The main objective of this study is to divide a number of colorectal cancer cases into subgroups based on their molecular features using cluster analysis. The data used is supplied by a research group at Pathology, the Department of Medical Biosciences, Umeå University, and consists, after some preparation, of 455 observations which is a larger data set than many similar studies. The molecular variables that the clustering is based on are CIMP (CpG Island Methylator Phenotype), MSI (Micro Satellite Instability), BRAF- and KRAS-mutations. These are categorical variables and consequently the clustering method used is PAM (Partitioning Around Medoids) which is particularly useful with data on diverse variable level. The final analysis results in four subgroups that are represented by different combinations of attributes on the aforementioned variables.

Aim: The purpose of this study was to highlight in what forms and manifestations spirituality emerges in medical patients whether they consider themselves believers or not. The other aim was to analyse spiritual ideas of nursing scientists ? authors of the patients? oriented studies to come to the better understanding of the situation with spirituality in caring. Method: Descriptive meta-synthesis was chosen, in which 12 nursing studies were analyzed and compiled in a new integrity. Results: The analysis shows that caregivers must be ready to meet and confirm the spiritual dimension consisting of Faith, Meaning, Relationship and Questions without answers in the various forms and expressions they emerge in patient?s experience.

This thesis aimed to study the interaction between an educational technology system and its users and give suggestions for design improvements. The technology system is called EDIT (Educational Development through Information Technology) and has been developed and applied at Linköping University?s Faculty of Health Science. EDIT supports Problem Based Learning and enables scenarios to be presented through the World Wide Web. The study was divided into two parts.

The aim of this study was to examine young men born between 1990-1995 with anorectal malformations (ARM) whom have undergone the new PSARP-operation starting in 1990, and how they experience their psychosocial and sexual health. The study also examines how they cope with their life situation and what their experience is of the health care and how they were responded to through out the years. This study is a qualitative research and consists seven semi- structured interviews with young men between sixteen and twenty years old. The analyses of this material resulted in three themes around which the study centers: psychosocial health, sexual health and the medical establishment and the informants thoughts about the proposition of counseling for themselves and other individuals born with ARM. The study shows that these young men have a good psychosocial health and a likely reason for that is good parental relationships and close friendships.

The aim of this Masters thesis is to explore the image of the librarian from three groups: librarians, researchers and directors of staff from industrial companies. The purpose was also to study the image of the future librarian as the Swedish School of Library and Information Science at the University College of Borås introduces it. As my theoretical framework I used communication theories and marketing theories. I searched answers to the following questions: - Is there any resemblance at all between the common stereotypes of the librarian and the images given by the participants of the survey? - How do the librarians view themselves? - What is the image of the librarian among the researchers who use the services of the library? - What is the image of the librarian among the directors of staff from the industrial companies? - What is the image of the librarian given by an educational institution during the basic education? I contacted the participants and asked them to draw a picture of a librarian and write a short text about the picture.

In some criminal cases, the only existing evidence is the verbal statement of a witness or the plaintiff. The typical example is an alleged rape where victim and perpetrator have had some kind of relation, and their records of the incident differ. In these cases, the assessment of the value of the evidence drawn from the plaintiff's story is of crucial importance. On the one hand, a false positive judgment means that a person is wrongly convicted, on the other hand, a failure to correctly identify a truthful claim of rape means that a victim of a severe crime is left without judicial remedy. That the prosecutor must prove that the crime is committed by the defendant without reasonable doubt, means that there is much more chance of a failure to convict guilty felons, than of the opposite.In the essay, the rules of criminal procedure directed at the evaluation of the verbal statement are identified and critically evaluated from the perspective of how they may or may not facilitate the judgment of a verbal statement presented before the court, either in person, or through other media such as video.

Background: In Sweden around 6500 women suffer each year from breast cancer and during lifetime every tenth women is affected. Mastectomy (removal of part of or the whole breast) is carried out mostly in purpose to remove malign tumours or in prophylactic purpose. The breast can be rebuilt through breast reconstruction. Method: The result analysis was based on nine articles. A Manifest content analysis was used and data from the articles where divided into themes and patterns, on the basis of these categories were created.

