Objective: The objective was to examine the incidence of constipation, and the preventive measures taken in relation with postoperative pain treatment with opioids at two orthopaedic surgery wards.Methods: The participants were patients that had undergone surgery in the back, hip or thigh. They were selected through systematic selection and a total of 46 electronic health records were examined. The factors investigated and tested for correlation with constipation were the usage of laxatives, daily fluid-intake and early mobilisation.Results: Totally, 26.1 % of the patients became constipated, and laxatives were prescribed to 65.2 % of the patients. Doctors prescribed 53.3 % of the laxatives, nurses 33.3 % and for the remaining 13.3 % it was uncertain who had written the prescription. Usage of laxatives seemed to cause constipation (p=0,025), whereas there was no correlation between constipation and early mobilization.

Leber´s hereditary optic neuropathy (LHON), a disease affecting vision, is caused by several point mutations in mitochondrial DNA. Mutations leading to a defect NADH ubiquinone oxidoreductase protein will affect the respiratory chain and cause a disturbed ATP production. It is still unknown why this defect leads to the degeneration of retinal ganglion cells and cells in the opticus nerve as well as demyelination of axons in these areas. Analysis of mitochondrial DNA is an important tool in the diagnosis of the disease. At the present time analysis is based on cleavage by restriction enzymes, which only detects two of the most frequent mutations: m.3460G>A and m.11778G>A.

C-essay in political science by Anna Höjenberg and Maria Stenberg, spring of 2006?The Grey Zone ? An essay on the characteristics of a hybrid regime and a case study of Russia?. Supervisors: Joakim Ekman and Jonas LindeThis essay deals with the concept of hybrid regimes. The purpose is to describe the structure and the content of such a regime-type and try to create a model which can help us to analyse different countries. The essay is divided into two sections.

Syftet med studien var att utvärdera patientens upplevelse av den postoperativa smärtan och behandlingen av denna när den perifera nervblockadens effekt avtagit efter operation av distal radiusfraktur. Metoden som använts är en empirisk kvantitativ deskriptiv enkätstudie. Tjugo patienter deltog i denna pilotstudie. Demografin stämde väl överens med de statistiska data, som visar att distrala radiusfrakturer är vanligt förekommande hos kvinnor i åldern 55 år och äldre. Resultatet av studien har påvisat att många patienter har upplevt mer smärta än vad de själva varit beredda på.

Since several lifestyle diseases are associated with obesity much research is carried out within the area. Researchers have found that oxidation of fatty acids within the body?s cells may give rise to peripheral signals which regulate food intake, but it is still unclear where such a mechanism takes place. Although much evidence suggests that it is the hepatocytes in the liver that send signals regulating food intake, some researchers have begun to question this theory. Instead they argue that the mechanism takes place within the enterocytes since they are well localised in the gut for such assignment.

In this thesis I discuss and analyse the use of violence of Basque radical nationalists after the 11th of September 2001 and the bombing of Madrid the 11th of March 2004. The field study is performed in the Basque country with interviews both on the French and Spanish side of the border with representatives from the Basque Nationalist Liberation Movement (BNLM).After the 11th of September the Spanish government continued its struggle against the countries own terror - ETA. But as the research will show the new political context after the 11/9 made it possible for the state to intensify the labelling of groups from the BNLM as terrorist organisations and thereby putting its members and leaders in prison for terrorism. My research shows that this social change may lead to a mobilisation of activists inside ETA, which in turn might create a continuity of the group's use of violence. The scenario is though challenged by an other setting in which the political situation after the 11/9 have made use of violence by militant groups like ETA illegitimate and irrational as a consequence of the mental trauma among the people of the western world.

Skin temperature is detected through signals in unmyelinated C-fibers and thin myelinated A?-fibers in the peripheral and central nervous system. Disorders in thin nerve fibres are important and not rare but difficult to diagnose by the most common neurophysiological methods. In this pilot study different methods for quantitative sensory testing, QST, were compared to give some ideas about which method could be the most efficient to use in order to point out injuries of the sensory system in clinical practice. The comparison was made between Békésy (separate warmand cold thresholds) and Marstock test (combined warm and cold thresholds).

Persons suffering from Attention deficit/hyperactivity disorder (ADHD) struggle with complications within the functions that regulate and control the brain activities, due to deficiencies in these functions within the affected nerve-paths. ADHD is a cognitive function impairment characterised by inattention, impulsiveness and over activity. According to Diagnostic and Statistic Manual of Mental Disorders, American Psychiatric Association (DSM-IV), certain diagnostic criteria of ADHD must be fulfilled in order for a person to be diagnosed with ADHD. The everyday problems caused by ADHD are individual and medication can have positive effects relieving the person?s impairing behaviour.

Det har länge varit känt att patientens perioperativa position kan orsaka symtom som förmodas uppstå genom tryck och sträckningar. Positionen vid laparosko-piska operationer anses öka risken för symtom och därför är perioperativ om-vårdnad av betydelse. Syftet var därför att undersöka hur frekvent positions- relaterade symtom förekommer vid laparoskopiska ingrepp och vilken betydelse de har för patienten. Studien genomfördes som en deskriptiv tvärsnittstudie och datainsamlingen gjordes med hjälp av symtomskattning och semistrukturerade intervjuer. Totalt 60 respondenter i åldern 19 till 75 år deltog i studien som pågick under åtta månader.

