Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

Due to progresses constantly being made in veterinary medicine combined with increasing knowledge in pet owners, the dogs of today gets older than before. The population of geriatric dogs is there for constantly growing, which makes them an important group of patients on small animal clinics and hospitals. As dogs age, so do their interior organs. Geriatric dogs are prone to several diseases and in this text the author has decided to focus on three of the most common: Cognitive Dysfunction Syndrome (CDS), cancer and osteoarthritis (AO). All of these illnesses are incurable in dogs, but it is important to remember that they are still treatable.

This essay is a qualitative study whose aim is to see how to find a good balance between family life and managership. The result could give concrete proposals on how help can be designed to prospective female managers. The study is based on interviews with eight female managers. The interviews have been inspired by the narrative approach with the focus on how these women have tried to find a balance between management and family life and which obstacles they faced and the support they have had. The results of the study has shown that the support that the woman has been given by their spouse / partner has been one of the best and most important support for her to full fill her mission as being a manager as well as a mother.

Aluminium sulphate (Al2(SO4)3) is usually added during the drinking water treatment processin order to precipitate organic and inorganic material, resulting in aluminium-based drinkingwater treatment residual sludge (WTR). Since 2003 Swedish law no longer permits WTR tobe deposited in lakes, and there is an interest to explore the possibility to utilize WTR as soilamendment. The aim of this study was to examine the effects of WTR application on cropgrowth and concentrations of macronutrients and trace elements (including micronutrients andpotential toxic elements). A greenhouse pot experiment was conducted with three soils; a clayloam rich in phosphorous (P), a loamy sand rich in P, and a silty loam with a low soil Pconcentration, and two crop species Italian ryegrass (Lolium multiflorum Lam. cv.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Cow?s milk and chronic constipation in children ? A systematic reviewAuthor: Sara Palm & Anna SvenssonSupervisor: Frode SlindeExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 27, 2014Background: Chronic functional constipation is common among children. Up to a third of all who seek a paediatrician suffer from constipation and it is a widespread problem for children in many countries. Lately it has been discussed if cow?s milk can be a cause of the constipation and if it should be considered a delayed hypersensitivity.Objective: The aim of this systematic review is to examine whether there is scientific evidence to recommend a cow?s milk-free diet as a potential treatment in chronically constipated children.Search strategy: The literature searches were performed in the databases Pubmed, Scopus and the Cochrane library, using the search terms cow?s milk, constipation, milk proteins, dairy products, milk hypersensitivity, cow milk and cows milk between March 17th and April 4th 2014.Selection criteria: Randomized controlled trials measuring stool frequency in chronically constipated children on a cow?s milk-free diet were included.

Syftet med detta examensarbete är att kartlägga hur studie- och yrkesväglednings-situationen ser ut för intagna på kriminalvårdens anstalter, samt synliggöra hur studie- och yrkesvägledningen kan utvecklas för att tillgodose intagnas vägledningsbehov inom om-rådet rehabilitering. Ytterligare ett syfte med arbetet är att bidra med ny kunskap då vi inte finner tidigare nationell forskning inom området. För att kunna undersöka detta har vi valt en kvalitativ metod där vi har intervjuat befattningshavare och intagna. Resultatet visar hur studie- och yrkesvägledningen är orga-niserad på kriminalvårdens anstalter och vi har funnit gemensamma syften för studie- och yrkesvägledning, rehabilitering och kriminalvårdens rehabilitering. Utifrån resultatet ansågs studie- och yrkesvägledning som en naturlig del av kriminalvårdens rehabilitering. Resultatet pekar även på att existerande studie- och yrkesvägledning inte uppfyllde de in-tagnas behov.

