AbstractAim: The aim of this study was to investigate if treatment with ?dry needling? in myofascial triggerpoints (MTrPs) in the rotatorcuff muscles may affect impingement symptoms such as pain during provocative tests, shoulder mobility, and function. The research questions were: Does the value of pain change on the Visual Analog Pain Scale (VAS) between before and after treatment? Do the positive provocative tests for impingement change between before and after treatment? Does the active shoulder mobility change between before and after treatment? Does the self-rated function change between before and after treatment?Method: The study was a prospective randomized intervention study and 19 persons with impingement symptoms (mean ± standard deviation; 58 ± 18 years, and shoulder pain duration 3.9 ± 1.6 months) were randomized into two groups. The groups were tested before, directly after and 3 weeks after treatment.

The aim of this paper is to study the long-term effects of stuttering treatment according to the Lidcombe Program in Sweden and to answer questions whether underlying factors may have affected the treatment results. Participants were seven children, one girl and six boys aged 7:10-14:2, who all completed Stage 1 of the program approximately 2-7 years ago.The children were video recorded during a conversation with one of the authors and while reading aloud. Before the recording, their parents estimated the level of stuttering according to a Severity Range (SR) Scale. The evaluations were used as reference for determining whether the recordings were representative for the children´s current speech fluency. Proportions of stuttered syllables (%SS) were calculated from the video recorded material and compared with the proportions of stuttered syllables (%SS) at the time when the first stage of the program was initiated.The results showed that the Lidcombe Program had a significant (z=-2.37, p=0.02) long term effect on stuttering treatment for the participants in this study.

ABSTRACTThe aim of this study was to describe various methods of treatment and effects of treatment of ADHD, and to investigate wheater there is an association between adults with ADHD and obesity. Method:  Literature review. Twelve quantitative scientific articles were found in the data bases PubMed, Cinahl and MedLine.  Result: ADHD is a cognitive impairment that can lead to serious complications such as obesity. Studies show that drug treatments of adults with ADHD have positive effects in terms of reduced symptoms, increased efficiency and improved quality of life, but drugs can also cause side effects in form of loss of appetite and insomnia. For adults with ADHD and obesity drugs that affect metabolism have a significant impact on patients ability to lose weight.

Every year about 30000 people have a stroke. It is caused by either a bleeding or a blood clot, and depending on where the damage is, the patient can get different types of difficulties following after the stroke. About 40 % of all stroke patients sufferfrom some kind of speech and/or communication difficulty, like aphasia or dysarthria. As hospital staff it´s important to know how to communicate with these people, to get a deeper understanding regards their needs.Aim:The aim of this study is to out of a patient's perspectivedescribeexperiences ofcommunication difficulties that can follow after a stroke.Method:A content analysis with a qualitative approach was used to analyse five autobiographies.Results:The result showed in what way stroke patients experienced their communication difficulties, and how they felt about the hospital staffs treatment related to their communication difficulties. During the analysis two major themes emerged: suffering and wellbeing.

The continuous process of urbanization results in demands on research and development for ecological and sustainable city development. Because of this, the current systems for wastewater treatment may have to be improved. In order to evaluate new technologies for municipal wastewater treatment, a development project has been initiated for the new district Hammarby Sjöstad in Stockholm. The project is lead by the company Stockholm Water. High environmental standards have been put up for the district, as it must be twice as good as an ordinary new district.

Information technology is increasingly used in healthcare. New methods, such as apps and computer programs and Internet-based treatments are introduced to treat various medical diagnoses. Increased demand for help in mental illness means that it is necessary to develop alternative assessment and treatments to traditional treatments that may be offered by primary care and specialist psychiatry. Government and Local Authorities and Regions (SKL) have agreed to support, and treatment on the web is part of that development. The work is all about, and how Child and Adolescent Psychiatry ( Bup ) , use psychological e- services, and apps for the treatment of adolescents and the types of psychological e-treatments for adolescents are available in Sweden today.  Methods used are interviews and literature studies, where I examined the use of computerized psychological treatments in Västernorrland and Stockholm County Council.

Clients with dual diagnosis have difficulties to recover and have a tendancy to fall between two stools. Among other things this is due to the fact that caregivers have different approaches, values and focus. The purpose of this study is to compare how clients, therapists and socialworkers look upon the aim of the treatment, its form, residential care, the conception of goalfulfillment and participation. In our study we have applied the theories of Aaron Antonovsky, Howard Becker and Erving Goffman. The paper consists mainly of qualitative interviews with clients, therapists and socialworkers.

