Att vara anhörigvårdare till en lungcancersjuk patient

Syftet med denna systematiska litteraturstudie är att undersöka upplevelser hos anhörigvårdare till lungcancerpatienter. Artikelsökningar har skett i Cinahl och Pubmed. Tiden för anhörigvårdaren kan se olika ut, kort och intensiv eller lång och utmattande. Upplevelser så som skräck är vanligt förekommande direkt efter lungcancerdiagnosen både för patient och vårdare. Detta för att de anhöriga ställs inför ett klart hot om en kommande förlust samt skrämmande tankar kring döden. Hälsan försämras för anhörigvårdaren under vårdtiden och vissa drabbas av depression. De social relationerna försämras, vissa upphör helt då anhörigvårdaren får en känsla av att de alltid måste vara tillgängliga för den sjuke. Vårdbördan kan vara tung och emotionellt stöd kan vara nödvändigt. Trots det väljer många att inte ta emot eller söka något stöd.Inte bara hälsan förändras under sjukdomstiden utan också mycket annat, den som tidigare haft en passiv roll i hushållet kan bli tvungen att ta en mer aktiv roll i skötseln av hem och ekonomi. Trots att anhörigvårdare ofta känner sig utanför och övergivna väljer de att inte uttrycka sina känslor när de blir tillfrågade eftersom det finns en rädsla att ta fokus från patienten.

Cooperation and conflict in conspecific brood parasitism : an alternative reproductive tactic

Interactions among individuals give rise to both cooperation and conflict. Individuals will behave selfishly or altruistically depending on which gives the higher payoff. The reproductive strategies of many animals are flexible and several alternative tactics may be present from which the most suitable one is applied. Generally, alternative reproductive tactics may be defined as a response to competition from individuals of the same sex. These alternative reproductive tactics are means by which individuals may fine-tune their fitness to the reigning circumstances and which are shaped by the environment individuals are occupying as well as by the behaviour of other individuals sharing the environment. By employing such alternative ways of achieving reproductive output, individuals may alleviate competition from others. Conspecific brood parasitism (CBP) is an alternative reproductive strategy found in several egg laying animal groups, and it is especially common among waterfowl. Within this alternative reproductive strategy, four reproductive options can be identified. These four options represent a continuum from low reproductive effort coupled with low fitness returns, to high reproductive effort and consequently high benefits. It may not be evident how individuals should allocate reproductive effort between eggs laid in their own nest vs. in nests of others, however. Limited fecundity will constrain the number of eggs donated by a parasite, but also the tendency for hosts to accept parasitic eggs may affect the allocation decision. Furthermore, kinship, individual quality and the costs of breeding may play a role in complicating the allocation decision. In this thesis, I view the seemingly paradoxical effects of kinship on conflict resolution in the context of alternative reproductive tactics, examining the resulting features of cooperation and conflict. Conspecific brood parasitism sets the stage for investigating these questions. By using both empirical and theoretical approaches, I examine the nature of CBP in a brood parasitic duck, the Barrow's goldeneye (Bucephala islandica). The theoretical chapter of this thesis gives rise to four main conclusions. Firstly, variation in individual quality plays a central role in shaping breeding strategies. Secondly, kinship plays a central role in the evolution of CBP. Thirdly, egg recognition ability may affect the prevalence of parasitism. If egg recognition is perfect, higher relatedness between host and parasite facilitates CBP. Finally, I show that the relative costs of egg laying and post-laying care play a so far underestimated role in determining the prevalence of parasitism. The costs of breeding may outweigh possible inclusive fitness benefits accrued from receiving eggs from relatives. Several of the patterns brought out by the theoretical work are then confirmed empirically in the following chapters. Findings include confirmation of the central role of relatedness in determining the extent of parasitism as well as inducing a counterintuitive host clutch reduction. Furthermore, I demonstrate a cost of CBP inflicted on hosts, as well as results suggesting that host age reflects individual quality, affecting the ability to overcome costs inflicted by CBP. In summary, I demonstrate both theoretically and empirically the presence of cooperation and conflict in the interactions between conspecific parasites and their hosts. The field of CBP research has traditionally been divided, but the first steps have now been taken toward the acceptance of the opposite side of the divide. Especially the theoretical findings of chapter 1 offer the possibility to view seemingly contrasting results of various studies within the same framework, and may direct future research toward more general features underlying differences in the patterns of CBP between populations or species.

Review of NRA tracking projects on salmon, Salmo salar L., and sea trout, Salmo trutta L

The report briefly outlines the programme of the National Rivers Authority (NRA), placing the Fisheries programme in the context of the work of the NRA as a whole, and viewing the tracking work against the broader requirements of the NRA Fisheries research programme. All regions of England and Wales are considered. Two techniques currently exist for studying the detailed timing and extent of movements of adult salmon: tracking of individually identifiable fish, and counting the numbers of fish moving past a fixed point in the river. The development of tracking techniques and the integrated use of tracking and fish counters is briefly reviewed in Section 3. Further details of these techniques are given in Appendices. Section 4 summarises and assesses completed and current NRA tracking studies. Section 5 discusses the scientific content of these studies in relation to similar work carried out elsewhere in the UK. The NRA programme of tracking studies is evaluated in Section 6. Section 7 discusses future fisheries projects and Section 8 details the future development of tracking techniques. Finally, recommendations arising out of this review are summarised in Section 9.

