Syftet med denna systematiska litteraturstudie var att beskriva faktorer som påverkade uppkomsten av hot och våld inom psykiatrin. Till resultatet har författarna använt sig av tjugoen vetenskapliga artiklar som hämtats ur Högskolan dalarnas databaser ELIN, Academic Search Elite samt Cinahl. Sökord i olika kombinationer har använts för att få fram relevant litteratur till studien. De sökord som användes var violence, nursing, mental health nurses, aggressive patients, aggressive behaviour, psychiatric units, patients, factors, prevention, aggression, nurses, psychiatric, management, psychiatry och causes. Även manuell sökning i tidskrifter har gjorts.

Retinoscopy, also known as skiascopy, is an objective method for assessing therefraction of the eye. This method has been used for a long time, both in animalsand human patients. According to the literature, it has been postulated that it is notnecessary to obtain cycloplegia before the examination in lower mammals. Someauthors even mention that it can make the examination more difficult. Therefore itis not recommended.

International trade in services has increased over the past 30 years as a result of progress in information and communication technology, increased focus on services from the manufacturing sector and the establishment of trade associations.The international market for healthcare services, also referred to as medical tourism, is growing more and more. Patients increasingly seeking treatment at other countries healthcare systems because of long queues within their own country or because it exists better prices for the same care abroad. However, this type of service exports occurs at a limited extent in Sweden.The purpose of this study is to highlight and analyze the conditions for Swedish service companies to export healthcare services. This, includes the challenges and opportunities that exist to expand the exports of these services.The approach for this study has been in the form of interviews with two market actors and written responses, from the same interview guide, with three market actors. These market participants are the so-called Care companies which export healthcare services in various counties, and the membership organization Swecare who work with export promotion activities for its members in the Swedish healthcare sector.

AbstraktSyftet med studien är att försöka finna förståelse för hur muslimer uppfattar och hanterar stress utifrån deras egna kulturella normer. För att skapa en djupare inblick i den Islamska kulturen så utfördes en kvalitativ undersökning på plats i södra Turkiet. Fokus var riktat på det muslimska perspektivet av stress, då önskan var att undersöka vad stress innebar utifrån deras eget synsätt samt vad som användes i hanteringen av stress. Kvalitativa djupintervjuer genomfördes med fem kvinnor och sju män som var religiöst troende. Respondenterna hade relativt likartade upplevelser och tillväga- gångsätt i hanteringen av stress.

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.

Sahlgrenska AcademyAt University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: The obesity paradox, myth or truth in adults with cardiovascular disease.Author: Louise Svensson och Amanda NilssonSupervisor: Fredrik BertzExaminer: Ingrid LarssonProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 30, 2013Background: It has long been generally accepted that obesity is a risk factor for many diseases. Despite this, new research indicates that a higher BMI could be a protective factor for those with a chronic cardiovascular disease. This discovery is called the obesity paradox and could change the perception of patients' BMI in both public health and clinical work.Objective: The objective of this systematic review article is to examine the scientific evidence for the existence of the obesity paradox in chronic cardiovascular disease, i.e. if a BMI >25 kg/m2 is associated with lower mortality among adults with chronic cardiovascular disease.Search strategy: The databases used in the literature study were PubMed, Summon, Scopus and Cochrane. The keywords were: obesity paradox, cardiovascular, heart, male, BMI, intentional weight loss, cardiovascular mortality and mortality heart failure.Selection criteria: Studies, which had an adult population classified after BMI that suffered from chronic cardiovascular disease and had all-cause mortality and cardiovascular mortality as endpoints, were included.Data collection and analysis: Ten studies were included.

Laminitis has crippled horses through times and many cures have been used to treat it. Since the mechanism of the disease is yet not fully understood, treatments are only ways to alleviate the pain and at best, slow down the pathological process enough to make time for improvement. This paper is a retrospective study of 71 horses treated by a protocol at Hästsjukhuset Strömsholm. The protocol implies three visits at zero, five and fifteen weeks. At each the horse is evaluated and treated by a veterinarian.

SammanfattningBakgrund: Diabetes förekommer hos 3-4 procent av Sveriges befolkning. Uppkomsten av diabetes är ofta relaterad till livsstil. Hur människor upplever att få diagnosen påverkar synen på sjukdom och framtid. Människor som får sjukdomen är i behov av stöd från vårdpersonal. Syfte: Beskriva vuxnas upplevelser av stöd efter att ha fått diagnosen diabetes mellitus.

