text:
To gain a deeper understanding of why women, diagnosed with mental distress, reported good physical and mental health. What could the reason be and how did they feel four to five years later?
In-depth interviews were conducted with seven women; age 33 to 52, who worked in a Swedish male-dominated industry. The methodological approach relied on grounded theory.
A conceptual model was generated in the analysis, describing a temporal process of change in the women's self-image. Three core concepts illuminated this process:(1) maintaining an ideal self-image, (2) waking up/reappraising health and (3) struggling for a realistic self. The women were moving away from facades of meeting social expectations and pleasing others toward trusting and setting boundaries for themselves. Moving away from symptoms such asasthma, migraine and infections, as well as family problems, they felt and hoped that they had more control over their lives.
A conceptual model was proposed to illustrate a temporal change in women's self-image related to their changing perception of health. Women's newway of life challenges the support system within organizations and society.
Patienter som vårdats på en intensivvårdsavdelning beskriver ofta att de under vistelsen upplevt smärta, vilket kan ge traumatiska minnen lång tid efter. Patienten är i regel ventilatorbehandlad och har en fluktuerande medvetandegrad eller är medvetslösa. Vid medvetslöshet har patienten inte förmåga att uttrycka sig verbalt utan andra sätt att tolka och bedöma smärta ska då användas. Syftet med denna studie var att belysa hur intensivvårdssjuksköterskan evidensbaserat bedömer smärta hos en medvetslös intensivvårdspatient. En deskriptiv kvalitativ studie genomfördes. Fokusgruppsintervju med tre intensivvårdssjuksköterskor utfördes på en intensivvårdsavdelning i Västra Sverige och analyserades med kvalitativ innehållsanalys. Intensivvårdssjuksköterskorna observerade och bedömde patientens ansikts-, kroppsliga- och fysiologiska uttryck. Teamet runt patienten och information av närstående ansågs viktiga vid smärtbedömning. Smärtanamnes och dokumentation var andra faktorer som gav förutsättning för bedömning. Avsaknad av bedömningsinstrument, tidspress och personalbrist utgjorde hinder för smärtbedömning. Bedömningen ansågs vara individuell beroende på erfarenhet, intuition, personlig tolkning och utvärdering efter smärtlindring. Implementering av smärtbedömningsinstrument kan leda till kontinuerlig och strukturerad bedömning.
Syfte: Syftet med studien är att undersöka hur Apple och HP, genom att kommunicera sina SR-initiativ i sina hållbarhetsrapporter, legitimerar sin verksamhet för sina intressenter. Metod och material: Kritisk diskursanalys av Apples och HPs hållbarhetsrapporter. Huvudresultat: Apple och HP legitimerar sin verksamhet i sina hållbarhetsrapporter, genom att anpassa det språk och ordval som används. De ordval som görs ger direkta konsekvenser för hur företagen framställs i sammanhanget och påverkar hur de fråntar sig ansvaret av sin verksamhet.
Background: Individuals with traumatic brain injury can sustain chronical lasting sequalae's. Relatives are often involved in their care and present during the whole process. Relatives also have an important role and responsibility in the everyday life. Aim: The aim was to describe relatives' experiences of living with a next of kin with traumatic brain injury. Method: A general literary study was performed, where eleven articles were analyzed, with content analytic approach. Result: Four categories emerged from the result articles: to take responsibility and adopt different roles, to live in an uncertain and unpredictable situation, to receive support and to find own inner strength. It was a big strain for relatives to take on the caring role of supporting the traumatic brain injured. The uncertainty of the prognose, along with the lack of information and knowledge, putted the relatives in distress. The need of support was multidimensional where the initial support came from healthcare personnel and then from family and community. Relatives had to use own resources and inner strength to manage their situation. Conclusion: To ease life for relatives and traumatic brain injured, health care needs to have better strategies and the community better knowledge and understanding for the disease.
Unsuccessful organizational changes can imply risks that include anxiety, stress and conflicts within the agency. While the management expects the agency to function as it always has, it is not uncommon for the implementation work to be imposed on the employees. Therefore, there is a risk that organizational changes can have consequences that results in people resigning. This bachelor's thesis aims to examine how the reorganization of the Swedish police which implemented on January 1, 2015 is experienced by cops in Intervention activities. Furthermore, we also intended to create an understanding for how police work has been affected by this particular organizational change. What makes our study unique is that it in a nuanced way highlights new aspects of the reorganization from a sociological approach directed on the police officers own emotions and experiences related to the organizational change. The theories we have chosen to start from deal with organizational change from a structural perspective, but also at the individual level. The organizational models Lean Production, The Bureaucratic organizational form and The organizational change theory we have chosen to apply to create an understanding of how the police experience the reorganization's business idea in practice. We have also used the theories Alienation and The struggle to Recognition to gain a deeper understanding of how the police experience that the reorganization has affected their work and working conditions. Our sociological analysis will be based on all theories, scientific articles and the empirical compilation through a detailed discussion in relation to each other. Our study had been based on a qualitative approach through which we collected the empirical data by semi-structured interviews. The collected empirics, associated with our theoretical basis, formed the foundation for our analysis as well as our concluding reflections and conclusions. The most comprehensive conclusion we can compose from the police officers personal experiences of the reorganization, is that there was a deficient communication and information related to the reform that constituted resistance and frictions within the agency.
Background: A more complex and knowledge-based society has resulted in increasing specialization and greater demands on employees in the fields of practice. At Gjøvik University College, a new supervision model was tested for nursing students in practice. The main elements were: daily supervisors were given increased responsibility for assessing the students, while at the same time participating in three group counseling meetings. A portfolio contained the student's work requirements. A weekly reflection hour was formalized. Purpose: The purpose was to elucidate how the supervision model influenced the student's learning situation. Method: The SVIP model was evaluated by the use of focus group interviews. The data were analyzed using qualitative content analysis. Findings: Three categories: structure, inclusion and self-confidence describe the students' need for clear guidelines and objectives, as well as their need to be included and to be seen. Conclusion: Various aspects of clinical practice, including daily supervision are important for student learning. Counseling meetings where the supervisor role is recognized and developed through the tutor, and daily supervisor sharing of experiences and knowledge, should permeate the cooperation.
The purpose of our survey is to investigate how internal employer branding is used and how it can be useful to attract and satisfy existing staff. In order to respond to our purpose, we have used three questions: What factors contributing to the employer being perceived as attractive by existing staff? In what way does the organization work internally with employer branding to be an attractive employer?, and how is the work with the employer branding internally communicated within the organization?
In order to answer our questions and achieve the purpose, we have used a method combination. Quantitative surveys with the staff, too investigate which factors that are considered most important for the employer to be attractive and a qualitative interview with an employer representative, to find out how the employer works with the internal employer branding and how the communication looks like.
The results show that the social part of the work, with community and support of colleagues proves to be most important for the employer to be considered attractive. Interesting and meaningful work is also considered to be very important by the staff. To investigate the needs of the staff and their expectations can be a good idea. To work internally to be an attractive employer can provide an advantage for employers in an increasingly competitive labor market. Communication in an organization is also extremely important and central to how employees perceive their employers.
The aim of the present study was to identify patterns of background factors related to the early RA patients' conceptions of the cause of the disease. Conceptions from a qualitative study formed the basis for the stratification of 785 patients from the Swedish EIRA study answering a question about their own thoughts about the cause to RA. Logistic regression analyses were used to explore the associations between patients' conceptions and relevant background factors: sex, age, civil status, educational level, anti-cyclic citrullinated peptide antibody (anti-CCP) and smoking habits. The results were presented as odds ratios (OR) with 95% confidence intervals (CI). A conception of family-related strain was strongly associated with being young (OR 0.50; 95% CI 0.33-0.78 for age 58-70 vs. 17-46), female (OR 0.38; 95% CI 0.25-0.60 for male vs. female) and having a high level of education (OR 2.15; 95% CI 1.54-3.01 for university degree vs. no degree). A conception of being exposed to climate changes was associated with being male (OR 1.99; 95% CI 1.24-3.22 for male vs. female), having a low level of education (OR 0.33; 95% CI 0.18-0.58 for university degree vs. no degree) and positive Anti-CCP (OR 1.72; 95% CI 1.03-2.87 for positive vs. negative Anti-CCP). Linking patients' conceptions of the cause of their RA to background factors potentially could create new opportunities for understanding the complexity of the aetiology in RA. Furthermore, this information is important and relevant in the care of patients with early RA.