The aim for this essay is to adress questions concering ethnic and cultural experiences and in what way it affects our experience of being in different landscapes. By studying how ethnic experiences are expressed in the landscape and the ongoing process of interaction between them, this essay sets out to discuss the significance of cultural aspects in the landscape. The perspective of this essay is that both landscape and ethnicity can be viewed as something constructed which is shaped and maintained by ongoing interactions in the landscape.While examples are taken from different parts of the western world, the main focus is to study how these experiences take place and are being negotiatiated in a particular landscape, an allotment area outside Malmö, Sweden.In the first part it is shown how the landscape can be read as a landscape of powerrelations and how these relations are related to ethnic experiences.In the next chapter the discussion concerns whether we can talk about different ?ethnic landscapes?. Research suggest that the use and perception of the landscape differs among ethnic groups.

Sound surrounds us in a great extent, we all have experiences of sound and this phenomena has a great meaning in our lives. High levels of sound might be harmful for your hearing and might also cause related difficulties such as tinnitus and sensitivity to sound. Studies reveal a connection between the attitudes toward high levels of sound and the risk behaviours in these situations. The purpose of this study was to explore the experiences and meaning of sound and whether the attitudes toward sound will reflect in a family consisting parents and adolescents. A family consisting two parents and two adolescents participated each and one of them in an interview in this qualitative study that has been carried out of a phenomenological approach.

The alpaca is a camelid that originate from the South American highland. During recent years it?s been possible to keep alpacas in other parts of the world. Today there is a world-wide interest in alpacas, but there is still limited knowledge about this fascinating animal. There are approximately 350-400 alpacas in Sweden in 2007.

To receive a diagnosis of pancreatic cancer can lead to a tremendous change in a person?s life. Thoughts regarding death may cause a personal crisis which can have negative influences on the patient?s social, mental and spiritual state. Most people with pancreatic cancer are diagnosed in a late stage of the disease.

Background:Alzheimer's disease is a disease that primarily affects the elderly but also younger people. Alzheimer's disease is a type of dementia which means that you get changes in the cerebral cortex and cells gradually die. The disease causes memory loss and things that were obvious before will be difficult for the sufferer. Alzheimer's disease also affects next of kin to a large degree; they will have to take a great responsibility. The next of kin are entitled to support from healthcare.Aim:The aim was to highlight next of kin' experiences of healthcare to their family members with Alzheimer's disease.Method: The study was based on narratives, which in this case means analysis of autobiographies.

    Abstract The aim of this paper is to highlight experiences gained by psychotherapists in their work with young adults.  Aspects looked at include: recurring themes, the process of diagnosing young adults, the therapeutic alliance, and the therapeutic techniques.  Six experienced psychodynamic therapists were interviewed, and a semi-structured interview method was used. The results show a high level of agreement between the therapists as to their experiences and conclusions of psychotherapy with young adults.Results presented in this paper suggest that there is a difference between psychodynamic therapy used with young adults, and the more traditional psychodynamic therapy.  The most important difference turned out to be the approach of the therapist toward the patient, where a more active and distinct approach by the therapist to the here-and-now situation was to be preferred. All six therapists came out strongly against the use of the DSM manual when diagnosing young adults. The importance of understanding young adults and their difficulties from a psychological development point of view was stressed, as well as the importance of taking the approach that the years of young adulthood bring their own issues and concerns. It is clear from these interviews that there is a strong need for the establishment of institutions or centres specifically tailored to meet the needs of young adults for psychotherapeutic treatment at an early stage and in an adequate way, in order to avoid unnecessary ?pathologising? of their specific problems.  .

This essay is an analysis of a three-day participant observation with sensitive people in a house with entity continuity. The purpose was to investigate the possible experiences participants had during their stay. The method used was modified based theory with Jungian application. The investigation showed that the core category was a peculiar atmosphere which the participants related to a different world than the physical. The place? atmosphere influenced the participants and led to transcendent experiences related to a spirit realm.

?Entity continuity? refers to recurrent transcendent experiences related to certain places (?hauntings?). The experiences are often interpreted to be due to discarnate spirits or folklore entities. Although the entity continuity experience can be regarded as religious experience, they have yet to be fully explored in science of religion.The purpose of this paper was to describe entity continuity experiences and map out the scientific discussion in order to provide a psychology of religion that provides an understanding of the phenomena. For this purpose a literature study of theories of jungian psychology, parapsychology, and described experiences was undertaken.