Through changes in the code of statutes, SOSFS 2009:27 (M), opioid addicts are excluded since March 1 2010 from possibilities to be accepted for substitution treatment. Opiate addicts are solitary admitted for substitution treatment from that date. Opioid addicts are excluded admission for treatment regardless of the fact that they fulfil the ICD-10 diagnosis F.11.2, i.e. opioid/opiate addictive criteria. The alteration in the statutes was carried out in reference to the fact that evidence for this kind of treatment intended for opioid addicts was missing.Both groups i.e.

Syftet med denna systematiska litteraturstudie var att i vetenskaplig litteratur utifrån sjuksköterskornas perspektiv undersöka vilken inställning sjuksköterskor har till opioidbehandling i palliativ vård. Metoden baserades på systematisk granskning och analys av åtta vetenskapliga artiklar.Resultatet av denna litteraturstudie visar att kunskap och erfarenhet har en positiv påverkan på sjuksköterskornas inställning till opioidbehandling i palliativ vård. Resultatet visade också att sjuksköterskor med kort arbetslivserfarenhet, sjuksköterskors ovana i omvårdnaden av svårt sjuka och döende patienter samt de sjuksköterskor som inte visar förtroende för opioider som behandingsform är motvilliga till opioidadministration..

The aim of the study was to describe how nurses experience to handle the alcohol issues among young people and how they can identify young people?s alcohol problems, abuse and dependence. Empirical articles were searched in the databases Cinahl, Medline(Pubmed) and Discovery and resulted in the inclusion of 14 scientific articles. The results showed that nurses find it difficult to raise the issues of alcohol with young people, this partly because they feel that they have too little knowledge and that it is an emotional issue to raise. There is help instruments available that nursing staff can use to raise this issues and to identify alcohol problems, abuse and dependence.

Background: In scientific literature there are various treatment programs for people with alcohol dependence described, however, are psychosocial factors that promote recovery process described to a limited extent.Purpose: To describe the psychosocial factors that promotes recovery from alcohol dependence.Method: Literature study of ten scientific articles, published between 1999-2011 with both qualitative and quantitative design.Results: According to the literature, the recovery process can be considered to begin when a person with alcohol dependence reached his personal rock bottom. The longer the recovery progresses, the greater are the overall level of performance. Social support is described as an important factor to prevent relapse and reduce the need for professional help. Self-belief and support of self-help groups are described as important to maintaining sobriety. Social support and influence from family members was related to increased ability to analyze and assess their situation during the recovery.

The purpose of this study is to describe and analyze how health care providers, working at care facilities providing maintenance treatment programs for opiate dependence, perceive and manage the legal framework governing the treatment. The study is limited to a few particular rules within this framework which over the recent decade have been the subject matter of debate regarding i.a. their alleged lack of relation to scientific research and their frequently disastrous implications for program participants. The empirical material consists of interviews with five respondents working at four different care facilities and has been analyzed by using Lipskys theory on street-level bureaucrats as policymaking agents. The results of the study show that the rules are looked upon and dealt with in a liberal fashion and that the primary loyalty of the maintenance treatment staff is clearly directed towards promoting the well-being of their patients and helping them reach their treatment goals rather than strictly following the rules..

Background: Exercise dependence is a behavior where some people get very strong feelings for their training. This dependency becomes a problem when it affects individuals? life in a negative way. Individuals with low self-esteem have been found to have an increased risk for exercise dependence. Self-estem is associated with Self-compassion, which is to have compassion with oneself in pain and difficult periods.

Title: Consequences of diversion ? a qualitative interview study regarding illicitbuprenorphine use.In year 1999 buprenorphine was introduced in Sweden and is used in treatment for opioiddependence. An issue concerning substitution treatment programmes is the occurrence ofdiversion and the following illegal sails of buprenorphine on a black market. The aim of thisstudy was to explore how people who have used illicitly obtained buprenorphine describessuch abuse. The study was conducted using qualitative method, where a total of fiveindividuals were interviewed about past experiences of having used illicitly acquiredbuprenorphine.

The intention of this study is to investigate possible excitation on dogs due to buprenorphine treatment. The reason for it to be about buprenorphine and not any other opioid is due to its relevance being one of the most popular opioids in animal care, as well as the authors own experience with what seems to be buprenorphine induced excitation in her own dog. The study consists of a literature review and an internet based survey containing thirty questions sent out to twelve animal clinics and animal hospitals. Significant agitative effects on behavior has been found in studies on horses, sheep, goats, rats and mice, but no one shows the effects of buprenorphine on dogs. The literature on opiod effects on dog behavior seems sparse.

In 2002, the euro as a common currency did replace the national currencies in the EU member-states that did choose to take part in the EMU. It was then viewed as one of the greatest accomplishments ever to be made by the EU. However, during the latest years, the economic situation has deteriorated in several EMU member-states. This affected the whole euro-area and the current situation is referred upon as the euro-crisis. In 2011, at the time of the euro-crisis, the Heads of State or Government of the euro-area did reaffirm their full commitment to strengthen EMU.