Rheumatic diseases are often chronic and involve a lifetime of suffering. The focus of rheumatology care is to support patients to manage their lives and master their disease. Healthcare providers and patients have different views on the consequences of living with rheumatic diseases and patients are reporting unmet healthcare needs. There is a need to integrate providers' perspective to develop the quality of rheumatology care. The aim was to explore healthcare providers' experiences of their interaction with patients in their management of RA. Interviews with 18 providers from different clinical settings were analysed in accordance with the grounded theory method. A core category; Delivering knowledge and advice was found to be the most important task and involved providing the patient with information about the disease and appropriate forms of treatment. Healthcare providers' attitudes and patients' responses influenced the outcome of the delivery of knowledge and advice and three dimensions emerged; completed delivery, adjusted delivery and failed delivery. There were differences in the providers' experiences in their interaction with patients as well as in reflections on their role as the delivering part. There could be difficulties in the interaction when patients' expectations and preferences were not taken into account when giving advice. These findings highlight the importance of developing rheumatology care, as no provider or patient benefits if the delivery of knowledge and advice becomes a failed delivery. The healthcare organization must acknowledge the difficulties involved in the interaction with patients in their management of RA and find methods to develop a more person-centred approach to care.
To generate a theoretical model how patients experience their management of rheumatoid arthritis (RA) in everyday life.
An explorative design with the grounded theory approach was used by interviewing 16 informants with RA.
The generated theoretical model emerged in a core category-Striving for a good life with two categories; making use of personal resources and grasping for support from others, which formed the base of managing RA. When relating these categories together, four dimensions emerged which characterised patients' different ways of managing RA: mastering, relying, struggling and being resigned.
The management of RA incorporated the use of personal resources and the grasping for support from others. Both self-management strategies and patients' need of support were highlighted as aspects that were of importance when managing RA. Patients' experiences of their need of support to manage RA give extended knowledge that is of importance for nurses and other healthcare providers. The relationship between patients and healthcare providers is always the key to a good encounter. Interventions to increase self-management in RA have to incorporate this knowledge when trying to increase patients' self-efficacy and with their experience of support.
Objective: To investigate how patients with rheumatic disease perceive tactile massage as a complement to other pain alleviation methods.
Methods: A phenomenographic approach with semi-structured interviews was employed on a strategic sample of 14 patients with various rheumatic diseases, both inflammatory and non-inflammatory, who had been admitted to Spenshult Rheumatic Hospital.
Results: Three descriptive categories with a total of nine conceptions emerged. The descriptive categories were: experiencing alleviation, experiencing trust, and gaining insight. Experiencing alleviation described how patients experience relaxation, pleasure and respite. Experiencing trust described how patients experience a sense of security, confirmation and inner peace. Gaining insight described how patients get to know themselves, see possibilities, and experience wholeness.
Conclusions: When caring for patients who have a chronic illness involving considerable changes to their lives, it is important for health professionals not only to be aware of their physical needs but also to take account of the whole person. This study demonstrates the importance of offering patients a complement to conventional treatment. Tactile massage is a method that promotes a holistic view of patients with chronic pain as well as allowing them to find a new focus in terms of the disease and how they cope with it in their daily lives.
The purpose of this study is that from a social psychological - and relational perspective, create a deeper understanding and explanation of how the employees of customer service "En väg in" in Varberg municipality experienced this organizational change. The sample consisted of six employees and two individuals from the management team. Qualitative approaches with semi structured interviews were used, as well as a hermeneutical approach. In order to analyze and interpret the empirical material previous research and scientific articles were selected and the theories Jacobsen (2013), change management and resistance, Maslow's hierarchy of needs (Aronsson et al 2012), Herzberg two-factor theory (Aronsson et al 2012, Herzberg [1968] / 2003) and McClelland's motivation theory of human needs (Aronsson et al 2012), supplemented by, Scheff (1994) social bonds and differentiation. The most central that emerged in the results is the importance of lack of communication, participation and control. And that the employees had different settings to the change and that the department has not had the time to create a mutual organizational culture. Professional roles inhibit employees to create strong social bonds with each other.
This study concerns teacher´s professional identity from three perspectives. Teacher students, professional teachers and HR at two school administrations in Western Sweden. The study deals with how the professional identity of the student and teachers look today, what it is built up of and how HR relates to the teacher's professional identity. What is the benefit of studying professional identity for the organization and the individuals. The study is of a qualitative nature and data has been collected through 6 semi-structured interviews. The result shows that the teacher students have a strong professional identity linked to the teacher role, which is created a lot in relation to VFU during the education and in the expectations of the future professional role. The teacher´s professional identity tends to grow stronger over time and the results for both students and teachers show that the identity is linked to certain parts of the teaching role, parts that the individual himself has the strongest interest for. The result around HR shows that both administrations work with the teacher´s professional identity. Management 1 wishes to eliminate a strong professional identity among the teachers to create a greater tendency for change and focus on the collective efforts and division of labor. Management 2 works to increase the teacher's specialization and the core assignment that the teachers have. Common to the administrations is their desire for teachers to feel a greater identity also to the organization. From HR it appears that the administrations face a great challenge in the need to reorganize the teacher´s work as a result of the teachers to find a loyalty to the employer. The employer way of retaining and attracting staff is based on understanding the needs of the staff. Understanding the professional identity of their employees can therefor help the organization to form a HR strategy where the teachers perform most effectively in their role.
Purpose: The purpose of this paper is to explore health from the perspective of young immigrants in Sweden.
Design/methodology/approach: A total of 25 newly arrived young immigrants attending Swedish language classes in northern Sweden participated by drawing and writing open letters. They continued the open-ended sentence "Now I'll draw and describe a day when I was feeling good, that was […]."
Findings: The phenomenological analysis resulted in three themes: longing to be in control for a better life, searching for power in the good and the bad, and striving for a sense of belonging in the new society. The findings illuminate young immigrants' perspectives of a health-promoting everyday life consisting of agency, reflection and a sense of community. The findings also highlight the young immigrants' experiences when health-promoting aspects are lacking, characterized by disillusionment, anxiety and loneliness. The findings are discussed with health promotion, health literacy and young immigrants in mind.
Practical implications: According to young immigrants, meeting basic needs such as food, sleep and housing is health promoting but easily taken for granted. Being able to have a say in matters concerning everyday life, social inclusion and finding power in memories – positive and negative – can promote health in young immigrants.
Originality/value: The young immigrants were able to communicate via drawings and words to overcome language barriers. © 2018, Emerald Publishing Limited.
Objektivitet i journalistiken är viktigt för demokratin, men i rapporteringen om Sverigedemokraterna finns det mycket osäkerhet. Detta påverkar bilden väljarna får av SD. Syftet med denna studie är att granska objektiviteten i Dagens Nyheter och Hallandspostens konstruktion av Sverigedemokraterna kring valet 2014. Här används Westerståhls definition av objektivitetsbegreppet för att svara på om rapporteringen var sann, relevant, balanserad och neutral. Det diskuteras även om nyhetsrapportering kan sägas vara objektiv utan att uppfylla alla fyra kategorier. Kvalitativ innehållsanalys används på tidningsartiklar i Dagens Nyheter och Hallandsposten under en tvåveckorsperiod kring valet. Det framkommer att 30 % av DN-artiklarna och 21 % av HP-artiklarna var helt objektiva enligt Westerståhls definition, att Dagens Nyheter bättre uppfyllde tre av fyra kategorier, och att relevans och neutralitet är avgörande för nyhetsartikelns totala objektivitet.
