Background:  Heart failure is a multidimensional phenomenon with high mortality. Heart failure is treated with angiotensin converting enzyme (ACE) - inhibitors or angiotensin receptor blockers (ARBs) that counteract neurohormonal stimuli that occur in heart failure, as well as providing vessel dilatation, which reduces symptoms and the need for hospitalization and increases survival. Despite this, only about 50% of heart failure patients survive 6 years after diagnosis with drug therapy, and as heart failure is increasing globally, due to improved care and treatment and increasing life expectancy of the population, there is a great need for new drugs such as LCZ696 that acts by dual inhibition of the renin - angiotensin - aldosterone system and neprilysin inhibition.Objective: The aim of this literature study was to evaluate the efficacy of current treatment and possible future treatments on mortality and morbidity in heart failure patients.Results: The examined articles show that treatment with ACE inhibitors in patients with symptomatic heart failure reduces the risk of total mortality by 16% over 3.5 years, reduces all-cause mortality or hospitalization due to heart failure with NNT (number needed to treat) = 10.4 over 3.5 years and increases median survival by 9.2 months over 12.1 years in patients with asymptomatic heart failure. Treatments with high-dose ACE inhibitors reduce mortality and hospitalization because of cardiovascular causes and hospitalizations from any cause by NNT = 30 over 3 years. Beta-blockers reduce sudden death and total mortality and cardiac death or non - fatal myocardial infarction with NNT = 38 and NNT = 23, respectively, over 12 months.

Prisons are for many an unknown world, and few know about the prison culture which includes unwritten rules, power structures, interactions and relationships between inmates and correctional employees.While many think that Swedish prisons are too comfortable,inmates are facing extreme stress due to surveillance and detention, by depriving inmates their possibility to shape their own lives. When the inmates is deprived of control over their own life?s the penal system have great power to shape and to influence the inmates.The purpose of this paper is to investigate prisoners' experiences of treatment and exercise of power in prisons. Starting point is to examine what are the kinds of relationships between prison officers and inmates from a power perspective, if there is any difference between the closed and open prisons and how the inmates affected by the structures that exist.Based on my overall purpose, and with my informant´s stories which revealed a number of similar points, four main headings were developed; Mass media and society´s view, and unknown world, interaction between inmates and prison officers and consequences.Prison officers with the role as a contact persons as well and other staff which work close to the inmates play a significant role by supporting through motivational interviewing and can help the inmates to gain insight about their life situation and actions. My informant?s underlined that a good contact person can either help or discourage.Inmates who contributed with their experiences express that there is a big difference between open-and closed prisons.

The aim of this thesis has been to investigate women's experience of the Methadone maintenance treatment and what help they believe they need to be able to recover and to improve their social life and whether the medical- and social workers share the similar view.Our method of investigation has been qualitative interviews with four women in the program, two nurses and a counsellor at the methadone clinic and two social workers, who have female clients in the program.The questions at issue were:* how did the women describe their life situation during treatment, compared to the situation they had while they were addicted to narcotics,* did the women experience that the treatment they get in the methadone maintenance program is giving them a better social life situation,* did the employees at the clinic and at the social office share the similar view about the treatments as the female patients?Main problems seemed to be; meeting new non-addictive friends and finding something to do. We could se that, in different ways, they need more support. It wasn't always clear to the people who work with them whose responsibility it was, depending on workplace and/or personality..

This study examines how professional social workers relate to problematic computer and video gaming as an addiction. It is a qualitative interview study aimed to describe and analyze how professional social workers, who in some way work with problematic computer gaming, relate to the player?s problems in terms of a concept of dependency. The theoretical approach is based on social constructivist theories of discourses, normality, the definition of dependency and diagnoses. The study was conducted through five qualitative half structured definition interviews with professional social workers that work directly or comes in contact with problematic computer gaming.

Introduction: Anxiety and depression are common among patients enrolled in psychiatric outpatient care. Ear Acupuncture is an alternative form of treatment that has been shown to relieve anxiety and depression in previous studies.Aim: To evaluate ear acupuncture as a group treatment for depression and anxietyMethod: A psychiatric outpatient clinic has been offering group treatments with ear acupuncture for anxiety and depression for 5 weeks. Participants of the study have answered self-rating scales Montgomery Åsberg Depression Rating Scale, Beck Anxiety Inventory and Sheehan Disability scale before and after the treatment period. Material was collected in the period 2008-2012 and has been analyzed in SPSS.Results: Data from 31 patients were included in the study. The results from the study showed a significant difference, between the measurements before and after treatment, with a reduction of the average values in the three different scales.Summary: From this study, it is difficult to draw any conclusions about the effect of ear acupuncture.

