COPD (Chronic Obstructive Pulmonary Disease) is one of the most widespread lung diseases today and is a growing cause for suffering and mortality worldwide. It is considered to be the third leading cause of death in the near future. Smoking is the most important risk factor for this disease and about 50% of smokers develop COPD. The purpose of this study was to mediate the experience of not being able to stop smoking described by persons diagnosed with mild or Moderate COPD. The study involved five women and five men.

Referentiell kommunikation innebär att kunna delge andra information så att de förstår, samt att själv förstå när man lyssnar och även att vara medveten om när man själv inte har förstått (Sonnenschein & Whitehurst, 1984). Genom en referentiell kommunikationsuppgift har lyssnaregenskaper inom referentiell kommunikation undersökts hos ungdomar med lindrig till måttlig utvecklingsstörning, samt en mentalt åldersmatchad kontrollgrupp. Snabb benämning (Rapid Automatized Naming) av enstaviga och flerstaviga ord har också testats, och huruvida samband mellan resultat i kommunikationsuppgiften och snabb benämning föreligger. För att mäta referentiella lyssnarförmågor har olika typer av efterfrågningar studerats, det vill säga hur individen uttrycker sig för att efterfråga mer information. Resultatet visar att kontrollgruppen producerar signifikant fler av efterfrågningstyperna begäran av utökad information och kontrollfrågor.

Introduction/Background: Economic evaluations help decision-makers to make informed decisions regarding resource allocation. Information generated from CEA can support evaluations of a new intervention with current praxis. The evaluations also provide information as to whether an intervention is cost-effective, both in economic terms and in health gains. Objective: The aim of this thesis is to investigate the use of economic evaluations in public health, with a focus on CEA. Use of economic evaluations is regarded as both a method for evaluation and as support for informed decisions.

An attempt were made to record the 1st movement of Beethoven?s Op. 57, with the objective of performing it as close to Beethoven?s will as possible, in the tradition of the ?historically informed performance? movement.The result of evaluating source material rendered a list of the most relevant material for this study, and hopefully that might prove useful for other studies with similar objective concering HIP and composer-intention based ?autenticity?.However, Beethoven?s will was only vaguely captured in the limited source material accounted for in this study, rendering it Moderate-to-small reliability. It?s probably possible to achieve a higher degree of goal achievement, given more time and through the utilization of music psychology to further extrapolate the detailed parameters of Beethoven?s presumed extramusical will.The recording made was not to my satisfaction and has strengthened my view that the interpreter should take council from the collected knowledge of scholarly sources but must ultimately remain free in whether and how to utilize that knowledge.Lastly, I?ve measured the bpm in the resulting recording with a error margin of ±0,02 s.

Introduction/Background: Economic evaluations help decision-makers to make informed decisions regarding resource allocation. Information generated from CEA can support evaluations of a new intervention with current praxis. The evaluations also provide information as to whether an intervention is cost-effective, both in economic terms and in health gains. Objective: The aim of this thesis is to investigate the use of economic evaluations in public health, with a focus on CEA. Use of economic evaluations is regarded as both a method for evaluation and as support for informed decisions.

AbstractPURPOSE: The aim of this study was to describe and compare possible differences regarding selected prognostic factors for disability between patients with non-specific chronic pain who were about to start a multidisciplinary treatment program (MMR), either within primary care (MMR1) or hospital care (MMR2).METHODS: The study had a descriptive and comparative cross sectional design. Eighty-nine patients were recruited consecutively when they were about to start their team treatment (50 in MMR1,39 in MMR2). The measurements were; Evaluation of self-reported self-efficacy for eight daily activities (STIVA-8), The Pain Belief Screening Instrument (PBSI) and Hospital Anxiety and Depression Scale (HADS).RESULTS: The study found some significant differences between the answers from patients in MMR1 and those from patients in MMR2. For instance, patients in MMR2 estimated lower self-efficacy according to STIVA-8 than patients in MMR1. Also, there were fewer low risk patients and more high risk patients in MMR2 than in MMR1 regarding pain intensity according to PBSI.

Aim: To investigate if physical exercise in combination with coaching will reduce pain and improve knee function in patients with mild to Moderate osteoarthritis in the knee compared to physical exercise alone.Method: The study consisted of 42 patients who were randomized to either an intervention group or a control group. Both groups followed a standardized training program at home, but the intervention group received additional support with regard to the aim of their training, as well as extra coaching during the training period of ten weeks. A Visual Analog Scale (VAS) was used to evaluate the patients? pain. A 10 metre walking test, the Index of Muscle Function (IMF) and the Knee injury and Osteoarthritis Outcome Score (KOOS) were also used to evaluate knee function.

Today 70 percent of the world's sand beaches are under recession due to erosion. The global warming may have the effect upon the sea level increasing and the erosion increasing on the sand beaches. To save these sand beaches, the erosion must be prevented. Coast erosion shelters like gabions and sea walls are functioning extremely well to protect the land behind the sand beach, but due to the wave reflections, created in front of these so called hard erosion shelters, the erosion of the front beach is accelerated. During the last decades, artificial sand supply (beach nourishment) has been the adopted praxis.

