As a patient you can find a lot of information concerning health and diseaseson the Internet. Purpose: The purpose of my study is to gain a betterunderstanding of how physicians relate to well-informed patientsfrom the point of doctor's changing role in meeting the patient related to theweb-based patient information. Today's patients are turning increasingly tothe Internet before they visit their doctor, this is due to the electronic healthinformation is available 24 hours a day, 7 days a week while the regulardoctor usually have several weeks of waiting. Problems that can arise with theWeb-based information is that the patient does not have a medical educationto know whether the information is appropriate or not. Method: To explorethese questions, I decided to use both qualitative semi-structured postalquestionnaires and telephone interviews in which the physicians preferreddifferently.

AbstractTitel: Diagnosing accountability, a study of accountability of UNT and DN?s medical journalism  ( Diagnos av ansvarstagande, en studie av accountability inom DN och UNT:s medicinjournalistik)Number of pages: 45 (59 including enclosures)Author: Alexandra JohanssonTutor: Göran SvenssonCourse: Media and Communication studies C Period: Fall 2008 University: Division of Media and Communication, Department of Information Science, Uppsala UniversityPurpose/Aim: To evaluate the quality of medical journalism in DN and UNT according to the theories of accountability and responsibility in the media.Material/Methods: The materials and methods used in this thesis are 14 articles from DN and 14 articles from UNT that have been analyzed according to the criterion set forth by Media Doctors, an Australian media accountability system.Main Results: The results showed that DN scored an average of 57% ?satisfactory? and UNT scored an average of 52% ?satisfactory? of Media Doctors rating scale. Strengths were an educational tone and an insightful review of the newest findings in the scientific community. Weaknesses were poor transparency and a tendency to neglect full disclosure of the scientific findings and sources. Focus was also show to be on research and not on information for potential patients.

ADHD is the fastest growing diagnosis of the last decade and there is an ongoing debate about how ADHD should be understood with a psychosocial perspective opposed to a medical perspective. The purpose of this study was to investigate how a Swedish daily and evening newspaper (Aftonbladet and Dagens Nyheter) portrays ADHD. Further, the study asked whether medical or social explanation is used in the discourse that appears in newspaper articles, how ADHD is described as well as which people are quoted in the articles. In this study we used Norman Fairclough´s critical discourse analysis with the 26 sampled articles which we believe highlight different perspectives on ADHD diagnosis.Our study shows that there are representatives cited in the articles from school, the judiciary and the medical field. However representatives from social work are conspicuous by their absence.

 The aim of this study was to explore Swedish ambulance nurses experiences in caring for sick or wounded children.Method: A qualitative interview study with a descriptive/ explorative design. The sample consists of 10 ambulance nurses, both men and women, with varying years within ambulance service. Trough unstructured questions the data was collected. The data was analyzed with qualitative content analysis.Results: Compared to previous published studies the results of this study shows a broader perspective on ambulance nurses experiences in caring for sick or wounded children. The experiences were focused on following five categories:o The character of the alarm o The organization of the work o The specific in the meeting and treating of a child in an ambulance o Children who dies or suffer from a trauma o To work in an ambulance and at the same time being a parent Conclusion: It is always special to take care of a sick or wounded child.

This report consists of a discussion about suitable methods for studying complex sociotechnical systems that are still being developed. There are large economical advantages with studying new systems before they are completely developed since problems can be discovered early and thereby avoided. It is, however, difficult to study developing systems, there are methodological limitations. These limitations are discussed and recommendations for studying non-existing complex sociotechnical systems are presented.The report is based on experiences from a study of the introduction of a shipboard helicopter on the corvettes that the Swedish Armed Forces are developing. A shipboard helicopter implies high requirements on the hosting ship.

Ambulanssjuksköterskor ställs ofta inför möten med närstående, samtidigt som de ska ta hand om en akut, svårt sjuk person. Syftet med studien var att beskriva ambulanssjuksköterskors upplevelser av möten med närstående i prehospitala situationer. Sex ambulanssjuksköterskor från tre ambulansenheter i norra Sverige intervjuades med öppna frågor. Intervjuerna analyserades som text med kvalitativ innehållsanalys. Analysen resulterade i fem kategorier: Personlig kunskap, insikt och erfarenhet, mötas i stimulerande anda, stödjande möten, frustration och otillräcklighet samt bearbeta och avsluta mötet mentalt.

Ambulanssjuksköterskor ställs ofta inför möten med närstående, samtidigt som de ska ta hand om en akut, svårt sjuk person. Syftet med studien var att beskriva ambulanssjuksköterskors upplevelser av möten med närstående i prehospitala situationer. Sex ambulanssjuksköterskor från tre ambulansenheter i norra Sverige intervjuades med öppna frågor. Intervjuerna analyserades som text med kvalitativ innehållsanalys. Analysen resulterade i fem kategorier: Personlig kunskap, insikt och erfarenhet, mötas i stimulerande anda, stödjande möten, frustration och otillräcklighet samt bearbeta och avsluta mötet mentalt.