The return of large predators to regions where they were previously extirpated has created a need for knowledge about their effect on prey species, not only their lethal but also their behavioural or risk effects. In this study the behavioural risk effects of brown bear (Ursus arctos) were tested on fallow deer (Dama dama), roe deer (Capreolus capreolus), red deer (Cervus elaphus), moose (Alces alces) and wild boar (Sus scrofa). This was done by using patches of fur to simulate the presence of the novel predator (brown bear), a novel nonpredator (reindeer (Rangifer tarandus) and no fur as control. These three treatments were then compared. The response variables measured were increased vigilance, decreased feeding time and change in patch use.

The aim of the present literature study was to define and describe the area ?compliance in veterinary medicine? (i.e. the way treatment recommendations are being performed) and discuss the factors that influence the level of compliance. Based on the findings, a model that intended to increase compliance in orthopedic postoperative rehabilitation of dogs was designed. In the daily work as a veterinary nurse it is essential that one provides the best possible care to the animals from the beginning to the end of the treatment.

Aortic insufficiency is a very common valve problem in horses and most often affects older individuals, but nevertheless existent within younger ones. The root cause for aortic insufficiency can be varied, for example; endocarditis, ventricular septum defect or congenital valve disease but the most common are progressive valve degeneration or elite competition. Depending on the root cause, different changes can be observed on the aorta valves, but they do all have the same effect, the valves do not seal properly and blood leaks backwards. Many horses can, even with this deficiency, perform highly without any visible impacts and there is therefore no need to treat those subjects. Most often the symptoms arise at a later stage in life and they are, more often than none, put down for other reasons. In the occurrence of the clinical symptoms showing, treatment guideline is to inhibit these symptoms since the valve degeneration is presently irreversible.

The aim for this study was to investigate if it is less stressful for cow and calves in loose housing systems when separation is made so they can see and touch each other (Physical Contact-PC) instead of just hearing each other (Hearing Contact-HC). The behavior of eight cow- calf pairs (n=4 pairs per treatment) on an ecological dairy farm with cubicle housing were studied for four hours directly after separation and four hours the day after separation. The first four cows that gave birth were used for treatment PC, and the following four cows that gave birth were used for treatment HC. The only selection criteria used was that both cow and calf were healthy. Separation took place 3-4 days after birth and the calves were put separately in two different pens while the mothers were let loose into the cubicle system.

Background:Nurses can meet women who have been victims of abuse anywhere in the healthcare. Healthcare providers have a responsibility to these women, and it requires a broad range of skills to identify the women and thus be able to help them. It is important to see all patients as unique individuals and provide good care to maintain their specific needs. This paper was done to increase the understanding of nurses' experiences in the encounter with the battered woman.Aim:The aim of this study was to illustrate how nurses experience the encounter with the battered woman.Method:Literature review with both qualitative and quantitative studies. Nine articles were chosen to be read, reviewed and analyzed.Results:Three themes and ten subthemes appeared.

AbstractThis master thesis was performed at Scania transmission department in Södertälje, where the manufacturing of gears is done. Today a large amount of manual handling is performed between the machining and the hardening process. Most of the manual handling is done at the heat treatment department. The purpose of this master thesis is to give a suggestion on how to reduce or eliminate the manual handling at the heat treatment department. The possibility to use the same packaging throughout the processes will also be investigated.

The purpose of this master?s thesis is to contribute to the development of business relationships between a supplier and its customers. The research area and research problem was further developed into three research questions. The research questions concerns the following subjects: the substance of business relationships and dimensions within relationships management that can be used in order to contribute to the development of a company?s business relationships.

Obesity is one of the biggest threats to child- and adolescent health. The amount of obese children is today increasing more in Sweden than in the US. This may in a couple of years have bad consequences for the Swedish children?s quality of life. When a child suffers from obesity it is a big stress on the body and can lead to serious consequences in adulthood.

The aim of this thesis is to, from a feminist point of view, analyse the Universal Decimal Classification UDC, which is an international and widely used classification system. A number of the larger classification systems and subject heading lists have during the last decades been placed in the limelight of various gender studies and the systems treatment of women has been criticized. With this examination of the UDC, I dont merely wish to identify shortcomings and advantages with the UDCs way to treat men and women. The UDC is also used as an example of how the gender problem can be identified and interpretated in classification systems generally. My analysis is performed with a theoretical foundation in feminist science theories about knowledge and norms, together with a linguistic perspective on valuing and emotionally tinged language.

During the last few years the alcohol consumption has increased and is now the highest in 100 years, one usually count that 10 % of the grown up population abuse alcohol and/or drugs and most of them are hidden abusers with families and work. This leads to great costs for the companies. But the much greater cost for the companies are the much larger group of risk abusers. According to the Swedish law the employer has a responsibility for the work milieu and also for the rehabilitate for the employed and drug/alcohol abuse applies to this.I have done qualitative interviews on four companies in the south of Sweden with one representa-tive for the management and one representative for the union. I have investigated their attitudes to alcohol and drugs and how they describe the alcohol culture at the company.The companies define alcohol problems when they are established and obvious and when it is dis-covered they put in resources and because of this they don't work preventive so much.