This essay intends to examine the atheists Richard Dawkins, Daniel Dennett, Sam Harris, Christopher Hitchens and Michel Onfray's arguments against religion, based on the themes of religion, atheism and the perception.of their present worldview. In addition, the research aims to find out whether it is suitable to talk about a new atheism. And, if so, whether such newatheism correspond with the definition represented by the Christian critics. The essay intends to contribute to a very limited research on the so-called new atheism without applying pro-religious arguments.Previous research and theory highlight the problem of defining the terms atheism, religion and secularism a concern that is reflected by the five critics troughout their arguments. What really united the critics were the idea about religion taking too much place in society, and the opinion that atheistic morality is at least as good as religious morality.

The background of this work is the media discussion about the effect of cultivation on peatsoils on greenhouse gas emissions. It has been argued that row sown and intensivelycultivated crops such as carrots are more likely to emit carbon dioxide than for example grassleys. The association KRAV (an association promoting organic farming) shall, from this yearadapt their environmental policy to be more climate smart and have asked the question if thecultivation of some crops is more climate smart than others? Carbon dioxide emissions fromsoil are due to degradation of organic material and the rate is controlled by microbial activity.The microbial activity is determined by a variety of factors such as temperature, soil organicmatter quality and water content. I have measured the carbon dioxide emission from fourdifferent crops at two different farms.

The capacity to process and to remember information is a basic condition for language ability and for coming reading ability. Reading ability is strongly connected to phonological awareness, receptive vocabulary knowledge and working memory capacity. In what way hearing impairment in children affects development of cognitive skills and later on reading ability is an area that has attracted minor attention for research.The aim with this study was to investigate changes in cognitive skills and reading ability in children with mild or Moderate hearing impairment after one year of progress and furthermore if any connections between any increases of the abilities were to be found. Comparisons were made with results from age adequate normal hearing children. Moreover prosodic ability on word-level was tested this year.

Due to recent legal enactments regarding carbon dioxide emissions, the car industry is facing higher demands. An effective way of reducing these emissions is to minimize the weight of the vehicle. This thesis constitutes a feasibility study on whether or not it is applicable for the car industry to utilize an inner floor structure comprising composite materials. The principal was the projectSåNätt, in which the main participant was Volvo Cars Corp. In consultation with a reference group, consisting of delegates from the industry and KTH, a specification of requirements was produced.

Introduction: We are facing an aging population, which means that the incidence of age related diseases, such as Alzheimer's disease, are expected to increase. In the current situation there is no cure for the disease, whereupon it is important to develop preventive strategies. Objective: To examine the association between Alzheimer's disease and physical activity. Method: A systematic literature search was done to identify the current state of knowledge from the year 2006 onwards. The reason for this limitation was that the SBU commissioned a systematic literature review in 2006, where the relationship between physical activity and Alzheimer's disease could not be determined.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: The relation between alcohol and abdominal obesityAuthor: Anna Eriksson och Karin EdenholmSupervisor: Fredrik BertzExaminer: Ingrid LarssonProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 30, 2013Background: Abdominal obesity is a part of the metabolic syndrome, which has a worldwideprevalence of 20-25 %. The problem with abdominal obesity is the accumulation of visceraladipose tissue, which is an important risk factor for cardiovascular disease. Alcohol haseffects on metabolism, and can also lead to an increase in total energy intake; these twofactors can lead to an increase in accumulation of visceral fat. Besides this there are studiesthat show that a Moderate alcohol intake could be good for your health. The context gets morecomplicated since different studies have shown contradictory results concerning theassociation between alcohol, different types of alcoholic beverages and measurements ofabdominal fat.Objective: The objective of this article review is to assess the evidence of whether alcoholintake is associated with accumulation of visceral adipose tissue, using the measurementswaist circumference (WC) and waist-hip ratio (WHR).Search strategy: The databases used in the literature study were PubMed and Scopus.

Musculoskeletal disorders (MSD) are common in individuals with computer based work. Thecurrently known risk factors for these disorders is in the literature derived to physical,organizational and individual factors. A recent survey of three working groups at a companyin Stockholm explored that more than 50% of the employees had neck and shoulder problems.Aim: The study aims to create a better understanding for the current musculoskeletalproblems at the company. Such an understanding is created by examining the physical,organizational and individual risk factors in the workplace and the result can provide a goodbasis for intervention proposals.Method: In order to answer the aim of the study the authors chosed to use both qualitativeand quantitative methods of data collection through interviews and questionnaire survey. Theinterview and questionnaire was designed to create both a specific and comprehensive pictureof the physical, organizational and individual risk factors having a bearing effect on theexisting MSD problem.Result: Seven categories were compiled from interviews, which largely deals with the factthat high demands can lead to behaviors that may pose a significant risk for the occurrence ofMSD.