Juvenil Idiopatisk Artrit, JIA, är en sjukdom vars fysiska symptom kan försena utvecklingen av barnets grovmotorik, vilket kan hindra barnets integration i den sociala och fysiska miljön. Skolgården är den kontext där barnet ofta leker och där fysisk och social utveckling sker. I lek med andra barn ges barnet möjlighet till upplevelse av delaktighet, vilket är av grundläggande betydelse för god hälsa. Studiens syfte var att undersöka hur barn med JIA upplever delaktighet i lek i skolgårdsmiljö. Metoden som användes var kvalitativa intervjuer där undersökningsgruppen bestod av fyra barn i åldern nio till 13 år.

The female dog has a unique reproductive endocrinology, with high levels of progesterone throughout the 70-day long luteal phase. In this project, markers of glucose metabolism were studied and compared from the aspects of breed group and time in oestral cycle. The parameters studied were: glucose, insulin, progesterone, fructosamine and the newly introduced analysis of HbA1c. Hba1c was also further evaluated and discussed as a diagnostic tool in canine medicine.No differences in terms of glucose markers were found between a group of purebreed dogs of various breeds compared to a group of dogs with high risk of dioestrus diabetes, namely the Norwegian and Swedish elkhounds.No differences were found between the two sample occasions, anoestrus and dioestrus, concluding that there is no need for relating test results to the time of the oestrous cycle in middle-aged intact female dogs.There were statistically significant higher values of all glucose markers in diabetic dogs than in non-diabetic dogs. When it came to HbA1c, however, there was a larger overlap between the two groups, compared to fructosamine.

Långvarig smärta är ett problem för många människor i hela världen och kan innebära svårigheter att utföra de aktiviteter man vill, måste eller förväntas utföra. Syftet med uppsatsen var att beskriva vilka dagliga aktiviteter patienter med långvarig smärta ansåg vara viktigast att förändra samt att undersöka om aktivitetsutförande och aktivitetstillfredsställelse förändrades efter smärtrehabilitering. Studien genomfördes efter avslutad rehabilitering på en multimodal smärtrehabilitering i Skåne. Undersökningsgruppen bestod av 46 patienter, 11 män och 35 kvinnor. Instrumentet Canadian Occupational Performance Measure (COPM) användes samt patienternas egna kommentarer till förändringen kategoriserades och sammanställdes.

Glycogen is the storage form of glucose and is used by the skeletal musculature as energy both for intense and endurance events. The glycogen content in the horse?s middle gluteal muscle is more than 600 mmol/kg dry weight, and almost 400 mmol/kg dry weight in the human?s Vastus lateralis. In some special occasions, for example in competitions with several moments on following days, there is a need of a fast muscle glycogen resynthesis. The feed intake is of importance for the velocity of the resynthesis.

This academic essay explores the possibilities to knowledge of God in the thought of Thomas Aquinas. The essay takes its departure from question 12 in the Summa Theologiae, specifically articles 12 and 13 that deal with natural knowledge of God and supernatural knowledge, respectively. It also presents objections made by modern philosophers against these ways of knowledge along with a rebuttal of these objections. Lastly, a conclusion is offered and ends with a reflection on how Aquinas' teaching on human knowledge of God in earthly existence compares with his teaching on the knowledge human beings will have in heaven and what consequences that has for our present knowledge..

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 need to attract and retain individuals who add value to the organization constitutes an increasing challenge facing human resource professionals. In this context it is essential to establish stronger links between the individuals and the organization they work for. The aim of this study is to explore and discuss the role of ethical core values such as trust, respect, fairness, and honesty as a critical antecedent to employee commitment. From the perspective of employees, a comparative case study is conducted in two organizations with two different reasons to exist - a profit organization and a non-profit organization. The study concludes that organizations should have a high focus on people's core values when they recruit new employees as well as for educating and training their existing employees and managers.

The female dog has a unique reproductive endocrinology, with high levels of progesterone throughout the 70-day long luteal phase. In this project, markers of glucose metabolism were studied and compared from the aspects of breed group and time in oestral cycle. The parameters studied were: glucose, insulin, progesterone, fructosamine and the newly introduced analysis of HbA1c. Hba1c was also further evaluated and discussed as a diagnostic tool in canine medicine.No differences in terms of glucose markers were found between a group of purebreed dogs of various breeds compared to a group of dogs with high risk of dioestrus diabetes, namely the Norwegian and Swedish elkhounds.No differences were found between the two sample occasions, anoestrus and dioestrus, concluding that there is no need for relating test results to the time of the oestrous cycle in middle-aged intact female dogs.There were statistically significant higher values of all glucose markers in diabetic dogs than in non-diabetic dogs. When it came to HbA1c, however, there was a larger overlap between the two groups, compared to fructosamine.

