Hearing is considered to be the most important sense for the communication between people. Several studies have shown that hearing loss can lead to deterioration in quality of life, reduced social activities, feelings of alienation and hence the increasing incidence of depression symptoms.An early audiological rehabilitation is a prerequisite for proper communication among people with hearing loss. Knowledge has been shown to be of great importance and structured learning and individually targeted approach can be expected to facilitate the audiological rehabilitation.The purpose of this study was to examine the effect of an educational effort for people with hearing loss where the effort was made in the distance within the audiological rehabilitation and was followed-up by professional phone support, through a randomized controlled study.The study group consisted of 69 hearing aid users who were randomized by an independent person into two groups, an intervention group and a control group. The intervention group (n = 33) had access to the book "When the sounds are weaker - on hearing and hearing aids". The group received weekly topic-based information related to the different chapters of the book, in five rounds.

This thesis is an analysis based on the problem of defining a humanitarian intervention and argues when or not, it is appropriate to operate it. The interest lies in finding out whether the argument itself is justifiable,not whether the act of interference was justifiable. My hypothesis is that both private and international operatios misuse the definition "humanitarian interventions" as an excuse to trespass the laws of war. Behind the idea of protecting human rights, freedom and democracy, is the liberalist idea of all individuals being equal. The respect for their freedom and rights drives outside actors to intervene when crimes are comitted against them.

AbstractThis essay has as its purpose to discuss the current legal regulation of the concept of humanitarian intervention. The inconsistencies in the debate over the legal status of this concept, and the legal uncertainty it brings to the acts of states and the lives of their nationals is a motivating factor for the writing of this essay. However, it has been clear from the outset that the concept of humanitarian intervention is intricately connected to political and moral ideas and values. Thus, the attitude taken towards this doctrine will be highly dependent on the perspectives of the state, government or single author representing it.Following this starting point, the aim of this essay is not to present a single answer as to whether humanitarian intervention is, or is not, legal, but to research, compare and analyze the different arguments put forward in this subject in international law today. Hopefully, this will provide the reader of this essay with some insight into the sources of international law of today and how the principles of state sovereignty, non-intervention, the prohibition of force and the protection of human rights relate to the concept of humanitarian intervention.A frank overview of the UN Charter does not support use of force except in the case of self-defence or without a Security Council mandate.

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.

I många utvecklingsländer finns en begränsad tillgång på utvecklade AKK-system (Alant, 1999) och ofta även en okunskap kring möjligheterna att arbeta med kommunikationsproblem (Marshall, 1997). I föreliggande studie genomförs intervention i alternativ och kompletterande kommunikation (AKK) för två deltagare med cerebral pares på ett dagcenter i Kilimanjaroregionen, Tanzania. Syftet i föreliggande interventionsstudie är att genom intervention studera och utveckla de i mätsituationerna responsiva talakterna att påkalla uppmärksamhet för att inleda interaktion, acceptera och avfärda samt upprätthålla och avsluta interaktion. Detta sker med hjälp av begreppen ja och nej för att acceptera och avfärda, liksom mer och mindre för att upprätthålla och avsluta interaktion. Studien följer en single subjekt design och insatsen utgörs av två interventionsperioder, bestående av direkt intervention med deltagarna samt utbildning och fortlöpande handledning av personal.

Isberg, A. & Lidén, S. (2008). KASAM- livsfrågeformulär som intervention vid psykisk ohälsa. Högskolan i Gävle; Institutionen för pedagogik, didaktik och psykologi. Tidigare studier visar samband mellan KASAM, Känsla av sammanhang och människors upplevda hälsa.

Demensrelaterad agitation a?r ett pa?frestande tillsta?nd som inneba?r en fo?rsa?mrad livskvalitet fo?r den demenssjuke personen. Eftersom la?kemedel har liten effekt, rekommenderas icke- farmakologiska interventioner som fo?rshandval vid behandling. Syfte: Att studera omva?rdnadsinterventioner och dess effekt vid demensrelaterad agitation.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

ABSTRACTOverweight and obesity is an increasing problem worldwide although high-income countries take a leed. High BMI during pregnancy and delivery constitute to many risks for both the mother and her outcome. Intervention programmes with the purpose to get the pregnant women to eat healthier and to excercise more are now working out in many different shapes. The effect of these activities varies. The aim of this study was to investigate if interventions during pregnancy, with women who?s BMI are 25 or more, affects health of the mother and her expected child, delivery outcome and self estimated health.

Stroke is caused by a bleeding or infarct in the brain and is one of the most common diseases in Sweden today. The purpose of the study was to evaluate if Ronnie Gardiner?s Rhythm Therapy (RGR-therapy) has any effect, regarding motor control and the subjective experienced health related quality of life, on people who have been affected by stroke. The examination group consisted of eight people. The intervention consisted of RGR-therapy once a week during a period of nine weeks.

AbstractAbout 160 000 persons living inSwedensuffer from some form of dementia. Alzheimer disease is the most common form of dementia and affects mostly people in the age of 65 and older. People with some form of dementia have memory problems and may even have other problems as aphasia and behavioral disorders. This may lead to communication problems and difficulties for the people around them. The number of demented people is increasing; it is therefore important to study methods for communication in order to improve the wellbeing for people with dementia.

Demensrelaterad agitation a?r ett pa?frestande tillsta?nd som inneba?r en fo?rsa?mrad livskvalitet fo?r den demenssjuke personen. Eftersom la?kemedel har liten effekt, rekommenderas icke- farmakologiska interventioner som fo?rshandval vid behandling. Syfte: Att studera omva?rdnadsinterventioner och dess effekt vid demensrelaterad agitation.

Dysfagi, sväljsvårigheter, förekommer i alla åldrar och vid en rad olika sjukdomstillstånd och skador. Evidensläget för de olika metoder som används för diagnostik och intervention vid dysfagi är i många fall osäkert. Syftet med denna studie var att ur ett evidensperspektiv granska forskningen med avseende orofaryngeal dysfagi hos vuxna. En omfattande databassökning genomfördes i PubMed mellan april och augusti 2011, begränsad till engelska och svenska studier, med deltagare över 19 år. Sökorden som användes var bland annat dysphagia (43 259 träffar), deglutition disorders (36 278 träffar), intervention, management, assessment, evidence, validity och reliability.

Arbetsrelaterad stress inom hälso- och sjukvården är ett känt problem, vilket långsiktigt kan leda till ökad risk för stressrelaterad ohälsa hos personalen. Det är av vikt att erbjuda lämpliga strategier för att reducera denna stress, mindfulness-intervention kan vara en av dessa strategier. Syftet med denna litteraturöversikt var att undersöka mindfulness-interventionens effekt på arbetsrelaterad stress, medveten närvaro och psykisk hälsa hos hälso- och sjukvårdspersonal. Metoden som valdes var systematisk integrerad litteraturstudie. Efter systematisk databassökning, analyserades 11 vetenskapliga artiklar.

Det saknas en nutida nationell kartläggning av barnlogopedisk intervention. Tidigare studier har undersökt specifika enheter eller granskat interventionen historiskt. Syftet med föreliggande studie var att utifrån en enkät besvarad av kliniskt aktiva logopeder kartlägga det barnlogopediska behandlingsläget i dagens Sverige. Målet var att kunna beskriva interventionens karaktär samt vilka metoder och material som används. Enkäten bestod av 30 frågor och riktade sig till logopeder som för tillfället var verksamma inom det barnlogopediska fältet, exklusive barnhabilitering.