Bakgrund: svårigheter uppstår med kommunikationen mellan patient och sjuksköterskan vid insjuknande i Alzheimers sjukdom vilket leder till hinder i smärtbedömning av personer med Alzheimers sjukdom jämfört med bedömningen avpersoner utan kognitiv nedsättning. Syfte: syftet med litteraturstudien var att belysa vikten av korrekt smärtbedömning hos patienter med Alzheimers sjukdom. Metod: studien var en litteraturstudie, 12 artiklar samtliga kvantitativa som svarade mot studiens syfte har granskats och analyserats. Resultat och konklusion: bedömning av smärta hos patienter med Alzheimers sjukdom är komplex, slutsatsen är tvetydig då resultatet visar dels att personer med Alzheimers sjukdom har mer smärta respektive mindre smärta än personer utan kognitiv nedsättning. Bedömningsinstrumenten som undersöktes i studien visade sig vara relevanta men ansvar och kunskap från sjukvårdspersonalen som använder instrumentet var ett krav för att kunna utesluta felkällor av tecken på smärta så som onormala rörelser, beteende och ljud.

There are no reliable, objective and simple methods today for measuring pain in horses. The purpose of this study was to evaluate and describe measuring of mechanical nociceptive threshold (MNT) values with a pressure algometer in clinically pain free riding horses at the riding school of Strömsholm. In this study there were 24 horses. Tape recording and electromyelografi (EMG) was used in an attempt to increase objectivity in the examination. MNT increased with age, however sex and colour had no influence.

Feline odontoclastic resorptive lesion (FORL) is a tooth disease affecting both domestic and wild cats. Although FORL was described as early as the 1920´s, the etiology is still unclear. Several hypotheses have been presented but different studies have obtained contradictory results, and today there is no generally accepted etiology. Teeth affected by FORL are characterized by root resorption with progressive destruction of the tooth structure and alveolar bone as a consequence of clast cell activity. The disease is considered very painful when reaching a certain stage.

Bakgrund: Smärta vid svårläkta ben- och fotsår är ett vanligt förekommande problem som ofta är underbehandlad. Smärta påverkar sårläkningen negativt och är ett komplext hälsoproblem. Smärta kan ses utifrån olika dimensioner vilka påverkar personen på olika sätt. Syfte: Syftet var att beskriva hur personer upplever smärta vid svårläkta ben- och fotsår. Metod: En allmän litteraturstudie baserad på kvalitativa empiriska studier.

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.

Bakgrund: Smärta och äldre personer är centrala delar i sjukvården. Smärta är en subjektiv upplevelse och påverkar en person både psykiskt och fysiskt. Smärta är komplext och det finns många anledningar till att smärta uppkommer. Många äldre personer i samhället får inte korrekt smärtlindring vilket kan bero på attityder och felaktiga bedömningar.  För att underlätta bedömningen av smärta finns det instrument som vårdpersonal kan ta hjälp av för att underlätta bedömningen av äldre personers smärta.Syfte: Att beskriva hur äldre personer upplever smärta och hur den handhas på vårdenheter.Metod: En litteraturöversikt som byggts på tio vetenskapliga artiklar. Artiklarna har hämtats från CINAHL complete.

This report gives an overview of applications of the Greenroads rating system whichin turn is an environmental review system for roads. The focus of this report isapplications during the construction phase, ie on solutions which adhere to theentrepreneur's area of responsibility as opposed to the designer's. The study was undertaken in cooperation with Skanska (a global contractor andFortune 500 company) which provided a project suitable for an exemplatory study ofGreenroads. Please note that the project in particular was not specifically designedwith Greenroads in mind. Therefore and because of that the site provided anexcellent opportunity to study effects of application contra non-application. The approach of this study was to first review the system, thereafter to performinterviews with key personel at the site in different roles as to receive different viewsof selected points of application. Selected possibilities of application are cathegorizedand presented with comments and suggestions for adoption. Lastly Greenroads is briefly compared to the rating system which today is the mostwidely used by Skanska, LEED.

ABSTRACTPurpose: The purpose of the study was threefold. Firstly, to investigate if a four week program in pain rehabilitation had any effect on how much individuals with persistent pain worked and their degree of kinesiophobia. Secondly, to study if there was a correlation between how much these individuals worked and their degree of kinesiophobia. Thirdly, to study if there was a correlation between the change in these variables.Method: 112 patients who had participated in a four week rehabilitation program took part in the study. The study had a retrospective design, which was based on a review on medical records and consisted of three minor parts.

De genusrelaterade skillnaderna inom fenomenet smärta är en aspekt som måste betraktas i omvårdnadsarbetet. Många faktorer påverkar smärtupplevelsen och sjuksköterskan måste ta hänsyn till dessa för att kunna göra en korrekt bedömning. Syftet med denna studie var att undersöka om det fanns skillnader i män och kvinnors smärttröskel och smärttolerans, samt om skattningen av den upplevda smärtan skiljer sig mellan könen. En inriktning mot akut fysisk smärta har gjorts i detta arbete. Arbetet har utförts som en litteraturstudie som använt sig av databassökning för att inskaffa det vetenskapliga materialet.