The healthy child is affected by living with a sibling that has a chronic disease the same way as it affects the whole family. It is important that the nurse includes the healthy siblings in the care, sees them as a part of the family and helps them to a sense of coherence. The aim in this literature study was to describe the sibling´s experience of having a brother or sister with a chronic disease. The result includes ten articles and from them three themes with subthemes emerged. The first theme is changes for the sibling with subthemes as challenges for the family and challenges in everyday life. The second theme that emerged was the sibling's needs with four subthemes: need of the family, need in everyday life, need of knowledge and need of support. The last theme was the sibling´s feelings with the following subthemes: feelings about the family, feelings about themselves and feelings about the environment. The siblings want to be seen as a part of the family and they feel that the sibling relationship deepens. They want to be involved in the care of the sick child and they have a need of information about what they can do, but also the need for increased knowledge about diagnosis, treatment and prognosis.
The purpose of this study is to investigate which aspects of social secretaries profession in theorganization that they feel contributes to high workloads, how they describe their handling of itand how they possibly improve their work situation and what work factors they perceive asmeaningful and that makes them still work in social services. To answer the purpose of the studywe used a qualitative approach in the form of semi-structured interviews. These interviews havesince been interpreted to find similarities and differences which then has been analyzed usingsociological theories about the organization's role, requirements and control and sense ofcoherence. The study results show that social workers in periods experienced heavy workload.The result also discusses the various strategies that the social workers made use of to be able tohandle this. The results also showed that social workers felt that there are a lot of rewards andthat they still see their work as meaningful. Our conclusion was that the workload does not needto be seen as a problem as long as the cooperation between management and employees worked.
To live with a chronic disease as an adolescent or a young adult is combined with a lifelong reliance on, and frequent contact with the healthcare system. Young people have both life dreams and thoughts of the future that may have to be revalued due to their chronic disease. The study was made as inductive literature review. The aim was to illuminate the experience of adolescence and young adult living with a chronic disease. Four themes emerged: experience of wanting to feel normal, perception of health and quality of life, experiences in relation to the future and experience of independence. The young people with a chronic disease had a desire to be accepted and treated as anyone else. Mental strength and adaption to life were seen as important factors of health. The conclusion was that young people experienced a varying need of support why it is needed knowledge among health care professionals to adapt this. Further research about this specific age group is needed and increased knowledge about this phenomenon is vital for nurses meeting adolescence and young adults with chronic disease.
Im Zuge der schwedischen Gymnasialreform wird derzeit auch die so genannte "Gymnasiesärskola", die gymnasiale Sonderschule für Jugendliche mit geistiger Behinderung umgestaltet. Diese Schulform soll stärker mit der allgemeinen gymnasialen Stufe zusammenarbeiten. Auch sollen mehr Berührungspunkte zwischen Schule und Arbeitsleben geschaffen werden, um den Übergang der Jugendlichen in die Berufswelt zu erleichtern. Im Beitrag wird die Schulreform diskutiert, wobei eine stärkere Betonung der Qualifizierungsfunktion von Bildung deutlich wird.
The aim of this study was to elucidate the experience of participation in four sessions of cognitive behavioural group therapy for psychological distress for female university students' (n = 19), aged 22–45 years. Data were gathered with semi-structured interviews during March and April 2008 and analysed according to thematic content analysis. The results identified four themes: 'Gaining knowledge and understanding', 'Becoming more balanced and positive in thinking', 'Feeling more self-confident and in control' and 'Opportunities for practice and in-depth reflections'. Future recommendations include an increase in sessions from four to five, with one booster session to follow-up on newly acquired skills. © 2013 John Wiley & Sons Ltd.
Dental fear is a common and widespread problem, which can cause severe stress. Even so, most patients with dental fear undergo regular dental treatment in spite of their fear and many enjoy good oral health. The aim of this study was to obtain a deeper understanding of how patients with dental fear manage to undergo dental treatment. Fourteen patients with dental fear, who undergo regular dental care, were interviewed. Qualitative analysis of the transcribed interviews was performed according to the principles of grounded theory. A conceptual framework was generated, and the main concern was identified as 'making dental care possible - a mutual affair'. Four additional categories explained how patients handled their dental fear and how dental care became possible. The strategies were labelled 'taking part in a mental wrestling match', 'trust-filled interaction with dental staff', 'striving for control' and 'seeking and/or receiving social support'. The results showed that making dental care possible for patients with dental fear is a mutual challenge that requires interplay between dental staff and patients, involving verbal and non-verbal communication reflecting respect, attention, and empathy. Moreover, a balance between nearness and distance and between professional and personal treatment is required.
The aim of this study was to explore how perceptions of coaches' behaviour affected athletes' wellbeing, by examining: (a) the potential change in perceptions of need-support from the coach (over an academic year), and (b) the within-person relationship between the three aspects of need-supportiveness and subjective vitality at the end of the winter sport season. Elite student athletes (N = 102, M age = 17.04) completed a questionnaire three times. Bayesian growth curve analyses showed that perceptions of relatedness and autonomy support were stable and high throughout the year. In contrast, perceptions of competence support decreased during the season. In addition, the results showed a credible positive within-person relationship between changes in all three facets of needsupportiveness from the coach and vitality measured at the end of the season, which supports SDT tenets. These findings reveal the importance of need-support for athletes' well-being, and show that competence support needs extra attention in the elite sport context where competence satisfaction is constantly challenged.
Breast cancer is the most common cancer among women, it is therefore important forthe healthcare services to know how it affects the women's experience of quality oflife. The aim of this study was to examine the experience of quality of life in womenwith breast cancer. From a systematic review of the literature, three themes emerged:physical changes, emotional reactions and meaning of support. The womenexperienced physical reactions such as fatigue, sleeping difficulties and pain whichnegatively affected their quality of life. The quality of life was also affected by thechange of body image which could arise at treatment. The women experienced thatthey didn't receive enough information from the health care personnel, this also hadan impact on their quality of life. They emphasized the importance of meaningfulrelationships and that social support could increase their quality of life. It is importantthat the health care personnel become aware of the fact that the quality of life isaffected by several aspects in the women's life to help her maintain her quality of life.It is clear the further qualitative research should be carried out in order to achieve abetter understanding of how to help women achieve a better quality of life whenconfronted with this disease.
The amount of elderly receiving care in their homes is increasing, where informal care account for a large part. The purpose of this study is to highlight the experiences of receiving care at home for elderly, chronically ill. The study was conducted as an integrative literature review, which contributes to a deeper understanding and an overall view of a certain phenomenon. Elderly felt alienated as a result of being treated as objects. Sense of affinity in mutual relationships with family and caregivers inflicted a positive experience of receiving care at home. Elderly, which completely or partly received informal care, felt that they were cared for by someone who knows their routines and needs. Informal care felt natural, but it also gave the care receiver a sense of anxiety and fear of being a burden. The home is an important place for the elderly chronically ill, since the home represents identity, integrity and history and gives a feeling of inner peace. The study showed that more time, personnel and knowledge is required in home care in order to consider the needs of the elderly and to reduce their sense of alienation. More qualitative studies are necessary to highlight their experience and to extend the knowledge of how the caregivers can respond to the elderly chronically ill in their homes.
Background: To be able to further develop the pre-hospital emergency care from a nursing perspective, both in the clinical setting and in the educational setting, it is important to get a better understanding and clarification of the pre-hospital nurse-patient relationship. Therefore, a study was conducted (Berntsson and Hildingh, 2012) to explore how the phases of the pre-hospital nurse–patient relationship described by Suserud (Dahlberg et al., 2003), emerge in 17 specialist ambulance nursing students (SANs) descriptions of ambulance missions.