The purpose of this study was to examine people's experiences of self-medication with cannabis in relation to post-traumatic stress disorder and professions? opinions of cannabis for medical use. The study focuses on norms and values as well as its impact on individuals. A qualitative approach was used with thematically open interview questions, in order to gain an insight into the interviewees? reality and their experiences.

The purpose of this study was to investigate different relations between the damages of falls and background variables as well as the relation between the falls and the weather condition to later be able to use this report to expand the knowledge among workers at VTI about the pedestrian fall injuries. All of the fall injuries in the data that this study is based on have occurred in Sweden during the time period between January 2003 and December 2011.To be able to answer the questions that this report is based on several statistical methods are used. The statistical methods that have been used during the making of this report are multiple linear regression, binary logistic regression, correlation analysis, association analysis and descriptive statistics as well as visual analysis.The results of the study show that women around menopause age have a tendency to get a big increase in the amount of injuries compared to men of the same age. The study also suggests that men on average tend to have a lower level of injury compared to women.Age also seems to affect both the amount of injuries and the level of injury negatively. The study suggests that the most likely reason for this is both that the intake of ?Fall Risk Increasing Medicine?, which is medicine that increases the drowsiness, is higher among older individuals as well as lower estrogen levels among older women and lower amount of testosterone among older men, which causes a loss of bone density in both sexes.The weather seems to have a strong effect on how many injuries occur but also a noticeable effect on the scale of the injury.

Handen har en central roll i människans sociala liv. Förlust av en hand eller delar av en hand kan medföra en helt ny livssituation, inte minst i arbetslivet. Personer som drabbas av större handskador beräknas till cirka 50 personer per år. Det är dessa stora handskador som orsakar mest bekymmer för individen som kan omöjliggöra en återgång till ett tidigare arbete. Patientens upplevelse av denna nya livssituation blir i allmänhet minskad tillfredställelse, sorg och besvikelse vilket ger dålig självkänsla.

Antalet personer som är 65 år eller äldre har fördubblats under de senaste 50 åren. Eftersom den äldre befolkningen ökar och vårdplatserna på sjukhus och boende minskar är hemrehabilitering en rehabiliteringsform som är mycket aktuell. Hemrehabilitering riktar sig till alla åldersgrupper, men majoriteten som får rehabilitering i hemmet är dock äldre. Syftet med vår studie var att studera arbetsterapeuters uppfattning om hemrehabilitering. Vi valde att belysa områdena; hemrehabiliteringens innebörd, samarbete med andra yrkesgrupper, anhörigas roll, för- och nackdelar samt förslag till utveckling.

The female dog has a unique reproductive endocrinology, with high levels of progesterone throughout the 70-day long luteal phase. In this project, markers of glucose metabolism were studied and compared from the aspects of breed group and time in oestral cycle. The parameters studied were: glucose, insulin, progesterone, fructosamine and the newly introduced analysis of HbA1c. Hba1c was also further evaluated and discussed as a diagnostic tool in canine medicine.No differences in terms of glucose markers were found between a group of purebreed dogs of various breeds compared to a group of dogs with high risk of dioestrus diabetes, namely the Norwegian and Swedish elkhounds.No differences were found between the two sample occasions, anoestrus and dioestrus, concluding that there is no need for relating test results to the time of the oestrous cycle in middle-aged intact female dogs.There were statistically significant higher values of all glucose markers in diabetic dogs than in non-diabetic dogs. When it came to HbA1c, however, there was a larger overlap between the two groups, compared to fructosamine.

För att kunna vara aktiv utomhus krävs att miljön inte är hindrande. Äldre personer har, i de flesta fall, en minskad fysisk kapacitet och är genom detta extra känsliga för hinder i miljön.Syftet med denna studie var att undersöka om, och i så fall på vilket sätt, förändringar i den fysiska utemiljön inverkar på äldre personers aktivitetsutförande utanför hemmet. För att besvara studiens syfte sökte författarna svar på vilka aktiviteter de äldre utförde utomhus, hur de upplevde utemiljön samt om de uppmärksammat förändringarna i utemiljön. Informanterna var engagerade i ett flertal olika aktiviteter utomhus och promenader var den vanligast förekommande uteaktiviteten. Det framkom att de äldre var mycket nöjda med utemiljön i området och att de upplevde få hinder.

This study examines how and why organizations evaluate training and development within the organizations. The study has a qualitative approach based on semi-structured interviews, with office and organization development managers. The purpose of the study is to contribute with knowledge about how three large Swedish organizations evaluates training and development programs for staff members. Another purpose is to describe why the organizations evaluate training and development programs and to research if there is a further need to develop the organization evaluation methods. Therefore the research questions are Why and how do organizations evaluate training programs? What further need is there to develop organizations evaluation methods?The conclusion of this study shows that evaluation of the training and development programs are not a high priority among the selected organizations.