Background: In scientific literature there are various treatment programs for people with alcohol dependence described, however, are psychosocial factors that promote recovery process described to a limited extent.Purpose: To describe the psychosocial factors that promotes recovery from alcohol dependence.Method: Literature study of ten scientific articles, published between 1999-2011 with both qualitative and quantitative design.Results: According to the literature, the recovery process can be considered to begin when a person with alcohol dependence reached his personal rock bottom. The longer the recovery progresses, the greater are the overall level of performance. Social support is described as an important factor to prevent relapse and reduce the need for professional help. Self-belief and support of self-help groups are described as important to maintaining sobriety. Social support and influence from family members was related to increased ability to analyze and assess their situation during the recovery.

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.

Bipolar disorder is a severe, affective illness which causes a person to alternate between episodes of pathologically elevated mood (mania) and depression ? in between these episodes the mood is normal. The length and intervals between the episodes are highly variable among the ill, as are the severity which is divided into two major subgroups: bipolar I and II. Bipolar I disorder is the most severe because of the patient?s inability to realize that he or she is currently in a manic phase, in the case of bipolar II disorder, the patient is aware that he or she has an abnormally raised mood, a state which is called hypomanic state instead of manic.

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.

Bakgrund: Äldre personer med en demensdiagnos är en växande patientgrupp som ställer högre krav på sjuksköterskans förmågor. Demenssjuka personer kräver ett annorlunda synsätt och andra typer av observationer vid bedömning av smärta och smärtlindring, än personer med intakt kognitivt medvetande. Syfte: Syftet med litteraturstudien är att belysa sjuksköterskans erfarenhet av att smärtbedöma och smärtlindra personer med demenssjukdom. Metod: En litteraturstudie där 10 vetenskapliga artiklar granskats, analyserats och tematiserats utifrån valt syfte. Resultat: Fem olika teman identifierades: Sjuksköterskans upplevelser i mötet med den demenssjuka, sjuksköterskans smärtbedömning av demenssjuka personer, sjuksköterskans erfarenhet av att använda bedömningsinstrument, farmakologisk smärtlindring och icke-farmakologisk smärtlindring.

The aim of this study is to understand which roles institutional personnel in HVB-homes (homes for care or living), that include animals ascribe the animals for the young clients in treatment. Using the termsrole, role-taking, primary socialisation and secondary socialisation within the perspective of symbolic interactionism, we intend to analyse the expericences from the institutional personnel of what roles the animals are ascribed in treatment of young clients. We also wanted to find out if the institutional personnel have certain expectations on the animals as tools in the treatment and whether the institutional personnel believes that the animals have important roles in the treatment of the young clients.To find the answers of our aim and approach to our problems, we have used a qualitative study where we have interviewed six institutional personnel distributed in three different HVB-homes that uses animals in treatment of young clients. Our empirical material shows that the institutional personnel ascribe the animals a variety of roles, which among others are: friendly and familiar, meaningful, safe, comforting and soothing. Other roles that the institutional personnel ascribe the animals for the young clients are: teaching in order to develop empathy and responsibility; helping in therapy situation and having an activating role.

The tourism industry is growing and with its growth competition between destinations rises. In competition, cooperation and collaboration between tourism operators seem beneficial when creating an attractive and dynamic tourist destination.The purpose of this study is to describe and discuss the significance and influence of tourist related networks at a tourist destination, and therefore this study aims to examine the question: What significance do the tourist related networks have at a tourist destination?This study focuses on seven networks on Gotland that are tourism related, and the representatives of the networks were interviewed in order to get their view on the network and its significance to the destination. The study shows that networks have an important role in creating a unified tourist product of the destination, and in reaching out to the potential visitors through joint destination marketing. The study also shows that the tourism related networks helps to improve the reception of the tourist at a destination and to secure the quality of the tourist destination and its tourist products..

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.

The Swedish population is getting older and more elderly will continue to be in need ofsupport from the community to meet their everyday lives. As the population gets olderdementia also increases the spread in the country. Because of this more people withdementia will be in need of help in their everyday lives. This will increase the demandson elderly care in the municipalities where they have to offer good care. As moreindividuals suffering from dementia will be in need of help in their daily lives aid officers'encounters with people suffering from dementia and their relatives or any representativesbecome more common.The study had as objective to study aid officer's reasoning on the treatment of dementedindividuals in need of help.

The purpose of this study was to analyze two local tourism related organizations in Umeå and how they used the marketing method Storytelling. The aim of this study was to examine what kind of stories the tourism related organizations were using, what these stories said in a direct, or in-direct way and how the reception was of the stories and the destinations. A qualitative study in the form of a discourse analysis based on Laclau and Mouffe's view on discourse analysis was conducted. The results of this study shows that storytelling is more effective when it is incorporated in the whole destination/organization when it comes to tourism related organizations and destinations. It also shows that storytelling in itself isn't only an innocent and positive tool and can cause negative feelings if used wrongly for an organization/destination.

This study aimed to investigate whether lambs show anticipatory behaviours in a holding pen prior to entering a known arena, whether the holding pen experience prior to the arena exposure affects their play expression in the arena and whether their behaviour (in home pen) is affected if arena access is denied. Twenty pair-housed male lambs (average 14 weeks old), were exposed, in chronological order, to five treatments. Holding pen treat-ment (HP-control): Each pair was led into a holding pen (2.7 m2) and remained there for 5 minutes before returning to their home pen (6 m2). Holding pen ? arena treatment (HP-A): Each pair was led into a holding pen for 5 min and then was allowed access into the arena (22 m2, containing two hanging chains, one ball and one platform) for 15 min before re-turning to their home pen.

 Inner resistanceThe aim of this study was to investigate the existence of an internal resistance to a work-related change in people who are long-term sick, and if this is related to an identification as ?long-term sick?. A second purpose to the study was to research in which way this internal resistance to a work-related change manifests and point to possible solutions. A qualitative study was conducted with interviews of experts and people on sick leave to illuminate the subject. The main result was divided into interviewed groups.

The purpose of this study was to examine how social services in Örebro working with young people vulnerable to honor- related violence and oppression. Further the purpose was to investigate recognition of guidelines that could act as support in the work with honor- related violence and oppression, and also however the work with these honor-related cases could have an emotional impact on the social worker. To answer these questions a qualitative study using interviews was performed with four social workers in Örebro. The results have been analyzed and interpreted in relation to previous research conducted in the field of honor research. Further three theoretical perspectives have been used in the interpretation of the results; implementation theory, sociology of emotion and coping.

Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one. Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.