Evaluation of NRA tracking studies. Future projects and technical development

Fish tracking is a valuable technique for the provision of detailed information on the behaviour patterns of individual fish especially during estuarine and riverine migration. 2. Tracking studies help in the provision of a comprehensive description of the variety offish behaviour patterns in response to factors such as water flow, obstructions and water quality. 3. There are advantages to be gained by complementing fish tracking studies with data collected from fish counters and vice versa. 4. An overall evaluation of NRA fish tracking projects is presented in the wider context of NRA strategic research objectives. 5. The requirement for future development of tracking equipment, improved data analysis techniques, better communication and more immediate report preparation is identified. 6. Individual project evaluation is given for NRA (or the appropriate Water Authority predecessor) tracking studies conducted on the Ribble estuary, the River Tamar, River Torridge, Rivers Test and Itchen, River Lodden, the Welsh River Dee, River Glaslyn, River Taff, River Tawe, River Tywi, River Usk, Rivers Avon and Stour and the River Frome. 7. An outline for future strategic research is provided which identifies particular areas for study:- i) Identification of environmental factors which control the entry of fish into rivers. ii) Improvement of the understanding of the relationship between water flow and upstream movement of salmonids. iii) Examination of the detailed movements and behaviour of fish in relation to obstructions. iv) Closer definition of water quality requirements for salmonid fish. v) Definition of habitat preferences of salmonids in rivers. vi) Subsidiary topics such as the movements of non-salmonid fish and the downstream migration of kelts and juvenile salmonids.

The calibration of a semi-quantitative approach to fish stock assessment in the North West Region of the NRA

(1) A total of 45 sites was sampled, each being fished using the semi-quantitative and quantitative techniques. (2) A significant relationship existed between the semi-quantitative and Quantitative results for all age groups of salmonids (R2 83.4% to 96.1%, p < 0.0001). (3) The results from each site were categorised according to an existing classification system for quantitative and semi-quantitative data. The semi-quantitative component of this system was modified using the results of this investigation. The degree of error associated with sites classified semi-quantitatively was found to be slightly less when using the modified system for 0+ salmon, > 0+ salmon and 0+ trout, ranging from 10.5% to 30%. (4) Insufficient data points were available for the analysis of coarse fish data.

NRA North west salmonid microtagging programme 1987-1994

The microtagging programme began in 1987 using hatchery reared salmon originating from the rivers Caldew and Hodder and subsequently included the Lune (1988) and Ribble (1989). Microtagging of sea trout began in 1991 for the Lune and in 1993 for the Hodder. The report explores the NRA North west salmonid microtagging programme looking at methods, results and recommendations. The report provides salmon microtagging data and returns from 1987 to 1994.

Description of NRA tracking studies: tracking techniques and fish counter technology

The study began on the 7th January 1991 and was completed in June 1991. Two reports have been produced. This report published as R&D Note 33 describes NRA tracking studies, tracking techniques and fish counter technology. The second report published as R&D Note 34 evaluates NRA tracking studies and recommends future research. The latter will be used solely for NRA management purposes. This report briefly outlines the programme of the NRA, placing the Fisheries programme in the context of the work of the NRA as a whole, and viewing the tracking work against the broader requirements of the NRA Fisheries research programme. Two techniques currently exist for studying the detailed timing and extent of movements of adult salmon: tracking of individually identifiable fish, and counting the numbers of fish moving past a fixed point in the river. Further details of these techniques and their development are given in Sections 2 and 3. Section 4 summarises and assesses completed and current NRA tracking Studies. Complete project descriptions for the studies are contained in Appendix A. Section 5 discusses the scientific content of these studies in relation to similar work carried out elsewhere in the UK. Section 6 details the future development of tracking techniques. Tracking work on migratory salmonids has tended to concentrate largely upon the movements of adult salmon. Much of this report will therefore be concerned with salmon tracking studies. NRA studies involving sea trout are referred to where appropriate. The methodological problems of sea trout tracking studies are summarised in Section 2.1.3.

The NRA's role in wetland conservation

This is the NRA's role in wetland conservation report produced by the National Rivers Authority in 1995. This document is the third of a series of three R&D Notes produced as part of an integrated research programme addressing aspects of the NRA's role in wetland management and conservation. Chapter 1 considers the nature of the wetland resource and its definition. Chapter 2 presents the NRA's current legislative and policy framework relating to its role in wetland conservation. National and international legislation and agreements are considered, and particular attention is afforded to the potential implications of the 'Habitats Directive'. Chapter 4 presents key examples of operational casework involving wetlands. Differences in approach and external perceptions of the NRA's current and likely future role in wetland conservation are discussed within Chapter 5. Other issues highlighted in this report are: policy guidance required on NRA’s role in land drainage; standard of flood defence service for wetlands; cost-benefit analysis; strategies for halting and reversing the decline and degradation of wetland resource; and Catchment Management Planning.

