Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

Background:For patients with severe heart disease, may heart transplantation be the only opportunity for survival. Previous research highlights the importance of the nurse's role as supporters and knowledge brokers. People who has undergone heart transplant may be changed forever. Having to undergo a heart transplant can lead to that patients end up in a traumatic crisis. People's perception of herself and her perception of the world is also changing when the body is injured or suffers a disease.

SAMMANFATTNINGDet finns stora skillnader i hälsa mellan olika grupper i samhället gällande bemötande och den vård som erbjuds. Personer med psykiatriska sjukdomar har ökad ohälsa och kortare livslängd. Det har också visat sig att denna grupp ofta får sämre somatisk vård och inte tillgång till rekommenderade läkemedel i samma omfattning som andra patienter. Detta beror på att vården, liksom samhället i stort, fungerar inom en ram av diskriminerande strukturer som skapas av dominerande attityder och värderingar i samhället. Det är därför viktigt att belysa svenska sjuksköterskors attityder till psykisk ohälsa.Syfte: Att undersöka sjuksköterskors attityder till psykisk ohälsa inom den somatiska vården.Metod: Kvantitativ studiedesign, datainsamling via webbenkät med egenkonstruerade påstående, inspirerade av enkäten MICA (Mental Illness: Clinicians? Attitudes Scale).

The aim of the study was to investigate the performance of postlingually deaf adults on parts of the swedish dysarthria test Dysartribedömningen, and to compare these results with a matched group consisting of normal hearing speakers without any known speech disorder. The group consisted of 17 participants ranging between 42-86 years of age. Participants were assessed focusing on articulation, prosody, intelligibility and through a self-assessment of communicative participation. There was a statistically significant difference between groups on prosody that manifested primarily as a slower speaking rate in the cochlear implant users. No significant differences between groups as to articulation, intelligibility or communicative participation could be found.

Det uppskattas att ca 2 barn av 1000 har autism (AST) i Sverige idag, vilket innebärgenomgripande störningar i utvecklingen. Barn som drabbas av denna störning har ofta ettstort hjälpbehov från sin omgivning och att som förälder få ett barn med denna diagnosinnebär stora förändringar i det dagliga livet. Syftet med denna studie var att beskrivaföräldrars erfarenheter och upplevelser av att leva med barn med autismspektrumtillstånd.För att besvara studiens syfte har en litteraturöversikt genomförts, där sammanlagt 9artiklar har analyserats. Vid analysen framkom 5 olika områden: outtaladansvarsfördelning, att känna sig isolerad, oro, stress och depression, strategier för att kunnahantera situationen och vikten av socialt och professionellt stöd. Det framkom av resultatetatt de föräldrar som lever med ett barn med AST upplever att de bär en tung börda som ärrelaterad till barnets problem och svårighetsgrad.

AbstractThe aim of this study is to highlight the professional?s perspectives and work with young girls who have eating disorder anorexia nervousa. We assume a social constructivist perspective where the professional?s interpretations and perspectives on the issue anorexia considered. The study is based on a qualitative analysis of interviews with seven professionals in the areas of work, social services, school counselor, school nurse, anorexia unit and child and adolescent psychiatry (BUP).From a thematic analysis of the interviews, three themes emerged.

Min studie handlar om bemötande av psykiskt funktionshinder. Syftet med min uppsats är att beskriva och belysa hur bemötandet av människor med psykiska funktionshinder/funktionsnedsättningar kan gestalta sig. Genom min undersökning hoppas jag kunna bidra med kunskap om situationen för människor med psykiska funktionshinder i syfte att öka förståelsen i bemötandet av personer med psykiska funktionshinder. I min studie använde jag mig av kvalitativ metod för jag ansåg att det var bäst för min uppsats. Jag intervjuade tre personer, två personer som arbetar på ett boende för psykiskt funktionshinder.

Featured adjuvant chemotherapy treatment in women with breast cancer can lead to pain. The aim of this study was to explore, the variety of perceptions and impact of adjuvantchemotherapy-induced pain in daily life, of some women newly diagnosed with breast cancer.Inclusion criteria were participating in an ongoing stress management projectand chemotherapy of (anthracycline/taxan) in doses of 75mg² or more. Exclusioncriteria were inability to understand and communicate in Swedish and mentalillness. After ethical approval of the sub study in September 2010, women wereconsecutively included through oral and written request. Phenomenologicalapproach was used in the eight interviews and data analysis.