The persecution of the Rohingya Muslim minority population in southwestern Burma has come to the fore in recent years. The aim of this study is to first analyse the degree and respects of biopolitical control in the case of political oppression. Secondly, the aim is to compare the similarities and differences when it comes to the causes, mechanisms and expressions of the two theoretical starting points in the case.Giorgio Agamben´s biopolitical theory, which tries to reconnect state control over life and death with modernity, forms the basis of the analysis. Will Kymlicka´s liberal theory on minority rights serves as a theoretical comparison tool. Methodological starting points to the specific bilateral purpose will be both of the textual and discursive analytical tradition.

Background Anesthesia-related deaths are common in dogs, especially in the postoperative period, in compare to humans. This study aims to describe and elucidate the qualities of the postoperative care for dogs in Sweden. Method To investigate the postoperative care, a qualitative study was made by interviewing personnel in the animal health care sector. The primary information from the interviews was analyzed in a qualitative manor and a few distinguished qualities came forth. Results These qualities describe the postoperative care and include preventive activities, postoperative activities, monitoring and communication. A variation in regards to the results was seen between the interviewed.

Denna studie har gjorts bland ett antal gymnasieelever som studerar vid fordonsprogrammet och det samhällsvetenskapliga programmet. Undersökningen gick ut på att ta reda på dessa gymnasieelevers tankar om den muslimska kvinnliga klädseln, och detta gjordes genom en enkätundersökning och ett fåtal intervjuer.Resultatet från enkätundersökningen visade på att de flesta av dessa elever har en negativ hållning till den muslimska slöjan. De ser den muslimskt klädda kvinnan som förtryckt, osäker, religiös, underordnad mannen och orespekterad. Om man då tar bort den muslimska slöjan förknippas en kvinna från Mellanöstern med självständighet, respekt, frigörelse och öppenhet. Denna skillnad i resultat kan också bero på att dessa två bilder var lite olika utformade.Det fanns inga större skillnader mellan de parametrar jag ville undersöka, så som skillnader mellan kön, mellan olika program, skillnader mellan de elever som hade läst religionskunskap och skillnader mellan de elever som har erfarenheter av muslimskt klädda kvinnor och de som inte har det.

Bakgrund: Multiresistenta bakterier (MRB) utg?r ett v?xande globalt problem vilket beror p? att de har f?rv?rvat resistens mot ett flertal antibiotikasorter. Resistensutvecklingen kan f?rklaras av felaktig anv?ndning av antibiotika och ?kar i takt med globalisering och v?sterl?ndskt resande. MRB ?r en utmaning f?r sjukv?rden och det kr?vs s?rskilda rutiner f?r att minska smittspridningen och bevara patients?kerheten.

The purpose of this study was to find knowledge about ostomy patients experience with a focus on overall life situation and the care they receive from the nurse. The method used was a systematic literature review according to Polit, Beck & Hungler. Six scientific research reports have been used as foundation of the result in this study. The articles have been reviewed according to Antonovsky's Sense of Coherence (SOC).The result shows that experiences of having ostomy are individual. Adapting to their new life situation varies depending on the reason for having an ostomy.

AbstractBackground: After a while the usage of urinary catheters leads to UTI which for the patient means inconvenience, suffering and pain. Aim: The aim of this study was to illuminate how to prevent UTI from patients with indwelling catheter. Method: This study was a literature review in which the articles have been searched for in PubMed, Cinahl and ELIN@Kristianstad. Results: It is important for the nurse to clean the periutheral area before inserting the catheter, and has the knowledge of different cathetermaterials. Silver alloy-coated catheters reduces the rate of UTI.

The title of this essay is Project: The Veil ? an investigation of the trends in the Swedish veil debate compared with the veil debate in France and Great Britain written by Cecilia Lindvall. The purpose of the paper is to analyze how the argument has been conducted by the Swedish politicians from the time when the veil was first recognized in Swedish media up until today. The questions I wanted to answer was each countries definition of the three concepts secularization, freedom of religion and multiculturalism, how Islam as a faith with Muslims has developed in Sweden, France and Great Britain and each countries integration politics with the politicians attitude towards the veil. The method being used is a qualitative study with three kind of theories for analysis; two who derives from a feminist point of view where the first one advocates for the rights of each women, the second for the rights of religious groups and a third theory which discusses different models of integration logics.