Wetland resource evaluation and the NRA's role in its conservation. Classification of British wetlands

This is the Wetland resource evaluation and the NRA's role in its conservation: Classification of British wetlands report produced by the National Rivers Authority in 1995. This R&D document provides a clear classification for wetlands in England and Wales. The classification incorporates many of the existing ideas on the subject but avoids some of the problems associated with other classifications. A two-layered 'hydrotopographical' classification is proposed. The first layer identifies situation-types, i.e. the position the wetland occupies in the landscape, with special emphasis upon the principal sources of water. The second layer identifies hydrotopographical elements, i.e. units with distinctive water supply and, sometimes, distinctive topography in response to this. This system is seen as an independent, basic, classification upon which it is possible to superimpose additional, independent classifications based on other features (e.g. base-status, fertility, vegetation, management etc.). Some proposals for such additional classifications are provided.

Wetland resource evaluation and the NRA's role in its conservation. 1. Resource assessment

This is the Wetland resource evaluation and the NRA's role in its conservation: Resource assessment report produced by the National Rivers Authority in 1995. This R&D document provides a strategy for the assessment of the wetland resource of England and Wales. As a first step the report defines wetlands in their UK context. The following working definition is suggested: Wetland is land that has (or had until modified) a water level predominantly at, near, or up to 1.5 m above the ground surface for sufficient time during the year to allow hydrological processes to be a major influence on the soils and biota. These processes may be expressed in certain features, such as characteristic soils and vegetation. The report also summarises a hydrotopographical classification of wetlands. The report then develops a strategy for the establishment of a wetland resource Inventory based on a geographical information system (GIS) as a means of storing and manipulating site data from across England and Wales.

Historia de la milagrosíssima imagen de Nra. Sra. de Ocotlán, quese venera extramuros de la ciudad de Tlaxcala da la a nueva luz.

UANL

Felicidad de México en la admirable aparición de la Virgen Maria Nra. Sra. de Guadalupe, y origen de su milagrosa imagen

UANL

Barn som förlorat en nära anhörig : Pedagogers bemötande av barn i sorg

Mitt examensarbete handlar om barn i sorg och pedagogers syn kring barn sorgarbete. Jag har intervjuat fyra verksamma pedagoger från förskolan till grundskolas tidigare år. Forskning har visat att det finns för lite kunskap kring barn i sorg i förskolan och skolan. Därmed såg fanns intresse att undersöka huruvida detta stämde överens med forskningen. Jag har även undersök hur länge pedagoger anser att sorg är ett argument för minskad skollust. Pedagogerna jag intervjuat har berättat för mig att de känner sig osäkra kring arbetet med barn i sorg och att de sedan tidigare har få kunskaper i ämnet.

Manlig utsatthet för våld i nära relationer : En kvalitativ studie om socialsekreterares arbete med män som utsätts för våld i nära relationer

Syftet med denna studie är att undersöka om socialarbetare tillämpar genusmedvetenhet i arbetet med personer som är utsatta för våld i nära relationer, och hur det i så fall uttrycker sig i mötet med dessa klienter. För att besvara dessa frågeställningar har en kvalitativ ansats tillämpats, med vinjettintervjuer som metod. Den hypotetiske klienten var för tre av informanterna en våldsutsatt man och för tre informanter en våldsutsatt kvinna. Informanternas svar jämfördes sedan och analyserades med hjälp av tidigare forskning på området samt teorier om genus, stereotyper och institutionalisering. De slutsatser vi kunnat dra genom denna studie är att socialarbetare till viss mån påverkas av könsstereotypa föreställningar och att man gör skillnad mellan könen vad gäller insatser, bedömningar och bemötande. Dock har vi även sett att det alltid finns en vilja att hjälpa klienten om behovet finns, i den mån det är möjligt utifrån bland annat det politiska och ekonomiska läget.

Barn och unga med en nära anhörig som avlidit : Barn och ungas erfarenheter av att delta i stödgrupp

I denna kvalitativa studie har enkäter insamlats från barn och unga som deltagit i stödgruppsverksamhet för barn och unga med en avliden nära anhörig i Dalarnas län. Syftet med studien har varit att beskriva deltagarnas erfarenheter av stödgrupperna. Genom kvalitativ innehållsanalys har tre kategorier identifierats; bearbetning, gemenskap och strukturens betydelse. Studien visar främst på betydelsen av att få träffa andra barn och unga i liknande situation samt indikerar till att deltagarnas KASAM (känsla av sammanhang) förhöjts genom deltagandet i stödgruppen.