Stress-related diseases in Sweden have doubled since 1997. Even longterm sickness related tostress has increased over the last decade. In future there is a need of alternative methods todecrease the amount of people being affected to gain a better population health. Natureassisted therapy (NAT) was shown to be a successful method as part of the therapy of stressand burnout likewise was nature an important factor to prevent people from mentaldisorders. The aim of this study was to analyse the latest research concearning nature and itshealth effects with focus on stress and burnout patients in order to plan health promotingactivities outdoors for these patients.

Background: When someone suffers a spinal cord injury, the nerve impulses between the brain, the muscles and the skin are intercepted, thereby resulting in motion and sensory loss.  During the recovery process, healthcare professionals play a vital role in ensuring that the patients have a positive experience of care, recovery and rehabilitation.Aim: The aim of this study is to determine how patients at a rehabilitation clinic in Sweden experienced the following: The patient?s experience of how well they were received by staff, the staff?s ability to explain and inform the patient of important details concerning their care and the staff?s ability to involve the patients in their own care.Method: A qualitative interview approach was used when undertaking this study. Six patients at the rehabilitation clinic were interviewed, and the interviews were later analyzed using qualitative content analysis.Result: The collected material was divided into ten categories that were sorted into three subheadings: reception of staff, information and involvement. Reception of staff, with categories: helpfulness, commitment, consideration, professionalism and reception. Information, with categories: if the patients felt well-informed.

Bakgrund: Smärtor i ben är vanligt förekommande och neuropati (nervskada) är en orsak som troligen är underdiagnostiserad. Bimanuell (tvåhändig/tvåsidig) nervpalpation och känseltest med sporre har visat sig vara ganska tillförlitliga och enkla test för att hitta nervskada men har inte testats på friska individer.Syfte: Syftet var att undersöka om bimanuell nervpalpation i fossa poplitea framkallar smärta/obehag och om det finns skillnad mellan vänster och höger sida vid bimanuell undersökning med sporre på underben hos friska försökspersoner.Metod: Ett bimanuellt palpationstest av nervi tibialis och peroneus i fossa poplitea och även ett bimanuellt känseltest med sporre över dermatomen L4, L5 och S1 på underben genomfördes. Urvalet var ändamålsenligt och totalt deltog 37 försökspersoner. Åldersspannet var 20 till 57 och medianålder 23.Resultat: Vid palpationstestet hade intensiteten av smärta/obehag en median på 1 (variationsvidd 3) på den 11 gradiga skalan. En stor del skattade olika mellan sidorna i både palpationstestet (11 av 37) och känseltestet med sporre (25 av 37).

Background: IT-security is included in the concept of information security, which considers all the security of handling information within an organisation. Good IT-security is about finding the right level of measurement, however, it is hard to implemement new IT-solutions in an organisation, particularly within the health care field, where sensitive information are handled daily. Lately the Swedish government, together with county- and city council, understand the importance of IT and health care. Carelink, an organisation of interest, is working actively for the presumption of benefit by using IT within the health care field. During spring 2006 the Swedish government introduced a national IT-strategy.

The escalating usage of pyrethroids has resulted in an increased awareness about resistance towards pyrethroids in insects. Pyrethroids inhibit voltage-sensitive sodium channels (VSSC) in nerve cell membranes and are composed of synthetic molecules based on pyrethrins present in pyrethrum extracts from Chrysanthemum species. VSSC are transmembrane proteins that are important for electric signalling over the membrane in insects. Mutations in the gene encoding the sodium channel have proved to be a common reason for resistance against pyrethroids. Pyrethroid resistance among pollen beetles is spread all over Sweden and also abroad and is increasing.

Örebro UniversitetInstitutionen för hälsovetenskap och medicin           Arbetsterapi Arbetes art: Uppsatsarbete omfattande 15 högskolepoäng, inom ämnet arbetsterapi.Svensk Titel: En jämförelse mellan Bobathmetoden och andra interventionsmetoder för behandling av strokepatienterEngelsk titel: A comparison between the Bobath method and other interventions for stroke patientsFörfattare: Maryam Tondkar MogadamHandledare: Marie HolmefurDatum: 2012-05-03 SammanfattningBakgrund: Bobath behandlingsmetod utvecklades i England på 1940-talet för patienter med hjärnskador. I denna behandlingsmetod ska patienter lära sig att kontrollera sina onormala rörelser och muskelspasticitet.Syfte: Syftet med denna studie är att jämföra Bobathmetoden med andra interventionsmetoder för att kunna se vilken behandlingsmetod som har bättre effekt för strokepatienter.Metod: Systematisk litteraturstudie gjordes i databasen AMED, PubMed och Cinahl för att ta fram aktuell forskning inom detta område. Artiklarna som kom fram är kvantitativa och Randomiserade Kontrollerade studier.Resultat: Resultatet av studierna visar att Bobathmetoden har positiv effekt för att klara aktiviteter i dagliga livet. Bobathmetoden visar förbättring från akuta fasen till efter behandling i ADL aktiviteter. Studierna visar att Motor Relearning Programme, Arm Basis training och Balance Performance Monitor träning har bättre effekt än Bobathmetoden i ADL aktiviteter.Arm Basis training, Motor Relearning Programme och Bobathmetoden förbättrade handfunktionen över tiden.