Bakgrund: HIV/AIDS har blivit ett allt större problem i världen varför sjuksköterskor kommer att möta patienter med denna sjukdom i allt större utsträckning. Runt 39,5 miljoner är smittade av HIV/AIDS och cirka 25 miljoner har dött. Det är därför viktigt att undersöka vad sjuksköterskan upplever i sitt möte med patienter med HIV/AIDS. Syfte: Syftet med studien var att beskriva vad sjuksköterskor och sjuksköterskestuderande upplever i sitt möte med patienter med HIV/AIDS. Metod: Metoden som författarna valt är en litteraturstudie.

Nurses have an important role caring with the suicidal patient as they often are the first to encounter these individuals. In order to develop their skills, nurses need to understand the complexity of the problem around the thoughts of wanting to die. The purpose of the study was to compile and elucidate research that describes how nurses can provide care to suicidal patients. The method used was a literature review. The results were divided into seven themes that can guide the nurse in the work: to be there, give time and listen, to recognize and assess risk factors, working in a team, to be attentive to own attitudes, to give hope, to be able to process their feelings, increased knowledge of the causes of suicide.

Bakgrund: Fetma är ett folkhälsoproblem som har ökat dramatiskt de senaste två decennierna. För att behandla extrem fetma har magsäcksoperationer blivit en allt mer vanlig metod. De hälsoekonomiska aspekterna av operation har ännu inte studerats i Sverige. Syfte: Studiens syfte var att belysa hälsoekonomiska aspekter av magsäcksoperationer som intervention mot fetma. Metod: Metoden var en litteraturstudie.

An important task for Region Skåne is to allocate resources to the health care districts. From 1999 to 2002 Region Skåne used needs-based resource allocation as a model for allocating resources. In a needs-based resource allocation individuals with the same socioeconomic and demographic characteristics are assumed to have the same level of need and are therefore allocated the same amount of resources. During the period of needs-based resource allocation a matrix model was used as a method. In the matrix model individuals were divided into cells after each combination of the socioeconomic and demographic variables.

Bakgrund: En förlossningsdepression är en sorts depression som drabbar var åttonde nyförlöst kvinna successivt inom de tre första månaderna till ett år. Kvinnans förlossningsdepression är inte endast ett problem för kvinnan själv utan även för hela familjen. Syfte: Syftet med studien är att beskriva kvinnors upplevelser av att insjukna i en förlossningsdepression närmaste året efter förlossningen. Metod: Studien är en litteraturstudie med kvalitativ ansats och grundas på två självbiografiska böcker, där kvinnorna berättar om sina upplevelser av sin förlossningsdepression. Resultat: Innehållsanalysen av de två böckerna resulterade i sex kategorier; förtvivlan och rädsla, upplevelsen av att inte kunna älska barnet, skuld, bristande självkänsla, avundsjuka och självmordstankar.

BakgrundSömn och matproblem är vanliga hos små barn. Bekymren kan vara stora och föräldrarna i behov av professionell hjälp. Barnavårdscentralerna har stor stöd- och hjälpfunktion men inte alltid resurser för detta. I Uppsala län finns en specialbarnavårdscentral som erbjuder råd och stöd vid dessa problem.Syftemed studien var att studera föräldrarnas bedömning av barnets sömn- eller matproblem före och efter kontakt med Special-BVC, samt om det fanns ett samband mellan antal kontakter och föräldrarnas bedömning av barnets situation efter avslutat kontakt.MetodDesignen var en deskriptiv, komparativ studie där 67 av 102 (66 %) föräldrar besvarade frågor om förhållanden före och efter kontakt med Special-BVC.ResultatInom flera områden minskade barnens sömn- eller matproblem efter kontakten med enheten. Emellertid bedömde föräldrar till barn med matproblem att dessa fortfarande var ett problem för barnet men inte för familjen medan barns problem gällande sömn minskat både för barnet och familjen.DiskussionKvalitetssäkring av vårdverksamheters resultat är viktigt.

I am a practising classical soprano. After more than 20 years of professional singing, I re-trained my voice according to principles of the old Italian school of singing. In this essay, I examine the origins and priciples of bel canto, with special focus on appoggio and chiaroscuro, two key ingredients in the bel cantao tradition. I explore the relationship between science and the craft of singing, and what modern voice science has to say about the efficiency and health aspects of this technique, I also describe the profound effect it has had on me as an artist..

Today, there are more than 12 000-14 000 farms worldwide using an automatic milking system (AMS). Studies have shown that transition to AMS affects the udder health of cows adversely, recognized primarily as elevated somatic cell counts. There are several reasons for this, for example the greater variation in milking frequency seen in AMS. On one hand, short milking intervals may lead to bad teat condition of the cows due to the stress the milking procedure exposes the teats to. Too long milking intervals, on the other hand, seem to predispose for milk leakage, which is, in turn, a risk factor for the development of mastitis.