Methods: The study has a descriptive design and uses a qualitative research method. An analysis method, qualitative content analysis with a directed approach, was used. A directed approach means that the analysis is based on existing theory or prior research (Hsieh and Shannon, 2005). In this study we decided to use Suserud's description (Dahlberg et al., 2003) of the phases of the prehospital nurse–patient relationship to govern the analysis and the identification of categories.
Results: In the orientation phase of the pre-hospital nurse–patient relationship, there was an ongoing analysis process in which the SANSs were seeking to obtain an initial picture of the situation, this was made by: understand the situation with support from the EMD team, from a collegial discussion, from one's own first assessment, from the patients and relatives or witnesses description, from the colleague's actions, from some other health-care professional's assessments and actions.
In the identification phase of the nurse–patient relationship, the SANSs made an extended assessment of the situation to understand the patient's current needs, this was made by; assess the airway, the breathing, the circulation, the consciousness, the level and experience of pain, perform a head to toe assessment, collecting the patients' health history and note aggravating environmental factors for care and transfer.
In the exploitation phase of the pre-hospital nurse–patient relationships, the SANSs focus was on the hands-on care of the patient, this was made by; provide care by managing ABC problems, assessing the cause for the disability problem, managing head-to toe problem, performing actions to prevent hypothermia, creating an intravenous access, managing pain problems, transferring the patient to the stretcher and the ambulance, assessing the patient's vital signs and by selecting appropriate driving speed.
In the resolution phase the SANSs targeted their attention towards the receiving care unit and the forthcoming care, this was made by; pre-warn or speak with the receiving unit, inform the patient about the continuing care in the receiving care unit, transfer the patient from the ambulance stretcher on the receiving unit, report to the receiving care unit, finish the nurse–patient relationship and follow up the patient's condition.
Conclusion: The results of the study show that the phases in the nurse–patient relationship, as described by Suserud (Dahlberg et al., 2003), appeared in the SANSs descriptions of ambulance missions. Furthermore, the study reveals that each phase of pre-hospital nurse–patient relationship includes several parts; these findings extend Suserud's (Dahlberg et al., 2003) description.
The development of the Swedish ambulance service has resulted in three different competence levels in Swedish ambulance teams: specialist ambulance nurses, registered nurses and emergency medical technicians. A nursing scientific model developed by Peplau (Peplau, H., 1991. Interpersonal Relations in Nursing. Springer Publishing Company, New York.) breaks down the nurse-patient relationship into a number of phases: an orientation, an identification, an exploitation and a resolution phase. This model has then been adapted to the pre-hospital emergency care by Suserud (Dahlberg, K., Segesten, K., Nyström, M., Suserud, B.-O., Fagerberg, I., 2003. Att förstå vårdvetenskap [To Understand Caring Science]. Studentlitteratur, Lund.). The purpose of this study was to explore, by direct content analysis, how the phases of the pre-hospital nurse-patient relationship described by Suserud (Dahlberg et al., 2003), emerge in 17 specialist ambulance nursing students descriptions of ambulance missions. The results show that the four phases of the pre-hospital nurse-patient relationship could be identified and each phase includes several different parts. Furthermore, the results show that the parts of each phase can vary depending on the patient's condition and the environmental circumstances of the ambulance mission. This improved understanding of the four phases of the pre-hospital nurse-patient relationship, and their parts, could be used by ambulance team members as a support during the pre-hospital caring process in ambulance missions. This new knowledge could also be used in education. © 2012 Elsevier Ltd.
Background: An international collaborative project has been ongoing since 2009 between the Ambulance training program in Nursing at the University of Halmstad and the program in Emergency Care at Arcada University of Applied Sciences. The purpose is to jointly develop knowledge about patient safety and caring ethics, through participation in experiential skills development in innovative environments. The focus areas of collaboration are: 1) To learn safety by preventing and creating resistance to human errors and malpractices in health care 2) To become aware of the outer and inner ethics, as a basis of use of the self 3) To create conditions for inner leadership and personal responsibility in health care. The course content planning is guided by an integrative pedagogy, which contains an active simulation exercise.
Methods: Simulation exercises are given to interdisciplinary student teams at a one week exchange program in Helsinki in spring and in Halmstad in autumn. The assessment is a written work, and the student deepens understanding in evidence-based research.
Results: Simulation has given students opportunities for an active and motivational approach to learning, where a high degree of knowledge, creativity and reflection co-exist. Students have expressed that they have learned to think and act in terms of patient safety and ethics. The concepts have been concrete and visibly demonstrated by simulating everyday prehospital emergency situations: e.g. a situation in which the patient refuses to be transported. The simulation exercises have explained theory and built bridges to practice.
Conclusions: The discussions of reflection in interdisciplinary groups and after the simulations have been fruitful, due to students´ different experiences, but also because of awareness of cultural similarities and differences. Students have adopted permanent values of concrete models for how to act safely and ethically at the individual, community and organizational level.
I Region Skåne finns tydliga behandlingsriktlinjer gällande prehospitalt omhändertagande av patienter med misstänkt stroke i vårdprogrammet "Rädda hjärnan". Det saknas ett enhetligt bedömningsinstrument som specialistutbildade sjuksköterskor inom ambulans kan använda för att känna sig säkrare och tryggare i sin identifiering av patienter med misstänkt stroke. Syftet med studien var att undersöka specialistutbildade sjuksköterskors uppfattning av att kunna identifiera patienter med misstänkt stroke inom den prehospitala vården. Studien genomfördes med en kvantitativ ansats i form av enkätundersökning som delades ut till 35 specialistutbildade sjuksköterskor. Resultatet av studien visade att en majoritet av respondenterna upplevde att det hade underlättat med ett enhetligt bedömningsinstrument i deras bedömning av patienter med misstänkt stroke. Det framkom även att respondenterna upplevde en större säkerhet med att fastställa debuttiden med hjälp av anhöriga eller vittnen, jämfört med om bedömningen gjordes enbart med hjälp av patienten. Det framkom även att respondenterna kände sig relativt säkra på när vårdprogrammet skulle aktiveras, trots att över hälften upplevde att det inte fanns klara direktiv om hur en neurologisk undersökning skall utföras. Vår rekommendation för vidare utbildning är en gemensam stroke dag för alla medarbetare i vårdkedjan. Om fler patienter kommer under behandling snabbare kan det vara en samhällsekonomisk besparing på grund av mindre restsymtom och kortare vårdtider.
