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.

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.

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.

Ground work like blasting, piling and excavation has always had a great influence during the planning phase of a construction project since it can cause damages on adjacent buildings and have severe economic consequences. This thesis deals with how vibrations caused by ground work influence near-by buildings and what methods geotechnicians and construction entrepreneurs use to handle these risks.The purpose of this thesis is to explain risk management in relation to ground work. In order to achieve this I have used a qualitative method by interviewing a geotechnician and a ground work contractor who possess knowledge and experience useful to this thesis. The result shows that vibrations from ground work spread through the ground as seismic waves that cause displacements and packing in the ground visible in adjacent buildings as cracks and subsidence damages. Geotechnicians study ground work vibrations by means of ground investigations and experience from previous projects in order to produce a risk analysis that entrepreneurs can use to reduce damages.

Descartes sharp distinction between body and mind has had a severe influence on the culture of the western world. We now have a constructed system of knowledge that discards perception asunreliable and instead admits only deduction as the adequate method of understanding oursurroundings and ourselves.But what are we, if not human?And what would our lives be like without our dreams, the passions of our hearts and the sensationsof our sense organs?Irrational as it all may seem, these aspects form our existence, giving us pleasure, experience andknowledge beyond what we plan or try to predict. It is the fuel that keeps us going, fighting, loving.So how come we seek to explain everything? How come we seek the approval of others in matters we should be confident enough to judgeourselves? Why can't we embrace all the aspects of what it means to be alive? I state that the society and culture of the western world offers great possibilities for expression andcommunication.

Our purpose with this essay was to make a comparative study of the methadone programme in Sweden versus Denmark. We wanted to examine the issue by illustrating the historical and recent development of the drug political policy and the growth of the methadone programme in both countries.We chose to work with the following questions:1. What differences occur in the methadone programme if you compare the same in Denmark and Sweden? 2. How is the respective methadone programmes designed? 3.

Övervikt och fetma är ett stort hälsoproblem världen över. År 2008 var cirka 1,5 miljarder vuxna i världen överviktiga. Syftet med litteraturstudien var att undersöka om det finns en ökad förekomst av karies och parodontit hos vuxna personer med övervikt/fetma. Urvalet begränsades till vuxna som var 19 år eller äldre. Studien utfördes i form av en allmän litteraturstudie och materialet samlades in genom sökning i databaserna Pub Med och Science Direkt samt genom manuell sökning.

Obesity and overweight are today classified as one of the largest epidemics in the Western world and is threaten a large part of the population. As a reaction to this a major health trend has emerged in recent decades. Every day consumers are exposed to information from the media about what is healthy or unhealthy to eat and the recommendations change frequently.There is great interest in healthy food on the Swedish food market, but still healthy foods only represents a small proportion of the total food sales. The essay examines the gap between the current and potential demand for healthy food and if it can be explained by any of the following factors: lack of information, price, taste or cognitive behavioral.To study these questions a quantitative method have been used and 213 questionnaires were collected. The intention is to draw general conclusions about the entire population.

Övervikt och fetma är ett stort hälsoproblem i hela världen och associeras många gånger till social diskriminering. Under de senaste 35 åren har övervikt och fetma ökat i Sverige och kostar sjukvården tre miljarder varje år. Patienter med övervikt kan känna sig otrygga samt kan känna ett obehag att söka vård på grund av rädsla för stereotypa attityder från sjukvårdspersonal. Syftet var att identifiera och beskriva forskning om sjuksköterskors och sjuksköterskestudenters attityder gentemot vuxna patienter med övervikt/fetma. En litteraturstudie har gjorts för att sammanställa vad forskningen påvisar.

The study was performed for the Swedish Regional Forestry Board in Södra Götaland. The study examines broadleaf plantations on former farmland that were planted between 1991 and 1996 with subsidy payments for conversion of farmland into forest. In particular, the study reviews forests planted in 1991-92 and 1994-96. In the early 1990s, Swedish agriculture was deregulated and direct subsides to farmers ended. The Swedish state instead granted farmers financial support and offered incentives for conversion of farmland and investments in order to make their unproductive land productive. The state supported conversion of farmland to broadleaf forest, forest for energy biomass production, or establishment of wetlands on former farmland. The County Administrative Boards and Regional Forestry Boards together monitored the planting of broadleaf forests.

Barn som drabbats av övervikt, har stadigt ökat i hela världen. Det har utvecklats till ett globalt hälsoproblem. Orsaken till den ohälsosamma viktuppgången hos barn beror på många faktorer, så som arv, fettrik och energität mat, ökat tv-utbud, datorns allt större plats i hemmet samt minskad fysisk aktivitet. Syftet med studien är att beskriva metoder som sjuksköterskan kan använda sig av för att stödja överviktiga barn till att ändra livsstil. Metoden som användes var en litteraturstudie, där sju artiklar valdes ut genom inklusions- och exklusionskriterier.

The purpose of this study was to illustrate a parental perspective of children´s participation and quality of live through personal assistance. Important aspects of parents' experiences were highlighted based on how they experienced participation and quality of life for their children. We chose to use a qualitative approach in the form of four individual interviews with parents from different municipalities in central Sweden. The study was conducted with a narrative approach in which we used a holistic perspective. Parents' experiences were highlighted over time to create a complete picture.

The purpose of this essay was to examine female immigrants of South East Asia who have lived together with a drug addict and how they were affected and let themselves be influenced by that, and to study their reactions to such situations.The main questions were:· How do the women describe their personal relationship matters with their husbands with focus on abuse / co-dependency?· How do they show their co-dependency in actions?· How do the women handle their co-dependency?I chose a qualitative method because my purpose was to get a comprehension and hopefully find a pattern in the life situation in this specific target group. Regarding the collection of dataI used both primary data in the frame of interviews with persons connected to the problem, and secondary data in the form of earlier studies in that field.As the main result I found that these women lived in a severe stress. They were affected both psychically and physically by the abuse of their partners. They developed different strategies of survival to stand the reality and to save the family.

Abstract:Theoretical framework:  The Theory of Suffering by Katie Eriksson was used.Aim: The aim was to illuminate factors that influence women?s choice to seek care for urinary incontinence.Method: This literature review was based on a sample of nine qualitative and quantitative studies. Modified templates were used to assess the quality of the studies. Analysis of the results was done withmanifest content analysis.Findings: Findings made clear that the experience of shame is a central factor for women not to seek treatment for their urinary incontinence UI. Women had to have severe loss of quality of life in order to seek help for their UI, and the loss of quality of life had to be subjectively larger than the feeling of shame.