ABSTRACTBackground: Most cases of lumbar disc herniation are asymptomatic. When symptomatic, LDH may cause a significant physical and mental distress. Initially, most patients are treated conservative but sometimes operations may be required.Aim: The aim of this study was to provide a review of the scientific basis of physiotherapy, including behavioural therapy, as a treatment to lumbar disc herniation regarding pain, function and the size of disc herniation in people suffering from lumbar disc herniation.Method: Four databases were used in the searches of literature. Assessment of the validity of the studies was done with the PEDro-scale and valuation of evidence rate was made according to guidelines made by the Swedish Council on Health Technology Assessment (SBU).Result: Nine RCT-studies were included with a total of 713 participants. The scientific basis is moderate to support a pain reduction and limited regarding improvement of physical function when it comes to physical exercises, including MDT.

Postoperativ shivering (PAS) definieras som en serie ofrivilliga muskelrörelser som ökar den metabola värmeproduktionen i kroppen. Förekomsten av postoperativ shivering är ett problem inom den perioperativa vården. Det finns flera orsaker till shivering. Termoregulativa och icke termoregulativa. PAS förekommer i ca 5-65% av alla anestesier, men frekvensen har under åren minskat.

 Extra high requirements are made on all systems in health care that they are functional and usable,´something, however, that is not always the case. At Emergency Admissions at Sahlgrenska University´Hospital many systems are in use at the same time and it happens that much overhead is caused by having to fill in the same information in different places. In addition, data that is gathered is to a large extent saved in free text format, which means that it cannot be used in a larger context such as research, quality control or for decision support. Data is saved in the patient file only for the treatment process of the individual patient.A data collecting system with decision support functionality could be a first step towards reducing Emergency Admissions? costs and patients? waiting times by providing a structured method of data collection.

Introduction: Sleep is necessary for human survival. Difficulty sleeping occurs in about one in four adult person in Sweden, insomnia in every ten. There are several reasons for difficulty sleeping, where stress is one of the most common. The quality of life and health are affected negatively. Treatment with proven efficacy against insomnia is not only sleep medication, but also cognitive behavioral therapy, CBT.

The starting point must be that as long as no binding agreement between negotiators has been concluded, the negotiators has no obligations towards each other. Swedish Law does, however, recognize that obligations may arise in a pre-contractual phase. Different circumstances may add liability in a pre-contractual phase. This essay is a study about what the presumptions are for the liability in a pre-contractual phase. This essay also deals with what circumstances a party can add when he will claim damages in a pre-contractual phase.

Studier visar att ungefär var tionde patient upplever stickrädsla, en rädsla för nålstick som gör att de undviker att söka vård vilket i sin tur kan leda till hälsoproblem på lång sikt. Att utföra venpunktion är en vanlig arbetsuppgift för anestesisjuksköterskan och hur hon hanterar patientens stickrädsla är av stor betydelse för hur patienten upplever vården som helhet. Anestesisjuksköterskan ska genom dialog med patienten bekräfta patientens rädsla och hjälpa patienten att känna trygghet på bästa sätt. När patienten upplever lidande på grund av vård, i detta sammanhang venpunktion uppstår vårdlidande och detta vårdlidande kan anestesisjuksköterskan förebygga. Syftet med studien är att beskriva anestesisjuksköterskors erfarenhet av mötet med vuxna patienter med stickrädsla.

The Swedish government published their current proposition concerning cultural politics,Tid för kultur in 2009. Due to this proposition, culture is considered a basic human right we all deserve to be provided with. It contained goals and guidelines for how to enable culture to all citizens, to integrate and enrich the state, the county councils? and municipalities? work with diversity and multi culture in their culture-based institutes. However, there seems to be a lack of strategies in the issue of how to provide our nondependent elderly, suffering age related handicaps and diseases, with this proclaimed necessity.In recent years, there has been a lot of research proving the link between human wellbeing and a stimulating environment.

Endometrios är en kronisk sjukdom som drabbar cirka 10 procent av alla fertila kvinnor. Världen över beräknas 176 miljoner kvinnor vara drabbade av sjukdomen. Endometrios medför ett stort lidande då sjukdomen påverkar det fysiska, psykiska, sociala samt sexuella välbefinnandet. Det krävs god kunskap om hur kvinnorna upplever sitt tillstånd och sin kropp för att sjuksköterskan på bästa sätt ska kunna främja kvinnornas hälsa och ge en god vård. Syftet med studien var att beskriva kvinnors upplevelser av att leva med endometrios.

