One must consider cost effectiveness when deciding how resources within the health sector should be distributed. Quality adjusted life years (QALYs) are used to measure the value of different medical treatments. QALY is based on utility maximization theory, which suggests that a QALY is always a QALY regardless of who receives it. Therefore, a produced QALY is worth the same regardless of the age or the initial health of the patient. Previous research has shown that these assumptions do not seem to fit the real preferences of individuals.

The swedish rule concerning the treatment of employee stock-options have changed and the new wording of the rule will be applicable for the first time in 2010. The previous wording of the rule stated that the employee shall be taxed for the stock-option when moving abroad, even if the option is not exercised. The Swedish Skatteverket and Regeringsrätten have found that this rule is in conflict with the free movement of persons within the European Union. The new wording of the rule states that the employee shall be taxed when the option is excercised, no matter where the employee is situated. A state`s right of taxation of a stock-option determines wheter and to what extent the employee stock-otion derives from that state..

To complete an overweight treatment program is associated with better weight loss. Previous studies have in principle focused on drop-out from the entire program, not individual parts of a program. Factors previously shown to influence the patients´ weight loss results are: frequency of individual meetings with a professional, the lack of social support from family or friends, the lack of motivation and in a few studies vacations. In several studies the drop-out patients have stated that their reasons for drop-out were dissatisfaction with the staff and the program design. Drop-out has also been shown to be connected with difficulties in adherence to the diet.

To complete an overweight treatment program is associated with better weight loss. Previous studies have in principle focused on drop-out from the entire program, not individual parts of a program. Factors previously shown to influence the patients´ weight loss results are: frequency of individual meetings with a professional, the lack of social support from family or friends, the lack of motivation and in a few studies vacations. In several studies the drop-out patients have stated that their reasons for drop-out were dissatisfaction with the staff and the program design. Drop-out has also been shown to be connected with difficulties in adherence to the diet.

The purpose of this essay was to examine six high school welfare officers' experiences and work with students suffering from social phobia and discuss the welfare officers' view on social phobia from a psychiatric, cognitive and a knowledge theory. The study consists of qualitative interviews with welfare officers from several different high schools and attempts to answer the following questions: What previous experiences do welfare officers have of students with social phobia? How do welfare officers become aware of students with symptoms of social phobia and bring forth their problems? How do welfare officers describe their social work with students suffering from social phobia?The welfare officers' experiences of students with social phobia varied but turned out to be less salient than the amount of research in the area would suggest. The theoretical knowledge also varied, as did the acquiring and use of theory. These findings were then analysed on the basis of Rosmari Eliassons thoughts on knowledge, leading to the conclusion that the interviewed welfare officers do not construct their work on praxis-knowledge.

Inledning: Eftersom den psykodynamiska psykoterapin har kraftig konkurrens från andra terapiformer, samtidigt som kraven på effektivitet, snabbhet och evidens från hälso- och sjukvårdsetablissemanget är starka, är det viktigt att som psykodynamiker delta i diskursen kring den psykodynamiska psykoterapins vetenskapsteoretiska status. Hur kan man karakterisera den psykodynamiska psykoterapin om den dels inte är identisk med psykoanalys, dels heller inte automatiskt kan inordnas i det medicinsk-biologiska paradigmet? Uppsatsen har som syfte att definiera och undersöka om psykodynamisk psykoterapi kan betraktas som behandling och/eller en moralisk etisk praxis.Frågeställningar: Psykodynamisk psykoterapi ? är den en egen humanvetenskap? Hur kan man definiera och se på behandling och behandlingsmål i den psykodynamiska psykoterapin?Metod: Litteraturstudie med en hermeneutisk ansats.Resultat: Det finns olika sätt att se på den psykodynamiska psykoterapin när det gäller dess vetenskaplighet. Frågan om psykodynamisk psykoterapi är behandling i gängse medicinsk bemärkelse, har heller inget enkelt entydigt svar. Till synen på behandling hör också målet med densamma.

Bakgrund: Att opereras sätter patienten i en utsatt situation där personliga och kroppsliga gränser överskrids. Då patienten sövs har hon ännu mindre kontroll över vad som sker och den perioperativa sjuksköterskan blir den som måste bevara hennes värdighet och integritet. På flera intensivvårdsavdelningar kommunicerar personalen med den sövda patienten då de utgår ifrån att hon kan höra och minnas det som sägs även under anestesi. Detta synsätt är till synes inte lika utbrett inom operationsvården. Syfte: Syftet var att beskriva operationssjuksköterskors upplevelser av hur de upprätthåller den sövda patientens integritet och värdighet.

