different genes, involved in synthesis and signaling of adenosine, were genotyped for 188 patients with RA and 362 controls without RA. The results shows that for the polymorphism in A2a, a gene coding for an adenosine receptor, there was no significant difference in genotype distribution between the groups.

Background: Sleep-disturbances in persons with Alzheimer´s disease are prevalent. They are characterized as increased frequency and duration of awakenings, decreased slow-wave sleep, REM-sleep and increase of day-time napping. Depression and lower quality of life are associated with sleep-disturbances. Altogether a significant source of stress for caregivers and an important factor in institutionalization. Non-pharmacological treatment alternatives are rare.Method: Single-case A-B-C design, with non-concurrent multiple baselines, a pilotstudy.Aim: To explore if an educational program on sleep, sleep disturbances and behavioural change directed towards caregivers improved sleep, depression and quality of life in persons with Alzheimer´s disease living at home.

SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed.

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.

Success in treatment with platinum-based chemotherapy against different types of cancer tumors is limited by side-effects such as hearing loss which can have a large impact on the individual`s quality of life. It is of great importance to continue with studies that address this complex of problems.Objective: The aim of this literature review is to investigate the impact of platinum-based chemotherapy on hearing in children and adolescents treated for different types of cancer.Method: A descriptive review of literature was made based on sources from 15 different studies on the impact of platinum-based chemotherapy on hearing in the target group.Results: The survey of the studies shows that platinum-based chemotherapy causes incidence of hearing loss by differing degree in the target group. Dosage of a platinum-based substance appeared to be the most significant factor. Treatment with both cisplatin and carboplatin was more ototoxic than treatment with only one of these. Greater risk for hearing loss was to a higher degree observed in younger children.

The aim of this thesis is to examine the flow of information in an administration of the municipality Borås Stad. To achieve the aim the following questions were asked: How accessible is information? How is information used in the organisation? How is information communicated? Totally sixteen qualitative interviews was accomplished with employees at the administration. The results of the interviews show that there is a difference in how much and what sort of information the respondents use. They all seem to prefer information to be communicated face to face if possible or over the phone.

Syfte: Syftet med den här studien var att kartlägga upplevelsen av omhändertagandet bland föräldrar till LKG-patienter och unga vuxna LKG-patienter i södra Sverige. Material och metod: Samtliga av de artiklar som presenteras i den här rapporten har erhållits genom litteratursökning på PubMed. Främst användes artiklar som berör upplevelsen av omhändertagandet, men även litteratur och hemsidor från svenska sjukhus och LKG-föreningar bidrog med information. För djupare förståelse av och för att erhålla ytterligare information om omhändertagandet i södra Sverige utfördes även en intervju med Ingemar Swanholm, ortodontist vid SUS. I denna enkätstudie tillfrågades 55 personer, varav 24 var föräldrar till barn med LKG och 31 var unga vuxna LKG-patienter.

The aim of this Masters thesis is to investigate how trained social workers experience information in their daily work. The thesis focussed on three major questions: - What type of information and information sources are mostly used by the trained social workers? - What kind of information barriers are described by the participants? - How can the patterns of information seeking and information use be understood on the basis of the trained social workers professional and social context? Semi-structured interviews were carried out with trained social workers working with child welfare enquiries. My theoretical framework consists of user and context oriented theories about classifications of information, information barriers and models of information sources. My conclusions are that trained social workers working with risk assessment in child protection services, need to use different kinds of information in their daily work, such as problem information, domain information and problem-solving information.

På många intensivvårdsavdelningar skrivs det dagbok för patienten. Dagboksskrivande på intensivvårdsavdelning är dokumentation av vårdtiden skrivet till patienten av sjuksköterskor och annan vårdpersonal och i vissa fall närstående. Intensivvårdsavdelningen är en tekniktät miljö som kan upplevas skrämmande och stressig för patienten, vård på intensivvårdsavdelning kan orsaka posttraumatisk stress syndrom efter vårdtiden. Forskning visar att dagboken tillsammans med uppföljningsverksamhet efter vårdtiden på intensivvårdsavdelningen kan minska risken för utveckling av post traumatisk stress syndrom. Syftet med studien var att beskriva innehållet i patientens dagbok från vårdtiden på intensivvårdsavdelningen.

This study aims to investigate possible correlations between cognitive functions and self perceived psychological wellbeing, possible correlations between cognitive functions and degree of mindfulness and possible correlations between degree of mindfulness and self perceived psychological wellbeing. 18 patients diagnosed with ICD-10 taking part in a transdiagnostical cognitive behavioural group therapy participated in the study. The study measures relevant variables before and after a group therapy. Of the 18 patients participating, only 11 were able to be tested on both occasions due to time limit. The following tests are used: Rey Auditory Verbal Learning Test, Wechsler Adult Inventory Scale-III, Trail Making Test, Controlled Oral Word Association Test, Colour Word Test, Beck's Anxiety Inventory, Beck's Depression Inventory, Quality of Life Inventory and Kentucky Inventory of Mindfulness Skills.

Bakgrund: Robot-assisterad kirurgi har blivit alltmer popul?rt och effektivt som en alternativ teknik till traditionell ?ppen kirurgi. Detta tillv?gag?ngss?tt som anv?nder ett avancerat system f?r att genomf?ra kirurgiska ingrepp har utvecklats ?ver tid och inneb?r flera f?rdelar som ?kad precision och kontroll samt minskad risk f?r komplikationer. Trots framstegen st?r kirurgiska team inf?r utmaningar med anpassning till den nya tekniken och behovet av att utveckla strategier f?r att uppn? optimalt resultat.

The aim of the present literature study was to describe the significant factors contributing to the development of moral distress and the consequences of moral distress can lead to in the nurse profession. A literature search was performed in the databases Medline through PubMed and Academic Search Elite on the basis of in advanced defined criterions. A total of 19 articles was reviewed and included in the study. The main result revealed that nurses experience moral distress and that it is frequent within the nurse profession. The findings revealed that there seem to be several significant factors in the development of moral distress, such as providing life-sustaining care, competing loyalties, conflicts with the physician, communication barriers, emotional barriers, cultural barriers, regulation and rules and working environment that gives the nurse difficult or unsolved ethical dilemmas.