For centuries inbreeding has been used to refine traits in dogs, making desired traits more hereditary and thereby, different breeds have been invented. Breed standards have been written for each of these breeds, describing in detail the different characteristics of each breed. When humans start to choose which animal to breed from, so called artificial selection, taste is put before function and the laws of nature, the natural selection, cease to apply. During this development, pedigree dogs have gone towards more and more extreme exterior characteristics and the dogs may have inherited various, more or less, severe problems for example compromised vision, impaired ability to move and difficulties to breathe. However they can still survive and reproduce because humans provide them with the conditions to do so.

Bakgrund: Missfall är ett ofrivilligt avslutande av en graviditet som kan medföra känslor av chock, sorg och skuld. Vårdtiden vid missfall är ofta kortvarig och vårdpersonal har en betydande roll för kvinnornas upplevelse och återhämtning.Syfte: Syftet var att genom en litteraturstudie beskriva kvinnors upplevelser av missfall och den vård som ges i samband med missfall.Metod: Allmän litteraturstudie baserad på tio vetenskapliga artiklar med en kvalitativ design.Resultat: Resultatet bestod av tre huvudteman med tillhörande subteman. Det första huvudtemat var Kvinnors egna subjektiva tankar och känslor i samband med missfall med subteman Förlust av en graviditet, Skuldkänslor, Oro och förväntningar vid framtida graviditeter. Det andra huvudtemat var Kvinnors erfarenheter av bemötande från vårdpersonal vid missfall, med subteman Attityder och bemötande, Brist på information. Det sista huvudtemat var Kvinnors behov av stöd i samband med missfall med subteman Familj och närståendes betydelse, Vårdpersonalens betydelse.Slutsats: Missfall var en chockartad upplevelse, ofta präglad av existentiell smärta och sorg.

Automatic rumination measuring can be applied as a health indicator in dairy farming but is also highly desirable for research purposes. This study aimed to validate the technical functionality of the product RuminActTM, which employ acoustics to monitor rumination duration. The time budget of high yielding cows was studied and possible differences in rumination time between 13 rations were interpreted. Further the study examined what affects daily rumination and rumination efficiency. The validation was performed with direct observations that were compared to the automatically recorded rumination durations.

The Swedish government published their current proposition concerning cultural politics,Tid för kultur in 2009. Due to this proposition, culture is considered a basic human right we all deserve to be provided with. It contained goals and guidelines for how to enable culture to all citizens, to integrate and enrich the state, the county councils? and municipalities? work with diversity and multi culture in their culture-based institutes. However, there seems to be a lack of strategies in the issue of how to provide our nondependent elderly, suffering age related handicaps and diseases, with this proclaimed necessity.In recent years, there has been a lot of research proving the link between human wellbeing and a stimulating environment.

Children and youth inactivity and sedentary at school is increasing. This means that some of the students have a significant unhealthy lifestyle with physical inactivity, which in turn implies risks of suffering from various diseases, including obesity, type 2 diabetes and cardiovascular disease, all related to a sedentary lifestyle. To prevent illness, it is important that children and young people early get a positive attitude towards physical activity.The purpose of this study was to study the causes of child and adolescent physical inactivity in school, based on teachers 'and parents' perspectives.A qualitative research has been selected. To achieve the study objectives, the author has conducted seven semi-structured interviews, with an appropriate choice of five teachers and two parents with children in school. Data was analyzed with a manifest content analysis.The results show that teachers and parents felt that physical activity is a protective factor for children's health.

Background: Relatives to people with schizophrenia often experience a great burden and inmany cases takes a lot of responsibility for the person suffering from schizophrenia. Nationalguidelines emphasize the importance for relatives to be involved in mental health care, butunfortunately that is not always the case. Objective: The aim of this study is to investigateand describe how relatives to people with schizophrenia have experienced collaboration andsupport from mental health services, and what requests they might have for the futureregarding the design of collaboration and support. Method: Qualitative approach. Interviewbased study with qualitative content analysis as a method.

Bakgrund: Patienter som återfinns inom den psykiatriska vårdkontexten och som lider av samtidig psykisk ohälsa och substansbrukssyndrom, eller dubbeldiagnos, riskerar att mötas av stigmatiserande förhållningssätt på grund av okunskap och förutfattade meningar. Syfte: Syftet med denna studie var att, genom att intervjua patienter med dubbeldiagnos, belysa deras upplevelser av vårdares bemötande inom den psykiatriska vården. Metod: För att få en djupare förståelse av fenomenet bemötande användes en fenomenologisk-hermeneutisk metod efter inspiration av Lindseth och Norberg (2004). Tre forskningspersoner intervjuades om sina upplevelser av bemötande inom psykiatrisk vård. Resultat: I resultatet framträdde fyra teman; att vara i underläge; att bli medveten om sitt sammanhang; att bli väl mottagen och att bli sedd som en person.