Organizational climate and related factors are associated with outcome and are as such of vital interest for healthcare organizations. Organizational Readiness for Change (ORC) is the questionnaire used in the present study to assess the influence of organizational factors on implementation success. The respondents were employed in one of 203 Swedish municipalities within social work and psychiatric substance/abuse treatment services. They took part in a nationwide implementation project organized by the Swedish Association of Local Authorities and Regions (SALAR), commissioned by the Swedish National Board of Health and Welfare. Aim The aims were: (a) to identify classes (clusters) of employees with different ORC profiles on the basis of data collected in 2011 and (b) to investigate ORC profiles which predicted the use of assessment instruments, therapy methods and collaborative activities in 2011 and 2013. Design and recruitment The evaluation study applied a naturalistic design with registration of outcome at consecutive assessments. The participants were contacted via official e-mail addresses in their respective healthcare units and were encouraged by their officials to participate on a voluntary basis. Statistics Descriptive statistics were obtained using SPSS version 23. A latent profile analysis (LPA) using Mplus 7.3 was performed with a robust maximum likelihood estimator (MLR) to identify subgroups (clusters) based on the 18 ORC indexes. Results A total of 2402 employees responded to the survey, of whom 1794 (74.7%) completed the ORC scores. Descriptive analysis indicated that the respondents were a homogenous group of employees, where women (72.0%) formed the majority. Cronbach's alpha for the 18 ORC indexes ranged from α = 0.67 to α = 0.78. A principal component analysis yielded a four-factor solution explaining 62% of the variance in total ORC scores. The factors were: motivational readiness (α = 0.64), institutional resources (α = 0.52), staff attributes (α = 0.76), and organizational climate (α = 0.74). An LPA analysis of the four factors with their three distinct profiles provided the best data fit: Profile 3 (n = 614), Profile 2 (n = 934), and Profile 1 (n = 246). Respondents with the most favorable ORC scores (Profile 3) used significantly more instruments and more treatment methods and had a better collaborating network in 2011 as well as in 2013 compared to members in Profile 1, the least successful profile. Conclusion In a large sample of social work and healthcare professionals, ORC scores reflecting higher institutional resources, staff attributes and organizational climate and lower motivational readiness for change were associated with a successful implementation of good practice guidelines for the care and treatment of substance users in Sweden. Low motivational readiness as a construct may indicate satisfaction with the present situation. As ORC proved to be an indicator of successful dissemination of evidence-based guidelines into routine and specialist healthcare, it can be used to tailor interventions to individual employees or services and to improve the dissemination of and compliance with guidelines for the treatment of substance users. © 2017
The migration of many people to European countries in the last years created various challenges and evoked diverse responses. But rarely, lessons learned and good practice for health promotion interventions are exchanged between countries nor common solutions sought. In this workshop, we will shed light on the health situations of refugees in Sweden and Germany, and present four research projects regarding the health of refugees.
Initially, we will outline the situation for refugees in the two countries generally, provide ample evidence on the health needs and particular burden of refugees, and discuss the increasing influence of racism. Finally, we will discuss the issue health promotion of refugees, needs, approaches, limitations.
Rationale, aims and objectivesTo identify the prevalence of clinical pathways (CPs) in Swedish intensive care units (ICUs) and to explore the quality, content and evidence base of the documents. MethodsA descriptive and explorative survey of all Swedish ICUs (N84) and a review of submitted examples of CPs (n12) were conducted. ResultsCPs were in use at 20% of the Swedish ICUs. There was a significant geographic variation but no relationship between the use of CPs and category of hospital, type of ICU, size of ICU or type of health record applied. In total, 56 CPs were reported within a range of scopes and extensions. The content of the ICUs' CPs, as well as the degree to which they were interprofessional, evidence based, and renewed varied. ConclusionsProgress has been made in relation to CPs in recent years, but there is potential for further improvements. None of the ICUs had CPs that contained all key characteristics of a high-quality, interprofessional and evidence-based CP identified in the literature. Greater knowledge sharing and cooperation within the field would be beneficial, and further research is needed.
This essay is focused on the problem of vision and intelligence in football (soccer). One-touch play is the type of football that we are to see more often in the future. To prepare the players for such play, both managers and coaches must notice the importance of technical speed and tactical creativity. © Perceptual and Motor Skills 1993
Children as next of kin to patients who are treated by an ambulance nurse in Swedish ambulance service in unknown. Children under 18 years of age may sometimes be present when their parent or other next of kin, has to call the ambulance service due to illness or accident. How many children who experience their next of kin transported to hospital within a Western Swedish ambulance service district is unknown. The purpose of this survey is to identify how many children actually are present when their next of kin may need care and treatment from an ambulance service.
Purpose: Survey how many children are present when an ambulance nurse cares and treats a next of kin due to illness or an accident, prioritized as priority 1 or 2.
Method: a survey conducted by ambulance nurses in a western Swedish ambulance service. The survey has a quantitative design.
Children as next of kin are present within a Swedish ambulance service district, in this survey 155 children was identified in a total of 95 ambulance missions. Children as next of kin are seen as adults, in most cases, a parent as well as children usually a sibling. Many children are present when their relative shows sign and symptoms of severe illness.
The aim of this study was to highlight how hope is experienced by patients in a palliative care context. The background notes that about 90 000 palliative patients die in Sweden each year. The patients in palliative care experience several dimensions of pain, both physical and psychological. Hope is described as something that can lead patients towards more positive goals and actions and is therefore of great importance for their wellbeing. The method of this study is a general literature study based on qualitative research. The analysis is performed with an inductive approach. Following similarities identified 17 subcategories, six categories and two overall themes that where established. The result illustrates how hope is expressed in palliative care patients. Unchanged hope, transformational hope, strategic hope, overcoming hope and everyday hope were categories that emerged as hopeful. In contrast to the hope there were also a hopelessness. The hopelessness was identified as an obstacle to hope which increased passivity and the feeling of helplessness. The conclusion of this study is that the experience of hope is expressed in different ways through the care process. There are several categories that are recurring in earlier research. Most discoveries are identified as hopeful and proved to increase the quality of life for patients in the palliative care context. However, there is no research about how patients would like to be treated regarding their hope.
Huvudsyftet med föreliggande studie var att undersöka på vilket sätt coacher inom tyngdlyftning, styrkelyft, Crossfit och kroppsbyggning implementerar preventiva strategier designade för att förebygga skador genom inverkan på psykologiska riskfaktorer. Vidare var det av intresse att undersöka vilka personlighetsdrag hos en idrottare som coacher upplevde ökade risken för skador. Ett ytterligare syfte var att studera coachernas erfarenheter av relationen mellan idrottares stressnivå och skaderisk. Totalt genomfördes nio semistrukturerade intervjuer med coacher på distrikt till internationell nivå lokaliserade i Sverige. Samtliga coacher hade tidigare erfarenhet med skadade idrottare. Resultatet sammanställdes genom en deduktiv innehållsanalys. Under intervjuerna identifierades flera interventionsstrategier som kunde relateras till Williams och Andersens (1998) stressskademodell. Det framgick att coacherna i studien fokuserar mycket på fysiologiska och stressrelaterade aspekter och inte personlighetsdrag när de implementerar interventioner för att förebygga skador. Implikationer för skadeförebyggande träning samt förslag på framtida forskning ges.
Whistleblowing är en möjlighet för en person att anonymt rapportera om en oegentlighet som förekommer inom organisationen. Studien har undersökt organisatoriska faktorer som påverkar denna möjlighet för den anställda, där fokus legat på vilka effekter rapporteringsstrukturen och organisationskulturen har för möjligheterna att rapportera. Undersökningen har utgått från en kvalitativ metod där intervjuer med fackliga företrädare har genomförts. Undersökning visade att det viktiga för att en whistleblowing-funktion ska ha en fungerande rapporteringsstruktur var kunskap om att funktionen finns, annars är det svårt att förvänta sig att få in rapporter. Vidare är det viktigt med tydliga rapporteringskanaler och riktlinjer där det framgår vad som är angeläget att rapportera om. Gällande organisationskulturen så var vikten av ett bra ledarskap det som framträdde tydligast. Har man ett ledarskap som tillåter en öppen kultur med högt i tak så skulle man inte vara i behov av funktionen i samma grad som om det vore lågt i tak. Är situationen sådan att man har anställda som använder sig av funktionen är det viktigt att man skapar en kultur där man som chef ser rapportörens handling som en förbättringsmöjlighet och därmed inte tilltar repressalier eller efterforska rapportören. Överlag var inställningen till funktionen att det vara bra att den fanns som ett alternativ, men att det primära borde vara att sträva mot en kultur där man kan ha dialoger på arbetsplatsen.