This report gives an overview of applications of the Greenroads rating system whichin turn is an environmental review system for roads. The focus of this report isapplications during the construction phase, ie on solutions which adhere to theentrepreneur's area of responsibility as opposed to the designer's. The study was undertaken in cooperation with Skanska (a global contractor andFortune 500 company) which provided a project suitable for an exemplatory study ofGreenroads. Please note that the project in particular was not specifically designedwith Greenroads in mind. Therefore and because of that the site provided anexcellent opportunity to study effects of application contra non-application. The approach of this study was to first review the system, thereafter to performinterviews with key personel at the site in different roles as to receive different viewsof selected points of application. Selected possibilities of application are cathegorizedand presented with comments and suggestions for adoption. Lastly Greenroads is briefly compared to the rating system which today is the mostwidely used by Skanska, LEED.

I dagens västerländska samhälle finns ett kroppsideal som påverkar unga kvinnors inställning och attityd till den egna kroppen. Kroppsidealet ställer krav på att kvinnan ska vara slank, solbränd och vältränad. Dessa ideal kan medföra att individen ej förmår att acceptera sin kropp. Syftet med denna enkätstudie var att jämföra unga kvinnors kroppsattityder beroende på utbildningsinriktning. Studien genomfördes med en enkät som innehöll Body Attitude Test (BAT) och Figure Rating Scale (FRS).

Ambulatory surgery is common and develops alongside surgery and anesthetic methods. Time admitted is short and aftercare takes place in the home environment.Objective: The aim of the study was to investigate which symptoms patients experience after ambulatory surgery related to anesthesia. Furthermore how strongly symptoms affect the patient. Symptoms appear as a result of anesthesia and surgery and can therefore be interpreted as nursing induced suffering.Method: Participants were recruited at ambulatory clinics at a Swedish university hospital spring, 2015.  Prior to the study permission was granted from the clinic managers. The study is a quantitative descriptive longitudinal study.  Data collection forms were administered and data collection was performed by phone.

This report gives an overview of applications of the Greenroads rating system whichin turn is an environmental review system for roads. The focus of this report isapplications during the construction phase, ie on solutions which adhere to theentrepreneur's area of responsibility as opposed to the designer's. The study was undertaken in cooperation with Skanska (a global contractor andFortune 500 company) which provided a project suitable for an exemplatory study ofGreenroads. Please note that the project in particular was not specifically designedwith Greenroads in mind. Therefore and because of that the site provided anexcellent opportunity to study effects of application contra non-application. The approach of this study was to first review the system, thereafter to performinterviews with key personel at the site in different roles as to receive different viewsof selected points of application. Selected possibilities of application are cathegorizedand presented with comments and suggestions for adoption. Lastly Greenroads is briefly compared to the rating system which today is the mostwidely used by Skanska, LEED.

WSP building physics in Stockholm has certified the preschool Temmelburken in Bromma with the system of certification Miljöbyggnad. The rating of the building became BRONZE. In this thesis the preschool has been investigated with respect to the three areas: thermal climate, use of energy and improving of the level of certification. The thermal climate at the preschool has been investigated by a questionnaire survey and by measurements in order to do comparisons between the results from the two investigations as well as with the results of the simulations that WSP has done at the certification of the preschool. The differences between the results from the simulations and the questionnaire survey for winter as well as from the measurement performed with a comfort meter the 19th of March are concidered to be reasonably small since they give rise to the same rating according to Miljöbyggnad.   Operational data for the use of energy for the preschool have been obtained in order to do comparisons with simulations performed by WSP and Svenska Besiktningar AB. The comparison shows that the simulated values for the specific use of energy are lower than what the real specific use of energy would be for the preschool, since just the operational data for the heat energy is higher than the simulated values. At the investigation of the possibility of improving the level of certification it was found that the rating of the preschool can be raised from BRONZE to SILVER by improving the ratings of the ?thermal climate summer? and the ?daylight?.

Introduction: Anxiety and depression are common among patients enrolled in psychiatric outpatient care. Ear Acupuncture is an alternative form of treatment that has been shown to relieve anxiety and depression in previous studies.Aim: To evaluate ear acupuncture as a group treatment for depression and anxietyMethod: A psychiatric outpatient clinic has been offering group treatments with ear acupuncture for anxiety and depression for 5 weeks. Participants of the study have answered self-rating scales Montgomery Åsberg Depression Rating Scale, Beck Anxiety Inventory and Sheehan Disability scale before and after the treatment period. Material was collected in the period 2008-2012 and has been analyzed in SPSS.Results: Data from 31 patients were included in the study. The results from the study showed a significant difference, between the measurements before and after treatment, with a reduction of the average values in the three different scales.Summary: From this study, it is difficult to draw any conclusions about the effect of ear acupuncture.