Breast cancer is the most common tumor disease among women in Sweden. About 7000persons, having a median age of 65, are diagnosed each year with this disease. Withmammography screening, breast cancer can be detected in an early stage which improves theoverall survival (OS). 20-30 % of the breast cancer tumors are overexpressing humanepidermal growth factor receptor 2 (HER2), which is a protein that stimulates cell proliferation.Trastuzumab (Herceptin®) is a humanised monoclonal antibody that targets the HER2-proteinand prevent the signals for cell proliferation.Trastuzumab has earlier been used for treatment of metastatic breast cancer. In the year of 2007trastuzumab was approved for adjuvant treatment of patients who has been medicated withsurgery and/or radiation.The aim of this study was to investigate the effects of adjuvant treatment with trastuzumab inHER2-positive breast cancer patients.

BACKGROUND: One of the nurse?s areas of responsibility is to relieve suffering. Research has shown that nurses give an indication of an emotional load in the interaction with dying patients. This means that patients need of relieved suffering gets disregarded because of nurse?s fear of the unknown.

Malassezia otitis in dogs is a common cause of visit to a veterinary service. In otitis externa due to Malassezia overgrowth the dog has a higher number of yeast organisms and/or a local inflammatory response to the micro organism. Common clinical signs include pruritus, erythema, swelling and increased exudate production. Clinical symptoms and results from cytology of ear swabs from the ear canal is the mainstay for diagnosis. Any underlying condition has to be identified and corrected to avoid relapse. The treatment options for infective otitis externa are based upon topical administration of eardrops containing antibiotics, steroids and antifungals.

Breast cancer is the most common form of cancer affecting women. The treatment of breast cancer may lead to forcing the woman to remove her breast. The breast is a symbol of femininity and sexuality for many women. The purpose of this literature-based study is to describe women's experiences of altered body image and sexuality after mastectomy. This may provide a better understanding of the nurse in responding to these breast cancer patients.

The purpose of this study was to examine the laws, govern documents and guiding principals that are available for schools and their work regarding the work against discrimination, insulting and other forms of harassments, and then to form a method for the schools to implement this work in practice.The work to counteract discrimination, insult treatment and other forms of harassments should be done both in a short term and a long term. In this paper there is a presentation of a project, a set of lessons that was created and carried out as a trial. The project aims for conscious making among children and students in school regarding norm, deviation, discrimination and power and the fact that equal treatment is hard to achieve. The basic purpose behind the project is to offer a tool to schools and teachers so that they can decrease the possible gap between the laws and the practice of these laws by creating awareness among students and other teachers. The long term work for achieving equal treatment should be done on a political level.

Background The aim of palliative care is to improve the quality of life for both the patient and her next of kin during the patient?s end of life. Palliative care rests on the four cornerstones managing symptoms, communication and relationship, teamwork and relative support. The nurses? task is to assess the patients? physical, mental and spiritual needs according to these four cornerstones.Aim To assess nurses? experiences of treating patients at the end of life.Method Eleven academic journals that respond to the aim has been analyzed and synthesized in a literature review in order to summarize current research on the subject.

Title: ?You could talk about it? ? a study of the experiences of victims of crime who have been receiving help from The Swedish Association for Victim Support.We got in touch with ten victims of crime through a local chapter of The Swedish Association for Victim Support and examined their emotional experiences of the help that was given to them from this organization.Background: Crime has always been a part of society and anyone can be subjected to some form of crime. Whenever a crime is perpetrated, there is always a victim. The purpose of this essay is to investigate how victims of crime emotionally experience the help they receive from the national association in Sweden who help and support victims of crime. Methods: We employed a qualitative method in the process of investigating the topic of this essay, and by employing interviews we got a deeper understanding of how victims of crime experience the help they receive.

The purpose of this essay was to examine class-travellers experiences of having done the class-travel and when they realised they had done it.My questions were: when did they start the class-travel? How do they experience themselves after going through the classtravel? How do they change as class-travellers in their relationship with their surroundings?The study was based on interviews with six classtravellers, trained social workers who have made their journey through studies. In the essay I have analyzed and compared the interviews with relevant litterature/theory.My conclusions are that the experiences of the class-travel are different. The lass-traveller of this study are recognized of being/have been part of two worlds or cultures. How long the class-traveller has been in one of the worlds is of big importance.

The aim of the study is to examine which present conceptions of sexuality there are in treatment of substance abuse for men. The intention is to examine how staff members in these environments perceive clients? sex and sexuality as well as studying if and in that case how they work with sexuality in treatment. A qualitative method formed the methodological approach and semistructured interviews were carried out for the collection of data. Four staff members from two different treatment institutions for substance abuse were interviewed.

The theme of this thesis is the professional ethics of public librarians. Qualitative interviews have been conducted with fourteen public librarians, with the aim to investigate their thoughts·and opinions concerning professional ethics and their experiences of ethical dilemmas in professional situations.The result shows that the majority of the librarians often discuss problems concerning what's right or wrong but that the discussions are conducted on the basis of practical situations and not in terms of professional ethics. The majority have vague ideas of how the term professional ethics should be applied on the work of public librarians, though all the interviewees consider the professional ethical discussion to be important.We examine the librarians opinions and experiences of ethical dilemmas conceming four subject areas: the principle of the librarian as a neutral and nonrestricting information intermediary, the principle of equal treatment of all the library visitors, difficulties. concerning media selection and the problems based upon the librarians flexibility towards the intemal rules of the library. The librarians experienced the behaviour towards the visitors as the greatest problem.

Hammarby Sjöstad is a new district in southern Stockholm. A main objective with the Sjöstad project was to halve the environmental impact compared to other construction work. The environmental goals involve a halved water consumption rate, a local treatment of storm water and trials aiming to extract nutrients from the waste water. Sjöstadsverket is an experimental treatment plant used for testing new treatment processes for domestic waste water from Hammarby Sjöstad. The results are to be compared with the conventional process used at Henrikdals treatment plant today.

The city is complex, multi-faceted and fascinating. The same can be said about the rooms of the city. The experience of the rooms of the city can be described in as many ways as there are individuals. The question concerned in this essay is How can you describe the rooms of the city as a phenomenon and how can you describe the experience of these rooms in general? The concepts city and room are widely understood and neither of them has a description that can be used in all situations.

The aim of this study was to investigate the individual meaning of experiences of migration and day-to day life experiences before and after migration, of women that had migrated from the Middle-east area to Sweden. This was to be done with a psychological health perspective looking for stressors and salutogenic factors. A phenomenological approach was used. Eleven women where interviewed with three open questions on a trajectory theme. The analysis was supported by software Sphinx Lexica and software MCA-Minerva.

The aim of this paper was to illuminate the effect of mentalizationbased psychotherapy. The patients in the survey group were interviewed before and after treatment with regard to specific symptoms of borderline personality disorder and symptoms of other personality disorders with the semi structured interviews ZAN-BPD and SCID-II. Open interview questions that were worked up in a qualitative manner were as well put to the patients that had received the treatment program. A focus group interview with the staff working with the concept within the frame of the MBT-team of Psychiatry southwest in Stockholm was also carried out. The result shows on a group level between the pre and post measuring a reduction of specific borderline symptoms like impulsivity and cognitive symptoms.

Type 2 diabetes is a growing disease in the population which includes that older people are a risk group. With the disease grows even cost?s. A lifestyle change is a major part of the treatment for type 2 diabetes. There are several factors that suggest positive effects on prevention among the elderly where, among other things, economic and health benefits are presented.