In the healthcare sector, interprofessional collaboration has proven to enhance patient safety. Nurses are often a part of interprofessional teams and collaboration is one of the core competencies of nurses. Knowledge about what affects collaboration is needed to fulfill this core competence. The purpose was therefore to illustrate nurses experiences of interprofessional collaboration. The study was conducted as a literature review of nursing research. The literature review was based on 13 scientific articles whos results were analyzed with guidance from a qualitative content analysis and four categories of nurses experiences arose from the analysis. These categories were to respect each others competences, to have a clear job allocation, to work with different personalities and to work towards a common goal. According to nurses experiences, clinical competence, social competence, respect, communication, trust, education, understanding of roles and common goals were essential for succesfull collaboration. To prepare nursing students for interprofessional collaboration, theoretical and practical education with other healthcare students are suggested. Education for staff already working in the healthcare sector is also believed to be valuable. To enhace nurses competence in collaboration, further research of nurses experiences of interprofessional collaboration is necessary.
The purpose of this study was to illustrate experiences of living with fecal incontinence. Fecal incontinence, also known as FI, is a symptom that up to 15% of the population suffers from. The symptom is physical, but can also have a negative impact on quality of life, both on an emotional and social level. The stigmatization of FI makes many individuals suffer in silence. The results from the literature study is based on eleven scientific articles, and resulted into seven categories: Loss of control, Social isolation, Body image and self-esteem, Desire for affirmation, Life limitations, Inadequate treatment of health care, Feelings of shame, humiliation and To keep fecal incontinence a secret. The results showed that the taboo surrounding FI led to feelings of shame of those who lives with the symptom. The results also showed that individuals with FI usually limited their social life, resulting in a reduced quality of life and self-esteem. The shameful experience of FI correlates with lack of knowledge about the symptom. More knowledge generally leads to reduced feelings of shame. The health care may provide the individual with information and insight about their symptoms. It is important for the health professionals to have adequate education about the appearance of negative feelings, in order to help individuals with FI managing their feelings of shame. In this way, the health professionals can treat and support individuals on an individualized level. Hence the need for further research conducted on the subject.
Patients with head and neck cancer report several disease- and health-related problems before, during and a long time after completed treatment. Nurses have an important role in educating/supporting these patients about/through the disease and treatment so that they can attain well-being. This study describes the cancer patients' experiences of nurses' behaviour in terms of critical incidents after nurses had given them care to promote health. The study had a qualitative, descriptive design and the method used was the critical incident technique. Twenty-one informants from the Nordic countries diagnosed with head and neck cancer were strategically selected. It was explained to the informants what a critical incident implies before the interviews took place; this was defined as a major event of great importance, an incident, which the informants still remember, due to its great importance for the outcome of their health and well-being. The nurses' behaviour was examined, and critical incidents were involved in 208 cases-150 positive and 58 negative ones-the number of incidents varying between three and 20 per informant. The nurses' health promotion activities or lack of such activities based on the patients' disease, treatment and symptoms, consisted of informing and instructing the patients as well as enabling their participation. Personal consideration and the nurses' cognisance, knowledge, competence, solicitude, demeanour and statements of understanding were found to be important. Continuous health promotion nursing interventions were of considerable value for the majority of this group of cancer patients. Oncology nurses could reconfirm and update the care of head and neck cancer patients by including health promotion activities in individual care plans. By more frequent use of health promotion models, such as the empowerment model, the nurses could identify and focus on those individuals who needed to alter their Life-style as well as tailor their approach towards these patient by setting goals for well-being and a healthy life-style.
The definition of palliative care is to provide a diligent care to all patients no matter what disease they suffer from in the end of life. To manage pain with nursing care in palliative care is important and the nurse has a significant role. Pain in palliative care is a symptom that often occurs and can be manage through nurse interventions. The aim is to describe nursing care of patients with pain in palliative care. A content analysis was made where nine scientific articles were audited. The nine scientific articles that were audited resulted in three categories; Pain assessment, Complementary treatment methods, Psychosocial support. The results of this study indicated that nurse interventions can relieve pain; heat and cold, distraction, change of position, relaxation and touch. Psychosocial support is given to both patients and relatives through information and communication. Teamwork in the palliative team is important to assess and manage pain in palliative care. Pain assessment can be hard because some patients cannot verbally tell that they suffer from pain. When family members were mistrustful of the care it was hard for the nurse to assess and manage pain. In order to relieve pain with the help of nursing documents, knowledge, experience and good communication skills are required. Within the subject there is a need for further studies such as; how the use of pain assessment instruments and documentation can be expanded in palliative care.
Bakgrund: Psykosocial hälsa har en stor roll i bestämmandet av hälsa på arbetsplatser, svag psykosocial hälsa kan kopplas till försämrad allmän hälsa samt förhöjd sjukfrånvaro. Samtidigt visar forskning på hur transformativt ledarskap kan påverka arbetsmiljön och anställda vilket resulterade studiens syfte.
Syfte: Syftet var att undersöka transformativt ledarskaps påverkan på anställdas psykosociala hälsa och arbetsmiljö.Metod: Studiedesign som antogs var en systematisk litteraturstudie där sju databaser genomsöktes och totalt 19 vetenskapliga artiklar som svarade på syftet användes. Alla artiklar genomgick granskning av vetenskaplig kvalité och en kvalitativ innehållsanalys som resulterade i tre kategorier.
Resultat: Tre kategorier hittades och de benämns som medför positiva effekter på psykosocial hälsa, betydelse för den psykosociala arbetsmiljön samt hälsovinster i ett större perspektiv. Resultatet indikerar att transformativt ledarskap kan användas som ett kraftfullt salutogent verktyg för hälsopromotion på arbetsplatsen och att ledarskapet kan skapa bättre förutsättningar för förbättrad psykosocial hälsa.
Implikation: Ytterligare forskning krävs för att kartlägga transformativt ledarskap i skilda kulturella, geografiska och praktiska kontexter samt att kvalitativa studier kan ge en mer nyanserad bild av effekterna och på så vis kan ge en tydligare indikation på hur integreringen av transformativt ledarskap kan ske i organisationer och verksamheter.
Grief may occur in many stages in life and nurses are meeting grieving people throughout their work. Nurses responsibility is to prevent illness in both families and patients and with the complexity in the grieving process nurses can find it difficult to meet grieving people adequately.
The aim of this study was to describe nurses' experiences of factors influencing the meeting with families in grief.
Method: The study was conducted as a structured literature review with an inductive approach.
The result was constructed by nine scientific articles compiled in four categories: Stressful work environment, Coping with own uncertainty, Motivation and Nursing relationship.
Conclusion: Several different factors contributed to the nurses experiencing a stressful work environment, affecting their meeting with families in grief negatively. Nurses experienced uncertainty in their meeting with families in grief, which they linked to a lack of experience and education. Even though it was difficult, the nurses felt motivated to meet families in grief and a deep relationship could be formed between them which affected the grieving process positively. Further research is needed to enable an improvement of nurses meeting families in grief.
In today's society there is no distinct limit between work and private life. The development of technology has led to the fact that individuals can be available at any time. The working life is therefore limitless. With this as a background, the purpose of this study is to explore the experience of the profession of middle managers in the public sector. The study also explores the shift between their profession and their private life. To understand this from a macro perspective the study is based on the theory Gränslöst arbete (Allvin, Aronsson, Hagström, Johansson och Lundberg, 2006) and also the inner-directed and other-directed characters (Riesman, 1999). To understand the issue from a micro perspective Goffmans (2004) theory on roles is used. The study is qualitative and based on a hermeneutics method. To understand the experience of middle managers professions and the shift from their profession to their private life, nine middle managers have been interviewed. The study shows that middle managers enter a role at work and that this affects them beyond their work. They therefore have a problem to set boundaries between their profession and their private life. The study also reveals that the middle managers try to form different strategies to set boundaries between work and their private life.