In this masters paper the change that Lidköping public library went through between 1952 and 1959 is described and analysed. The aim is to describe and analyse the reactions that arose at the time that the first professional librarian, Jörgen Elgström, acted to create a modern public library in the town. The issues that are handled are: How did the local politicians and the general public react to the process of change that was started by Jörgen Elgström? What were the consequences for the staff, the premises, lending, child and youth activities? The paper is concentrated around the period 1952-1959 because this is the time when Jörgen Elgström was working in Lidköping. Jörgen Elgström has a central role in the paper.

Many children are being abused by daily basis. Mostely they are abused by a parent or another person that is close to the child. Mostely the child abuse never is reported to the social services or to the police, and even if the perpertrator is known, only a few cases are brought to prosecution. If a case allthough is drawn before the court of law, there are still too many of the perpetrators that are being acquitted. In other words, the legal security for the abused children is way too low.When suspiscions arise that a child is exposed to child abuse there are several inquiries that starts at the same time.

Personal archives are a largely neglected subject in archival theory. Among the consequences of this is the absenceof any general established or formalized practices when it comes to arrangement and description. Thisstudy opposes the notion that an archival institution without formal systems of arrangement and description doesnot order and describe archives in accordance with a general conceptual framework of a correct order. Supportingitself on the anthropological theory of Mary Douglas on dirt and cleanliness, it studies the implicit notions oforder that can be found in the archival descriptions of the personal archives kept by the Swedish national archives.Several patterns where revealed by the study: among them the primacy of quantity stood out. The vaguesystem of categories based on Martin Grass description model appears only to be employed loyally where quantitiesof the particular categories are such that they constitute complete volumes, which seem to be the cardinaljustifier of categorical division within the archive.

Accounting for financial instruments can either be based on a transactions approach or an eco-nomic approach. Under a transactions approach instruments are reported at cost whereas under an economic approach instruments are reported at fair value. Hence, under a transactions approach realization becomes a criterion for recognizing fair value fluctuations as revenue whereas under an economic approach it does not. A mixed model is defined as a combination of the transactions approach and the economic approach insofar it records some accounting items at cost and other items at fair value. The mixed model gives rise to an issue commonly referred to as an accounting mismatch.

Information technology is increasingly used in healthcare. New methods, such as apps and computer programs and Internet-based treatments are introduced to treat various medical diagnoses. Increased demand for help in mental illness means that it is necessary to develop alternative assessment and treatments to traditional treatments that may be offered by primary care and specialist psychiatry. Government and Local Authorities and Regions (SKL) have agreed to support, and treatment on the web is part of that development. The work is all about, and how Child and Adolescent Psychiatry ( Bup ) , use psychological e- services, and apps for the treatment of adolescents and the types of psychological e-treatments for adolescents are available in Sweden today.  Methods used are interviews and literature studies, where I examined the use of computerized psychological treatments in Västernorrland and Stockholm County Council.

The purpose of the present study was to investigate the cow-level association between acute hoof lesions and the somatic milk cell count in dairy cattle. Cows from three loose-housed Swedish dairy herds were enrolled in the study if they had an acute hoof lesion treated by a veterinarian or professional hoof trimmer during the preceding year, according to farmer records. Studied lesions were sole ulcer, dermatitis, interdigital necrobacillosis and hoof abscess, in each case causing lameness. For each hoof-diseased cow, 0 to 3 healthy cows were included, matched with respect to herd, breed, parity and lactation stage. Cell counts were obtained from monthly test recordings from one month before to three months after the hoof-lesion diagnosis, and log-transformed.

AbstractBackground: Becoming a parent to a child in need of Neonatal Intensive Care can be a traumatic experience. During a time when the parents may need support, guidance and a sense of control ? the family might need to relocate to a hospital away from home if the child needs highly specialized medical care at a Neonatal Intensive Care Unit. Aim: The aim of this study is to investigate the parents? experience of having to change neonatal care unit.

The background to this study is the government’s investment in design and the increase of design education around the country. As a future design teacher (industrialdesign) at high school/college, it is of great interest for me to look closer at student’s attitude towards design and design educations at high school.Questions that have been investigated are student´s attitude towards design; design as a concept but also as a phenomenon. How does the student counselor inform the students of the differentchoices before choosing high school?Does the students view on design correspond to what the student counselor say?What opinion does the student counselor have to the concept design as well as design in highschool? Is design just a craze or here to stay?To get answers I have made interviews with student counselors at two different schools, I have also been in contact with a student counselor on the internet. Their thoughts will clarify thesituation that the students might be in.