This paper presents an investigation into the relationship between inmates and staff in a high security prison in Sweden. The primary objectives are to investigate this relationship from an inmate perspective and to identify key factors that may promote or hinder rehabilitative interaction with staff. Empirical data utilized in this study consist of semi-structured interviews carried out by the authors with nine inmates currently in custody of the treatment facility within the prison and six inmates housed within the study facility. This data collection method is an extension of grounded theory and four key themes were generated from the data analysis. The first of these examines the effect of rule enforcement on prison atmosphere and subsequent staff/inmate relations.

The paper describes a study on reading aloud to a group of four women with mild or moderate dementia living in a nursing home. The purpose of the study was to examine what reactions the reading aloud creates and if the reactions are different if the literature is written in common Swedish or in easy-to-read Swedish. Original and easy-to-read version of the book "The Lady with the Camelias" by Alexandre Dumas was chosen for reading aloud. The study was conducted in two separate parts with four reading sessions in each part. All sessions were filmed with two cameras, one of them focusing the group and the other focusing one individual.

Purpose/aim: My purpose is to illustrate the significance of the language in communication with immigrants having a different native language, who suffers from dementia. The three main questions have been:How important is the native language in the communication with immigrant who suffers from dementia?What consequences can happen for the immigrant who does not understand Swedish? How can we use the salutogenesis point of view to create satisfactory care for immigrants who has difficulties to make them self understood in the Swedish language? Material/method: I made qualitative interviews with staff working in nursing homes with dementia care. I also searched scientific articles and other findings in this area of science. Main results: The best care for immigrants with dementia is nursing homes where the staff speaks the immigrant?s native language.

Animal-assisted therapy had its large breakthrough in the 1960-ties when a psychiatrist named Boris Levinson discovered the great advantages of involving animals in the treatment of patients. Therapy with animals involves that animals are used in a systematic way, in a person's process of treatment. The most distinguished companion animal used within this area is the dog, but horses, cats, rabbits, birds, dolphins and the most common farm animals are used in animal-assisted therapy. Most animals that are to be used for this specific purpose need to be trained in order to maintain their physical and mental health, but also to minimize the risks for the people that are involved. Most studies within this research area are focused on the positive effects on the patients and less on the effects on the animals.

The purpose of this study was to analyze how the key staff concept is used in residential care for children and young people and which role the key staff concept plays in the organization.The study was based on semi-structured qualitative interviews with six key staff and two managers from two different residential care facilities for children and young people. The theoretical perspective used was the neo-institutional theory and Hasenfeld´s term Human service organizations.One of the conclusions of the study was that the key staff describe that they have a central role when it comes to the treatment of the children. Another conclusion showed the variety of tasks that the key staff have, like the administrative work that they do. They also have an educational role, similar to the one that parents normally have which means that they are responsible of parenting the children. They also described themselves as a link between the children and their social network.

Swedish studies have shown that more people than expected have problems with leg ulcers and that the yearly cost for treatment per patient is approximately 26 500kr. Since the elderly population is on the rise, there is a need to highlight this growing problem, to make sure that proper assessment tools are used and to improve the standard of care given to patients with leg ulcers. The aim was to show what a difference the nurse can make to patients with leg ulcers. With all types of wounds it is imperative to establish if there is any underlying reasons since certain illnesses can cause more wounds or delay the healing process. The doctor is responsible for making the diagnosis and to prescribe the correct treatment whereas the nurse?s responsibility is for the nursing care and its documentation.

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.

This article presents a retrospective case study combined with a review of the current literature concerning canine gestational diabetes. A total of 14 cases have been collected from six different clinics in Sweden. There are few previously published reports on canine gestational diabetes. Gestational diabetes is a disease that rarely occurs in pregnant bitches. The condition is due to the rise of progesterone that occurs during the estrus cycle.

Wetlands are important ecosystems and form habitat for both common and threatened species. In Sweden, as well in many other places on earth, there is a lack of wetlands. There is an expressed will to adjust this lack through restoration of wetlands with reduced function and through construction of new wetlands. Follow-ups and evaluations are important steps to optimize these actions. The wetland Vattenparken was constructed 1999 ? 2000 for treatment of surface water.