Is Försäkringskassan, one of Sweden?s largest organizations, an equal place to work in? Dosex, ethnical background or age matter when being treated by colleagues and managers?In this thesis I try to, through interviews with both the Human Resources-departement andsome administrators at Försäkringskassan, find the answers to how the organization?s internalwork regarding equality functions. To help me with the analysis I use both discourse theoryand gender theory. I find a discrepancy between the Human Resources-department?s and theadministrators? view of how the internal equality work is run.

Kognitiv beteendeterapi (KBT) avser att hjälpa personer med problembeteenden så att fokus ligger på nuet och framtiden, vilka mål som bör sättas upp så att en positiv förändring kan ske. KBT syftar till att människor ska kunna leva i samhället utan begränsning och med bättre livskvalitet. Denna kvalitativa studie visar hur KBT kan användas för social fobi och depressionsproblematik. Fem deltagare intervjuades, två psykiatrisjuksköterskor och tre psykologer. Alla arbetar utifrån KBT och studien visar deras upplevelser av metoden samt hur behandlingarna kan se ut.

Background: The majority of patients requiring medical attention experience some degree of pain. The nurses´ assessment of pain is crucial in reducing the patients suffering in a proper and timely manner. Previous studies have shown that the treatment of pain in a emergency situation is poorly managed. The patients´ pain experience is often under assessed and undertreated which leads to increased suffering for the patient. This results in higher costs for the health care system due to prolonged hospitalization.

SammanfattningKonståkning har blivit en alltmer fysiskt krävande idrott där utövarna tvingas träna både hårdare och längre pass. På grund av detta är de utsatta för skaderisk. Syfte och frågeställningarSyftet med uppsatsen är att kartlägga de vanligaste skadorna inom konståkningen i Sverige samt dess möjliga orsaker. 1. Vilka är de vanligast förekommande skadorna bland 9-20 åringar inom svensk konståkning?2. Vilka möjliga bakomliggande orsaker kan bidra till dessa skador?3.

During the past 10 years Sweden has updated its penal code for sexual crimes twice. Despite this few are convicted for the crime of rape in Sweden. As the majority of perpetrators being male, this is a problem concerning women?s rights to respect for their bodies and personal integrity. A possible explanation, and this study?s point of departure is a potential discrepancy between the intention of the law and the interpretation of the same as the Swedish legal system rests on a foundation of legal positivism.

Background: Diabetes mellitus is a chronic disease that manifests as an increased level of glucose in the blood. According to the World Health Organization (WHO), 347 million people have diabetes worldwide. In year 2004, 3.4 million people died from the consequences of high blood glucose. In the Swedish population the prevalence of diabetes is estimated to 3-4 %, out of which 85-90% are Type 2. Among senior citizens a prevalence of diabetes is seen in Sweden up to 14 - 15%.

Discharge of untreated wastewater leads to unnaturally high levels of nitrogen and phosphorus in rivers, lakes and the sea, which results in unbalanced ecosystems with eutrophication and lack of oxygen. Part of the phosphorus in surface waters is coming from on-site wastewater treatment from scattered households with unsatisfactory purification. Blast furnace slag is a by-product from iron production, and has in laboratory trials showed good phosphorus binding capacity. To test blast furnace slag as a reactive filter media for phosphorus separation in a full scale experiment, a wastewater treatment plant has been built behind the picnic area at Ångersjön alongside the road E4 in central-eastern Sweden. The plant contains two parallel lines, one with blast furnaces slag and the other with Filtralite-P as phosphorus sorbent. Both filters have showed decreasing phosphorus purification effect with time in spite of a low wastewater load.

Aim: To describe the lived experience of women with polycystic ovary syndrome (PCOS). Method: Eight scientific articles of appropriate quality were found, analyzed, condensed and synthesized. Different experiences by women with PCOS were found and ordered into themes. The findings were then anchored in associated literature and discussed. Results: Four different themes were found: Feeling different; Disturbing symptoms; Searching for answers; Care treatment.