Research shows that the mental health of Swedish students is increasing and that the school nurse has an important health-promoting role. The mental health among students can lead to a weaker performance capacity or that the students don´t manage to finish their studies. The aim of the study was to describe the school nurse´s experience of the mental health promoted work among high school students. Six school nurses from two municipalities in Skåne were interviewed from a strategic selection on the basis of demographic data. The interviews were processed using a qualitative content analysis. The result of the study is presented in a general theme; collaboration and good organization, with a student centered approach to prevent mental health which are prerequisites in order to pursue the health promoting work successfully. Three categories emerged from the theme that describes the school nurses´ experience of the health promoted work; cooperation is needed in the health promoted work, the school nurse is an active operator in the health promoted work and it requires that the school nurses work from a student perspective. The subcategories describe further aspects that are meaningful in the health promoted work such as parental cooperation, the school nurse´s commitment, availability, capacity to form relations and empowerment. The results of this study are important in the school nurse´s health promoted work in order to strengthen the students mental health. Further research within the health promoted work from the student´s perspective is needed in order to obtain both aspects of health promotion and to get the knowledge what the pupils want and need.
The study was performed based on a qualitative method using a hermeneutical approach used to interpret the semi-structured interviews. The study aimed to investigate the Multisystemic therapy (MST) team in Halmstad municipality perceptions on the treatment method multisystemic therapy for youths from the ages of 12-18 years old.The questions were: Does the MST therapists experience that the MST is a method that leads to an improved situation for young people who receive the method? What do the MST therapists describe as opportunities and obstacles in the work with the method?
The study builds on previous research on MST and empowerment based on MST. The study shows three therapists and an MST leader's experiences of the treatment and how it is aimed at influencing the parents and the youth for a change. From therapists statements it highlights how the MST method is designed for the young people's motivation to change by means of the internal and external networks. The result shows that previous research shows a lot of criticism on the treatment in Sweden. It turns out that other interventions from the social services give the same results or even better. All therapists reported that they have seen changes in the families and that most families have been guided to a new way of thinking but that collaboration with other parties concerned should be better. It has been positive and negative sides to treatment from psychiatrist's perspective and that it constantly going research on the method for behavior problems will be prevented effectively. When the youth was involved the treatment was more effective.
The benefit of MST is that the treatment occurs multi systemically with the whole youths network but the risk of the treatment is that the youths network could disappear and that would lead to discontinuing treatment that may not help it to achieve empowerment. There are advantages and disadvantages to treatment, and it comes to that MST therapist to interpret the MST's principles as well as possible for parents and youth to strengthen and not being dependent on other treatment interventions. There has been an improvement on the MST treatment when MST Sweden was formed and got swedish consultants. The study's conclusions is that it is important to create opportunities for youth to participate in the treatment and obtain the youths opinions on why it does not work and how the networks will work with the youth to get it to evolve. To gain achievement, the MST team has to ignore the youths, age treat individuals according to their maturity, integrating family members as much as possible and get a good interaction between the therapists and families.
Background: Childhood obesity is considered a serious public health problem and it has increased over the last two decades. The aim of this paper was to report 5-year change in prevalence of overweight and obesity among preschool children in a rural area of Sweden. Material and Method: Body height and weight were obtained in 2004, 2006 and 2008. A total of 1914 children (1014 boys and 900 girls), aged 4 years ± 4 months and were examined at Child Welfare Clinics in two municipalities in the Skaraborg area in Region of Västra Götaland, Sweden were included in the study. Body mass index (BMI) was calculated and categorized according to the International Obesity Task Force (IOTF) and WHO cut-off as reference methods in defining overweight and obesity, and GLM methods were used to estimate the change with age as a covariate. Result: Between 2004 and 2008, overweight increased in boys according to IOTF 2.0% (P = 0.048), whereas no such trend was seen when using WHO cut-offs. In girls, overweight increased significant according to the both definitions IOTF 9.1% (P < 0.001) and WHO 2.8% (P = 0.010). Obesity has decreased in both boys and girls, however not significant. According to IOTF obesity decreased with 1.1% in boys and 1.9% in girls, and WHO with 2.1% in boys and 1.5% in girls. Conclusion: This study shows that overweight has increased in both sexes and obesity rates remained rather steady. However, public health strategies targeting the whole population is still needed.
In Sweden there are approximately 800 000 people living with asthma, which classifies it as a public disease. Asthma is a chronic inflammatory airway disease with varying degrees of difficulty that have consequences in everyday life. Aim: To illustrate adult asthmatic persons experiences of the disease. Method: The study was conducted as a general literature study with inductive approach. All articles have been searched in Cinahl, pubmed and PsycInfo. Result: The result was based on ten qualitative scientific articles. After coding the material three main categories emerged: Limitations in everyday life, Relating to the disease, The need for knowledge and support. Under Limitations in everyday life the associated subcategories are: Physical limitations, Social limitation and Emotional limitation. Under Relating to the disease are the associated subcategories: Not being able to accept the disease and Learning to live with the disease. Under Need for knowledge and support are the associated subcategories: Information and support from healthcare professionals and Social support. Conclusion: Breathing difficulties causes feelings such as anxiety, fear, depression and frustration. That everyday life is adversely affected in the form of avoiding social situations leads to a large impact emotionally. Several people with asthma experienced a lack of information and lack of knowledge of the disease. There are difficulties in accepting there asthma, which leads to the persons denying that they were sick and they felt ashamed when the symptoms appeared an predictable. In order to gain control of their disease and learn to live with asthma required acceptant and to get to know their symptoms and limitations.


text:
1-1/2" #60 Grit T-R Ceramic Plus Cloth
Image may not be exact product match.
1-1/2" Quick Change Sanding Disc T-R | 60 Grit Ceramic Plus | AA Abrasives 58215
Type R Quick Change Discs allow for easy mounting to TR holder pads for cost effective sanding and finishing operations.
$0.53 Per Piece
- Buy More & Save More
- Sold in packages of 100 pieces
- Buy 1 for $53.05 per package ($0.53 per piece)
- Save 10% – Buy 5+ for $47.74 per package ($0.48 per piece)
- Bulk discount reflected in cart.
1-1/2" Quick Change Sanding Discs | 60 Grit Ceramic Plus -Cloth | Type R
AA Abrasives 58215
AA Abrasives ceramic plus quick change sanding discs with cloth backing provide aggressive stock removal with the highest heat dissipation for grinding high temp alloys such as cobalt, chrome, hastalloy, and inconel. For use on straight grinders, right angle die grinders and high speed portable drills.
Tech Specs
|AA Item#
|AA Abrasives
|AA Abrasives Part#
|Abrasive Material:
|Attachment Type:
|Quick Change | Type R
|Backing Material:
|Disc Type:
|Quick Change Disc
|Special Features:
|Made in USA
AA Abrasives 1-1/2" Quick Change Disc TR | 60 Grit Ceramic Plus Disc Type R
AA Abrasives Part Number - 58215
Quick Change Disc Size: 1-1/2"
Quick Change Disc Grit/Grain: 60 Grit Ceramic Plus
Quick Change Disc Type: TR - Roll-On
Quick Change Disc Backing: Y-Wt. Cloth
Max RPM: 25,000
AA Abrasives ceramic plus quick change sanding discs are for grinding metal.
Interchangable with 3M Roloc System, Norton Abrasives TR Quick Change Attachment System, Merit Type Type III Quick Change Attachment System, Standard Abrasives Lockit Quick Change Attachment System, Superior Type R Quick Change Attachment System, Arc Type Type R Quick Change Attachment System, Pferd Type CDR Quick Change Attachment System, Sait SAIT-LOK-R Quick Change Attachment System, Camel RollOn Quick Change Attachment System, Klingspor QRC Quick Change Attachment System and Garryson Type R Quick Change Attachment System.

subset: commoncrawl


text:
Aspen restaurant targeted in class-action suit over tip pool
DENVER – A Fort Collins law firm has taken steps to launch a class-action lawsuit against an Aspen restaurant accused of running an illegal tip pool for its employees.
