Background: Sphincter injury is serious complication in connection to vaginal childbirth. Desire to avoid vaginal birth again is seen in women who previously suffered from a sphincter injury.Objective: To identify and evaluate obstetric guidelines in Sweden regarding sphincter injury in relation to childbirthMethod: Content analysis with a combination of a deductive and inductive approach.Results: The most frequently occurring risk factors and prevention with help of perineal protection were described in the guidelines. The physician made diagnosis and repaired the sphincter injury at the theatre.  Complications such as coital pain and anal incontinence were described in the guidelines. Paracetamol and diclofenac was most common analgesic regimen given for pain.

The purpose of this paper is to contribute to better understanding of the importance of social support for physically active individuals' experiences of training residence following an injury.The physical activity's impact on public health is well known. Increased physical activity also increases the risk of suffering an injury related to physical activity. The importance of social support for those individuals who suffer an injury related to physical activity is where increased knowledge is needed.Four interviews to were conducted using a thematic interview guide with the following themes: The experience of the training break, two sides of social support, several ways of dealing with the experience, the design of the support, Varied support providers relationship changes. The most important property of the individual who gave support was an experience similar to that of the injured individuals underwent. That, combined with the close relationship with the individual who gave support was seen as crucial to the experience of the social support role for the injured individual.The Conclusion was that social support is important for the experience of a break from exercise due to an injury related to physical activity..

 Background: Earlier studies show that 30-92 % of ACL reconstructed return to their pre-injury physical activity. It is not clear why some people do not return.Purpose: The purpose of this study was to investigate the return rate to pre-injury sport among ACL reconstructed men. Another purpose was to characterize those patients who return and those who do not.Metod: A Web-based questionnaire with questions about returning to physical activity was sent out during the spring of 2012 to 93 men who had undergone an ACL reconstruction 6-40 months earlier and who, after 6-40 months after surgery, were evaluated with validated strength tests and self-assessment outcome measures.Results: At 12 months after surgery 56 % of the subjects had returned to their pre-injury sport. If the criteria were set higher ?back to the same- or a higher level? 14 % had returned.

Suspensory ligament injuries are a common cause of lameness among sport horses. These injuries are expensive due to slow healing, extensive convalescence and high risk of recurrence. The prognosis has been reported to be everything from good to guarded depending on the size of the lesion and the location within the suspensory ligament. The purpose of this study was to determine how different factors such as age, use, and location of the lesion are associated with the final outcome after a suspensory ligament injury. Material: Hospital records of 27 horses treated for suspensory ligament injuries at SLU equine hospital in Skara, Sweden, between January 2002 and July 2003 were examined retrospectively.

Injuries to the suspensory ligament represent a huge problem in equine veterinary medicine. As many of the affected horses are elite-competition athletes, there are high expectations on veterinarians to make these horses fully functional again. The suspensory ligament has several features which makes the healing process complicated. So far no treatment has shown to optimize the healing process. This has led to the testing of many new treatment methods, in order to find a consensus for the injury.

During the past few years there has been an observed decrease in physical fitness within different patient groups. As a part of the rehabilitating physiotherapy treatment it is important to acknowledge the physical condition of the patient. Physical fitness testing might be difficult due to physical limitations within different patient groups. A broad range of exercise tests is therefore of importance in clinical practice. The aim of this overview was to describe exercise tests used in rehabilitation contexts, and to define areas of use and restrictions.

 Background: Self-injury can be defined as deliberate harm one's own body without conscious intent to commit suicide. These patients need skilled care. Purpose: Illuminate nursing staff attitudes and treatment of patients with self-injury behaviour for individuals diagnosed with borderline personality disorder. Method: A general literature study has been made. Based on the objective was a literature search in various databases with ten relevant articles were selected and reviewed.

En ständig utveckling av den operativa miljön och krav på ökad produktivitet gjorde det angeläget att studera patienters upplevelser i samband med operationer. Allt fler operationer görs idag i spinalanestesi. Syftet med denna studie var att beskriva patienters upplevelse i samband med att genomgå en TUR-p operation i spinal anestesi. Studien genomfördes som en intervjustudie med kvalitativ ansats och bygger på åtta deltagare. En tematisk innehållsanalys genomfördes och resulterade i två övergripande teman: Att den långa väntetiden var en besvikelse och att stämning och miljö ingav trygghet och fyra underliggande kategorier: Att ha det jobbigt med prostatabesvär under den långa väntetiden, att få information var avgörande för att känna trygghet, att stämningen var bra gjorde att man kände tillit och förtroende och att den tekniska miljön var som förväntat.

SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed.

SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed.

The purpose of this study was to investigate different relations between the damages of falls and background variables as well as the relation between the falls and the weather condition to later be able to use this report to expand the knowledge among workers at VTI about the pedestrian fall injuries. All of the fall injuries in the data that this study is based on have occurred in Sweden during the time period between January 2003 and December 2011.To be able to answer the questions that this report is based on several statistical methods are used. The statistical methods that have been used during the making of this report are multiple linear regression, binary logistic regression, correlation analysis, association analysis and descriptive statistics as well as visual analysis.The results of the study show that women around menopause age have a tendency to get a big increase in the amount of injuries compared to men of the same age. The study also suggests that men on average tend to have a lower level of injury compared to women.Age also seems to affect both the amount of injuries and the level of injury negatively. The study suggests that the most likely reason for this is both that the intake of ?Fall Risk Increasing Medicine?, which is medicine that increases the drowsiness, is higher among older individuals as well as lower estrogen levels among older women and lower amount of testosterone among older men, which causes a loss of bone density in both sexes.The weather seems to have a strong effect on how many injuries occur but also a noticeable effect on the scale of the injury.

Aim: The aim of this study was to investigate how women who have incurred ACL injury for more than 10 years ago, feel that the injury affects them today.Method: A qualitative semi-structured interview survey with five women who 10- 28 years ago incurred the anterior cruciate ligament injuries when playing handball or soccer has been performed. The study has been inspired by a phenomenological concept of science, mainly by life-world concept. Data were analyzed using qualitative content analysis.Main result: Some informants have experienced severe loss of physical ability in both daily living situations and in training, while others did not appreciably felt impacted in daily living and experienced great opportunities for physical activity. Limitations which emerged were restrictions in movement, joint stiffness, pain, swelling, and crepitations that led to the loss of physical ability. One respondent had been diagnosed with advanced osteoarthritis.

Background: Being subjected to an extensive burn injury affects the victim´s physique, social life and its psyche. A burn injury can be determined as a trauma. Burn injuries often make the patient suffer from pain, anxiety and lack of a social life. Sister Callista Roy´s theory was used to analyze the result of the study. One of her goal is to promote the adaptive function of self-perception.

Hemoglobin is an oxygen binding protein in erythrocytes. Hemoglobin is composed of four polypeptide chains. During the fetal stage the type of hemoglobin called fetal hemoglobin (HbF) dominates. After birth HbF is replaced by adult hemoglobin (HbA). HbF persists in concentrations less than 1%.

Good physical, psychological and social health is pursued both at work and at home. There is no current research into the health of ski instructors despite the physically demanding nature of skiing and high injury rate. The purpose of this study is to map out ski instructors physical and psychological health and see if there are common injuries amongst them. This study is a descriptive and correlating study including a survey of ten questions with self reported data from the instructors. Five ski schools from Sweden participated in the study and 86 surveys got sent out to the ski school directors.The result from this study shows that ski instructor´s physical, physiological, well being at work, stress level and self efficacy is good.