In today?s society more and more activities are digitalized. This means that everyone has to be able to use information and communication tools (ICT) in order to take part in the digital world, otherwise they will be left out of the digital community. There is a so called digital gap between for instance elderly and young people, where elderly do not know how to use the tools and there for cannot gain access to the digital society. What happens when people, not only grow old, but also have a communication disorder, such as aphasia? How are they included? The purpose of this study is to investigate whether or not surf pads are good tools for bridging the digital gap for people with aphasia, and which activities and situations that encourages people with aphasia to work with the surf pad.

Alla ma?nniskor har en vardag, med rutiner, vanor och fo?rpliktelser som upptar va?r tid. I denna uppsats underso?ker jag hur fyra personers vardag formas och pa?verkas av psykisk oha?lsa. Den vardag de beskriver handlar i fo?rsta hand om att bema?stra den psykiska oha?lsan och ta kontrollen o?ver hur de ma?r.

Attention Deficit Hyperactivity Disorder (ADHD) och konsekvenserna av att ha detta funktionshinder har debatterats mycket på senare år. ADHD anses vara en medfödd uppmärksamhetsstörning av varierande grad som finns hos 3-5 % av befolkningen och påverkar hela livet för den drabbade. Syftet med denna litteraturstudie var att belysa skillnader i livskvalitet och hälsa hos barn, unga och vuxna med diagnosticerad ADHD i jämförelse med personer som saknar denna neuropsykiatriska störning. Datamaterialet bestod av 11 vetenskapliga artiklar med kvantitativ ansats publicerade år 2000-2008. I resultatet framkom tre områden där skillnader fanns: livskvalitet och fysisk hälsa, livskvalitet och psykisk hälsa samt livskvalitet och social hälsa.

Cykling f?r transport har potential att vara en del av h?llbara st?der och samh?llen genom att bidra till h?llbara transporter och fr?mja fysisk aktivitet. F?r att ?ka transportcyklandet arbetar planeringsakt?rer med att vidareutveckla utvalda cykelv?gar till s? kallade supercykelv?gar. Vidareutvecklingen best?r dels av upprustning av cykelv?garnas standard och av att synligg?ra dem genom gestaltning bland annat i form av enhetlig v?gvisning.

Equine cutaneous melanomas arise much more often in horses with a grey coat color than in horses of other colors. Some scientists have in different studies come to the conclusion that the melanomas are neoplasms which can be classified by examining their histological and macroscopic features. The more defined and demarcated a tumor is, the more benign it tends to be. Other scientists believe that the skin lesions are the result of a pigmentation disorder that is linked to the greying of the coat color. According to this theory, the lesions are not malignant although they have the ability to metastasize.

The aim of this thesis was to use qualitative approaches to show how teachers in primary school reason on their way to meet and communicate with children who have ADHD (Attention-Deficit/Hyperactivity Disorder). Research questions of the study were as follows: How does teachers in primary school reason about their way to communicate with children with ADHD? Do the teachers use some specific methods or means of communication with students who have ADHD? Do the teachers reason about their way how to handle conflicts with students who have ADHD? I collected my empirical material through a qualitative interview method. My theoretical starting points were interaction theory and the socio-cultural perspective. I have used these theories to analyze my material.

The RECK gene is a relatively new discovered gene with important implications for cancer research. The research has been primarily concentrated on the human gene with the ultimate aim to identify the invasive characteristics. Up regulated RECK is linked to significantly prolonged survival rates in patients with severe forms of malignancies. RECK is normally expressed in all cells of the body and has an important role in the balance between destructive and constructive features of the extracellular matrix. The RECK protein is a membrane-bound glycoprotein that inhibit matrix metalloproteinases which has the function of breaking down the ECM. There is a significant correlation between RECK gene expression and the formation of new vessels, presumably via the mediation of VEGF which is an important and powerful inducer of angiogenesis.