Bakgrund: I dagens samhälle lever många människor med medicinskt oförklarlig smärta. Oförklarliga symtom kan förklaras som fysiska symtom som trots medicinsk utvärdering förblir odefinierade. För att stödja patienten är det viktigt att se personen som en helhet för att tillgodose den drabbades behov och för att bidra till en god omvårdnad. Syfte: Att beskriva personers upplevelser av att leva med oförklarlig smärta. Metod: En allmän litteraturstudie som genomförts baserad på kvalitativa vetenskapliga artiklar.

This study investigated the efficacy of a multicomponent cognitive?behavioral intervention of insomnia, CBT-I, for patients suffering from an anxiety disorder and/or a major depressive episode together with comorbid insomnia. In particular, the aim of the study was to evaluate whether anxiety and depressive symptoms declined as a function oftreatment for insomnia. After rigorous diagnostic procedures, 8 patients were treated in a multiple baseline design. Patients experienced clinically significant reductions in insomnia-, (57 %) depressive- (75 %) and anxiety symptoms (40 %).

Injuries to the suspensory ligament represent a huge problem in equine veterinary medicine. As many of the affected horses are elite-competition athletes, there are high expectations on veterinarians to make these horses fully functional again. The suspensory ligament has several features which makes the healing process complicated. So far no treatment has shown to optimize the healing process. This has led to the testing of many new treatment methods, in order to find a consensus for the injury.

The purpose of doing this essay was to illustrate how people living with chronic disease, dependent on medical technology experience their life situation. The study includes people with either dialysis therapy, mechanical ventilator or chronic oxygen therapy. A meta-synthesis was used as a method where a systematically review of studies that are made in a given issue compiles. Findings of the studies resulted in a synthesis of three themes: Limitations in life as a consequence of life-long treatment, to take responsibility for your life provide self-esteem and safeness, and to be cared for in different contexts ?help or prohibit.

The purpose of this randomized controlled study was to investigate the effect of internet- administered guided self-help for women suffering from psychological problems following traumatic childbirth. The eight-week treatment program consisted of written chapters based on cognitive behavioral therapy. 56 participants were randomly assigned to a treatment group (n = 28) or a waiting list group (n = 28).The results showed that post-traumatic symptoms decreased as a result of the treatment, with large within-group effects measured by both the Traumatic Event Scale (TES) (d = 1.33) and the Impact of Event Scale-Revised (IES-R) (d = 1.3). The difference between the groups was only significant when measured by the IES-R in which case the between-group effect was large (d = 0.97). The proportion of the participants who showed clinically significant improvement was considerably greater in the treatment group than in the waiting list group.

In a sustainable society the use of renewable energy and recycling of materials is of high importance. Wastewater treatment plants use large amounts of energy in the processing of wastewater. This study seeks to evaluate wastewater as an energy resource and to examine treatment plants potential to become sustainable energy producers. The study is based upon the internal processes of Himmerfja?rdsverket.

Syftet med denna litteraturstudie var att ta reda på hur sjuksköterskan kunde stödja barn vid smärta, vilka copingstrategier barn använde sig av när de upplevde smärta och hur sjuksköterskan genom samverkan med föräldrarna kunde stödja barnet vid smärta. Metoden som användes för att göra denna studie var deskriptiv systematisk litteraturstudie. Litteratur har sökts i databaserna Elin@Dalarna och Blackwell Synergi. Sökorden som användes var children, pain, coping, care, parent, pain management, nursing, pediatric, dental care, qualitative och quality of life. Materialet i litteraturstudien har begränsats till 22 artiklar som har granskats efter mallar.

The aim of this Masters thesis is to conduct an analysis of the Swedish classification system the SAB-system from a feminist and queer theoretical perspective. The theoretical framework of the study is feminist and queer theory as well as theories from Library and Information Science, mainly classification theory. The study takes its departure from the idea of classification systems as social constructs, reflecting their time, place and society. Paul Ricoeurs critical hermeneutics is used as methodological guidance. This gives room for a critical perspective in the interpretation.

AIMThis thesis purpose is to fill a knowledge gap of research into football-related violence and media. The objective is to create an understanding of how football-related violence is portrayed in the Swedish tabloids Aftonbladet and Expressen.METHODTo reach the desideratum we used a qualitative content analysis of 198 articles concerning football-related violence. To analyse the results we used theories regarding ?Framing?, ?the three ?I?s and the ?Stigma-theory?.MAIN RESULTSThe result from the initial analysis showed a heavy reliance on ?frames? by media outlets. This tended to make the news seem more sensational, dramatized and subsequently more readable than it otherwise would have been.

Background: Overweight and obesity has become an increasing health issue around the world, which leads to an increase of cardiovascular diseases. The reason for this is a lack of physical activity in combination with an overconsumption of unhealthy food. In the primary healthcare is the ordination of physical activity on prescription offered as a treatment, which is an important health preventive action. When clients get physical activity on prescription they are given the opportunity to receive health counseling as a way to motivate a change in an unhealthy way of living.Objectives: This study aim to examine the experience of the health counseling of individuals with overweight related problems, in combination with the prescription of physical activity.Method: Qualitative interviews were chosen as method. Nine individuals participated in the study, seven females and two males, who had been to health counseling at Friskvården in Värmland.

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.

The most common way to treat wastewater in Sweden today is by a combination of an activated sludge process and a chemical treatment. These processes are not very energy efficient and may not be the most environmentally friendly. That is why it is interesting to evaluate new alternative methods to see if they can be less harmful to the environment and help to a lower resource consumption. New techniques are tested in a pilot installation at Hammarby Sjöstad, Sjöstadsverket. To be able to evaluate these techniques in a wide perspective system analyses are conducted where different impacts can be considered, advantages and disadvantages in the systems.Five system structures for water treatment have been constructed in Matlab/Simulink in this study.

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.

Wastewater treatment is increasingly controlled by the Swedish environmental quality objectives, adopted by the Swedish parliament. There is a need for a sewage system that can fulfill stringent requirements concerning the environment, recycling and resource use and hygiene. Additional environmental aspects in recent years are the impact of climate change, new knowledge about the effects of pharmaceuticals in water, the need for improved wastewater treatment and increased recycling of nutrients to agriculture. This report has, from a future scenario of the year 2050, analyzed seven different systems for wastewater treatment and treatment of compostable biowaste from households in Eskilstuna. A future scenario was chosen based on that within a forty year period new challenges may arise which can result in higher demands on sewage treatment than those we see today. Another reason why the future scenario was established is that changes in wastewater treatment systems are slow to establish. The analysis is mainly focused on the economical aspects but environmental aspects such as emissions to receiving waters and potential recycling of plant nutrients has also been evaluated briefly.

Syftet med denna studie var att beskriva riktlinjer och PM angående smärtbedömning och behandling som finns att tillgå på olika akutmottagningar och sjukhus. Smärta är en av de vanligaste orsakerna till att människor söker sjukvård i Sverige, därför ställer detta krav på sjukvårdens kompetens och tillgänglighet till riktlinjer/ PM som stödjer den vård som ges. En förfrågan om att få ta del av sjukhusens riktlinjer/ PM skickades via ut mail. Dokumenten analyserades och innehållet delades därefter in i sju kategorier som beskrev dess kontext, Definition av smärta, Bedömning/ Skattning av smärta, Behandling, Mål, Utvärdering/ Dokumentation, Smärtombud och Övrigt. I kategorin övrigt tas bland annat den bristande referenshanteringen till riktlinjer/ PM upp.