The purpose with our research in Varbergs Kurort is to study how persons that have been a part of the individual adjusted rehabilitation program First Step have found their stay during their program. The program holds a team of professionals that together work with the individual?s physical and mental health. In our study we have included eight women and to men in the age between 35-65 years who all suffered from a slight mentally illness. Out of a social psychological perspective we have based our study from the social and room environment and how their self-recovery has affected their wellbeing during their rehabilitation.

Unhealthiness is not just a damaged back or asbestos. The fact that mental ill-health seems to increase in our society is well known. Statistics from Arbetsmiljöverket proves a fourfold increase of work-related disorders since 1997. These are primarily caused by organizational and social factors, 60% are considered caused by stress and a heavy workload. Sick leave due work related fatigue and depressions are scarily common today.

Otillräckligt behandlad postoperativ smärta är ett problem som sjuksköterskor i allmänhet kommer i kontakt med i sitt dagliga arbete och som åsamkar patienten både fysiska och emotionella kval. Musik, med tusenåriga traditioner som läkande, har länge varit en bortglömd intervention då sjukvården under lång tid varit strikt biomedicinskt inriktad. Syftet var att belysa musikens inverkan som omvårdnadsåtgärd i samband med postoperativ smärta, ur ett patientperspektiv. Metoden bestod av en litteraturstudie, nio vetenskapliga artiklar har analyserats och ligger som grund till resultatet. Analysen av artiklarna har lett fram till tre olika kategorier; Lindrad smärtupplevelse, lindrad upplevelse av känslomässigt lidande och underlättad mobilisering.

Bakgrund: Människan är idag betydligt mer medveten än tidigare om vad mat innehåller och vad som bör ätas och inte. Trots detta löper människor samtidigt en allt större risk att drabbas av ätstörningar och viktproblem. Anorexia nervosa drabbar ungefär en av hundra flickor och ca en av tusen pojkar. Sjukdomen kan beskrivas som en stark rädsla för att gå upp i vikt tillsammans med en förvrängd kroppsuppfattning. Syfte: Syftet med studien var att belysa hur kvinnor med Anorexia nervosa upplever vården.

AbstractPurpose/Aim: This essay deals with The Swedish Red Cross Society and their work concerning strategical information and communication about HIV and AIDS in the Swedish context. In a broader sense the relation between the global and the local will be investigated and a discussion about what it means to work in an organization operating on a global arena will be held.Material/Method: This essay is based on relevant theories about culture and health communication which I have studied, selected and put together, with purpose to analyse The Swedish Red Cross Society and their informational work with HIV and AIDS- prevention. Furthermore I have interviewed four of the organizations co- workers to collect data about their experiences in working in the Red Cross organization with this specific mission. Moreover I and my colleague Hillevi Good attended at seminars and lectures to observe activities held by the organization and to get inside information about what people working with HIV and AIDS are discussing and considering as critical issues. The study holds a qualitative approach focusing on understanding this typical case rather then generalizing facts in a larger sense.Main results: The Swedish National Society of The Red Cross has a difficult mission in their work to inform the public about HIV and AIDS, although it is the perfect organization when it comes to communication due to their well-known profile and a huge geographical spread.

In the year of 2009 the conditions for managing primary healthcare in the region of Västra Götalandchanged. The decision was taken by the regional assembly and resulted in that the citizens since thenhave had the opportunity to choose which health care provider they preferto stay with. Along with thisdecision a new market for private health careproviders was established, which resulted inincreasedcompetition between the providers.In order to manage the competition, the health care providers arenow forced to be more efficient in their operations andalso to beeven more focused on their patients.Backa Läkarhusgruppen is an example of a private healthcare provider in the region of Västra Götaland.In the same way it is also an example of anorganizationin need of analysing their operations to seehowit can be further optimized to meet patient needs and expectations.The aim of this study is to analyse Backa Läkarhusgruppen?s organization and its operationsin the hopeoffinding suggestions whichwill improve the patient flow.To allocate and solve the problems thatBacka Läkarhus suffer from,an approach inspired by Lean Healthcare is used throughout the report.Some of themost significant problems that were identified within the organization are:?The synchronization of demand and capacity is inadequate.?Absence of standardized routines.?Absence of present leadership.To be able to improve the patient flow Backa Läkarhus needs to handle these identified problem areas.By synchronizing the staffing level in relation to the trends in demand a reduction in the patient?swaiting times and throughput time will be possible. Creating clear responsibilities and routines for thestaff will contribute to a higher degree of patient focus and thus lead to a more efficient patient flow.

The present study examines the effect of a nine-hour Acceptance and Commitment Training (ACT) intervention for teachers who experience stress. Twenty-two teachers from four different counties in southern Sweden were randomly allocated to an ACT intervention (n=15) and a control group (n=7). The ACT condition received three three-hour sessions of ACT over a six-week period, and the control group received a three-hour stress lecture at one occasion. At a follow-up four-weeks after completed intervention, ACT participants showed significant in-group differences on stress, psychological flexibility, general health, and burnout. At a between group comparison, only psychological flexibility was significantly enhanced at the follow-up.