Smärta är förenat med ett lidande, och sjuksköterskan har ett stort ansvar vid smärtbedömning och smärtbehandling av patienter. Trots dagens väl utvecklade metoder och preparat för smärtlindring behandlas inte patienters smärta på ett adekvat sätt, bland annat på grund av negativa attityder hos sjuksköterskan när det gäller narkotikaklassade läkemedel. För att åskådliggöra hinder hos sjuksköterskan att administrera opioider till patienter med smärta genomfördes en systematisk litteraturstudie baserad på 18 originalartiklar. Resultatet visade att opiofobi hos både patient och sjuksköterska kunde verka som en barriär. Bristande kunskaper angående smärtbedömning och opioid som preparat var ett hinder för tillräcklig smärtlindring Ett bra samarbete mellan sjuksköterska och läkare var av stor vikt för att uppnå goda resultat vid smärtbehandling.

Syfte och frågeställningar: Syftet med studien var att undersöka om ortorexi enligt studiens definition förekommer bland gymnasieelever i årskurs tre. Frågeställningar: 1. Uppvisar gymnasieeleverna en kostfixering enligt ORTO-15? 2. Uppvisar gymnasieeleverna ett träningsberoende enligt Exercise Dependence Scale-21? 3. Uppvisar gymnasieeleverna ett ortorektiskt beteende enligt studiens definition? Metod: Detta är en kvantitativ studie med enkät som insamlingsmetod. Totalt åtta randomiserat utvalda kommunala gymnasieskolor inom Stockholms kommun deltog. Två olika tester användes; ett om kostfixering (ORTO-15) och ett om träningsberoende (Exercise Dependence Scale-21). Krav för att delta var att eleven är född 1996 eller tidigare. Totalt delades 234 enkäter ut, 226 var korrekt ifyllda och användes i studien. Det interna bortfallet var alltså åtta enkäter (3 %).Resultat: 23 % av deltagarna uppvisar en kostfixering enligt ORTO-15 (35 poäng eller mindre), varav 18 % män och 82 % kvinnor. 66 % av gymnasieeleverna uppvisar tendenser till träningsberoende, medan 2 % klassificeras (varav alla var män) som träningsberoende enligt Exercise Dependence Scale-21. Totalt klassificerades tre män (1,3 %) som ortorektiska.Slutsats: Ortorexi, enligt studiens definition, förekommer hos gymnasieelever, men endast i en väldigt liten del av den studerade gruppen (1,3 %), och endast bland män. Resultaten för träningsberoende enligt Excercise Dependence Scale-21var liknande (2 %, endast män), men en betydligt större del (66 %) uppvisade tendenser till träningsberoende. Nästan en av fyra (23 %) har en kostfixering enligt ORTO-15 testet..

The thesis objective was to study the partnership between the municipality of Gothenburg and three nonprofit organizations concerning the mobile EU-citizens. The study examines how the EU-enlargement affected Sweden and eventually the municipality of Gothenburg, and how Gothenburg responded to the new situation regarding the target group. The thesis contains one case study and the empirical data are based on semi structured interviews with politicians and officials from both the public- and the nonprofit sector. The results were screened with New Institutional Theory, Resource Dependence Theory and Decision Making Theory: Rule Following. The theories were used to locate any type of isomorphism, resource dependence and rule following in the partnership.

We have examined how the dependence, identity and social bonds affect customer loyalty and attachment to a training centre. The method used is a survey on SATS Karlstad city where 128 respondents were asked, out of which 118 surveys were used in the final analysis. The data was analyzed using ANCOVA and multiple regressions.The result showed significant relationships on attachment between identity and dependence. Social bonds had no significant effect on the attachment a member have towards training centre. Customer loyalty was measured by how long the individual has been a member and his or her training frequency.

Background: Despite the time and money invested in relationships with other companies, it is a fact that many of them fail. Considering this, remarkably little research has been done regarding how inter-organisational relationships are controlled, given that control can function as a solution to the problems involved with collaboration, which arise since such a relation exists in the interface between organisational boundaries, where the companies? often conflicting interests and points of view meet. If one part is stronger than the other in a relationship, the weaker however tends to give way for the stronger?s will.

New laws and recommendations within corporate governance during the last years have affected the way board of directors work. The board is said to have and fulfill three roles: a control role, a service role and a strategy role. These roles could be understood by three theoretical theories: the agency theory, the resource dependence theory and the stewardship theory. The purpose of this study is to investigate whether, and if so how, the board work differs between two small firms based on these roles, given that one of the firms is a publicly listed firm and the other is a privately owned firm. Using a qualitative case study as research method we find that the board work differs between the two companies when it comes to these roles.