The aim of this study was to determine which type of fluid to use in trauma care to improve patient survival. The method used was a systematic review, where a total of 18 studies were reviewed and 13 included in the results. The inclusion criteria used in this study were Randomized controlled trial, or studies relevant for the purpose, written in English and published during the last ten years. The studies were identified in the PubMed data base. The results showed that in trauma with hypovolaemia, colloid infusion has a better effect than infusion of crystalloid fluid on blood pressure and colloid infusion reduced the body's cascade systems in a beneficial way. Colloid infusion administered to head injury patients lowered their intracranial pressure more than crystalloid infusion.

Bakgrund: För att kunna ge en tydlig beskrivning av patientperspektivet gällande erfarenheter av bemötandet inom ambulanssjukvården och på akutmottagning är det viktigt att ta hänsyn till människors förväntningar på bemötande inom ambulanssjukvården. En ambulanssjuksköterska måste kunna visa engagemang och empati och kunna tolka och förutse patienters olika behov.Syfte: Att beskriva patienters erfarenheter av bemötande inom ambulanssjukvården och på akutmottagning.Metod: En litteraturstudie med systematisk ansats där studier (n=20) med kvalitativ metod inkluderats. Artikelsökningarna gjordes i databaserna CINAHL och PUBMED.Resultat: I resultatet framkommer tre teman; "det första upplevda bemötandet på akutmottagningen".Slutsats: Vid ett behov av akutsjukvård är ambulanssjukvården och akutmottagningen på ett sjukhus de första vårdinstanser som patienter kommer i kontakt med. Hur patienterna upplever bemötandet inom dessa instanser är avgörande för hur deras förtroende påverkas för deras fortsatta vård..

Background: Intimate relationship violence is physical, psychological or sexual violence that a person is exposed to in a relationship. There is a strong correlation between intimate relationship violence and mental health problems. A psychiatric ward at a hospital in Sweden, is working with a new routine. According to this routine every new patient should be asked about intmate relationship violence as a part of the admission interview.Objective: The objective of this study was to study how the healthcare personnel is working with the routine, and also to study response rate, interventions and how the work has developed over time.Method: A quantitative study with a retrospective and descriptive studydesign. One hundred and two medical records were reviewed.

Bakgrund. Vårdaren i den prehospital akutsjukvården var ofta den första person som patienten i en kris mötte. Dessa möten var ofta korta och under denna tid skulle vårdaren försöka etablera både förtroende och trygghet. Som teoretisk referensram har Benners omvårdnadsteori använts. Syfte.

Hemsjukvårdscentralen began its work from Tunåsens Hospital in Uppsala in 1962, with the purpose to give conomic support to people who nursed their chronic sick relatives in home. Hemsjukvårdscentralen ended its work in 1987, and delivered its archive to the County council of Uppsala in 1988. About half of the archive consisted of medical records of the patients who had received economical support, and many of the archival records was considered as ?work papers?, non-archival records that could be discarded. Two obvious problems emerge from the organizing of the records.

Background: Heart ischemia is a disease affected by behaviour, lifestyle and heredity. The disease is more common in the western world and the number of those who suffer increases. The mortality has reduced thanks to that medical resources and knowledge have approved. Purpose: The purpose of this study of the literature was to find out what patients experienced emotionally at an acute heart attack. Methods: A study of literature where scientific articles has been refereed and analyzed, then resulted into five categories presented in the result.

Att bli förälder är en stor händelse i livet. Graviditeten är en tid där både fysiskaoch psykiska förändringar påverkar livet för båda parter och också en tid attförbereda sig inför föräldraskapet. Syftet var att belysa vilka faktorer som harbetydelse för de svårigheter som fäder upplever i samband tidigt föräldraskap. Enprospektiv longitudinell studie genomfördes vid samtliga kvinnokliniker iVästernorrland. Deltagande var 827 partners till kvinnor som varit gravida och föttbarn under perioden juni 2007-juni 2008.

The purpose of this paper is to investigate how social workers, working in a management position in the health care system, perceive the encounter of the medical and social perspective. With seven qualitative interviews, the study tries to conclude whether or not social workers are accepted at managerial positions within the health care sector. The social worker is, as a manager in health care, a leader but at the same time in a professional alienation from the medical caregivers. Organizations in the health care sector are often multi professional and have their own long standing tradition, history and culture. The results show that the conditions for social workers, working in a management position in health care appear to be agreeable.