The Law Offices of Brian Gonzalez PLLC, on behalf of Sandro Torres, filed a complaint Friday in the U.S. District Court of Denver against Cache Cache restaurant and its owners, Jodi Larner and Chris Lanter.
The federal lawsuit aims for class-action certification from the court and seeks current and former Cache Cache employees "whose tips were diverted illegally" to participate in the complaint.
For now, Torres is the only plaintiff in the suit, which says he worked at Cache Cache as a back waiter and food runner from February 2004 to March 2008 and from January 2011 to April.
Under Cache Cache's employ, Torres made less than minimum wage – $4 to $4.25. Paying less than minimum wage to regularly tipped employees is a standard practice in the restaurant industry. But for restaurants to take a tip credit against the minimum wage, they must adhere to state labor laws, which allow for tip pools.
By Colorado law, the suit alleges, the only employees who can collect from a tip pool are "front of the house" workers such as servers and hostesses. But at Cache Cache, such employees as chefs, dishwashers and food preparers – who were not regularly tipped – also participated in the tip pool, the suit says.
By doing so, Cache Cache violated the Colorado Wage Claim Act and the federal Fair Labor Standards Act, the suit alleges.
"The misuse of tips and participating of non-tipped employees invalidates the Cache Cache tip pool and nullifies (Cache Cache's) entitlement to claim a tip credit against the minimum wage," the suit says. "Defendants are liable for, among other things, paying a sub-minimum wage to current and former employees and for all tips diverted improperly."
The suit also asks that Torres and other "similarly situated plaintiffs" be reimbursed for all tip credits taken against their hourly wages.
Gonzalez, who filed the suit, did not return a telephone message Friday seeking comment for this story. Larner and Lanter also did not return a message left Friday at the restaurant.
Start a dialogue, stay on topic and be civil.
If you don't follow the rules, your comment may be deleted.


text:
There is something pretty special about a field full of wildflowers at sunset. 🙂 This was taken at the Tom McCall Preserve in the Columbia River Gorge last April. I have to say, Oregon really lives up to the hype. It's a lovely state!
Subtle :: OR12 Jul
Did you know there is a massive sea of sand dunes in Oregon? Yeah, me neither. But they're there, and they're awesome! (I put that adventure up on The Outbound, for those of you who want to learn more.)
Now, the nerdy stuff…this is a simple focus stack, of two layered images. The first focused on the foreground, the second focused on the ridge line in back…I merged the two in PhotoShop using masks. Interested in learning more about things like focus stacking? I offer private lessons and structured online lessons through Light & Landscape. You can contact Matt over at L&L for more information about the program.
Radiance Wild6 Jul
This waterfall, known locally as Sawmill Falls, is part of the Opal Creek Wilderness in Oregon. It started as a "side stop" along the way to the Alvord Desert, but it ended up winning me over within just a few short minutes of stepping foot beneath the trees. The whole forest was lush, the light was diffuse, and the waterfalls…well…as you can see, they weren't bad. 😉 This water was actually a spectacular shade of blue-green, but when I started the edit, because of the overcast skies it seemed to work best in black and white.
This shot is actually a composite – one exposure for the trees, and one exposure for the sky and water using a 10 stop ND filter.
Also (earmuffs, Mom!) this particular vantage point involved a narrow crest of rock with a…um….steep decent behind me. While it wasn't the most comfortable of seats, you couldn't beat the view. 🙂
Unfolding :: OR31 May
Wahclella Falls in Oregon is pretty nice. 🙂 In fact, the Columbia River Gorge in general is pretty nice!
The Guardians25 May
"We men and women are all in the same boat, upon a stormy sea. We owe to each other a terrible and tragic loyalty." – G. K. Chesterton
These sea stacks were found along the Oregon coast on an overcast, not so sunset-y sunset. But then, I'm a landscape photographer, and I enjoy the weather that no one else likes because it's so darn photogenic! lol
I'm working on a new tutorial project to help supplement my teaching materials for the Members Area over at Light & Landscape. You know….a few free videos to help you learn, my gift to you! Can't beat the price, right? 😉
If you want to keep informed about the upcoming tutorials as they are released, make sure to sign up for my newsletter.


text:
Solace Women's Aid is an innovative, exciting, grassroots charity working across London. Our purpose is to bring to an end the harm done through domestic and sexual violence to all survivors, and in particular women and children. Our work is holistic and empowering, working alongside survivors to achieve independent lives free from abuse.
You will be joining a team of committed and inspiring individuals whose dedication has saved the lives of thousands of women, men and children in the capital. We are looking for friendly and diligent individuals to join our services and help us make a difference.
About the Service
The Southwark SASS team provides advocacy and support to survivors of domestic and sexual abuse living in Southwark. An exciting opportunity has arisen in this busy team for an Independent Domestic Violence Adviser. This includes a package of support covering crisis intervention, risk assessment, safety planning, assessment of needs and individual support planning. A key aspect of the role will be to advocate on behalf of service users pursuing remedies through the criminal and civil justice systems.
The IDVA will work specifically with high risk clients, whose cases are referred to the MARAC.
About the Role
We are looking for an experienced IDVA to join our dynamic team in Southwark, working with survivors who have experienced domestic violence and abuse. You will be working as part of a multidisciplinary team and collaborating with external agencies in your work. The role includes co-location work with partner agencies.
About You
You will need a thorough understanding of domestic abuse and its impact on women and their children, as well as experience of providing emotional and practical support and strong casework management skills.
You will have the skills to provide effective crisis intervention, carry out risk assessments, safety planning, assessment of needs and individual support planning. You should have demonstrable experience of working in an IDVA or similar position with this or a similar client group.
You will be highly organised, self-motivated and passionate about ending gender-based violence. You will have a "can-do" approach and demonstrable commitment to Solace's feminist approach to supporting women and their children to be safer. You will receive training and support for this role as necessary.
In return, we offer great employee benefits including three per cent employer pension contribution, generous holiday entitlement and a focus on learning and development.
How to apply
Please read the full Job Description & Person Specification. To apply, please send your CV and Supporting Statement outlining your interest in working for Solace and explaining how you meet the criteria set out in the Job Description & Person Specification. Along with this, please complete the Equality Monitoring form and send all three documents to [email protected] by the closing date.
We will only accept CV's and Supporting Statements with a maximum of 2 pages and Font size 12. Please ensure you send the correct documents by the closing date, as late CV's and Supporting Statements will not be accepted.
Due to the number of CV's and Supporting Statements we receive, Solace Women's Aid cannot communicate further with candidates who are not shortlisted for interview. If you do not hear from us within two weeks of the closing date, please assume you have not been successful on this occasion.
Solace Women's Aid values diversity, promotes equality and challenges discrimination. We encourage and welcome applications from people of all backgrounds. We particularly welcome applicants from black minority and ethnic communities.
Solace is a Disability Confident employer. Please email us at [email protected] if you require any additional support to apply for this role.
This service is run by women for women and is therefore restricted to female applicants under the Equality Act 2010, Schedule 9, and Part 1. Section 7(2) e of the Sex Discrimination Act 1975 apply. The post is exempt from the Rehabilitation of Offenders Act.
As part of safer recruitment we require all successful candidates will be required to complete a satisfactory DBS (Disclosure Barring Service) disclosure.
No agencies.


text:
2 BHK Apartment for sale in Kandivali West
Rs 1.92 Crore
Super Built Up Area
0 sqft
Total Floors
30 out of 54
Jun, 2021
Siddha Seabrook, the tallest tower in Kandivali West, Mumbai graces you with a mix of lifestyle, luxury and convenience. Located in the heart of Kandivali West, it offers 1.5, 2 & 3 BHK homes with a host of modern amenities designed to enhance your living experiences. **Host of modern amenities 8 levels of automated car parking Sky garden on every 5th floor 1st habitable floor starting from 9th floor Mini-theatre, swimming pool, gymnasium and more **Excellent connectivity to major locations in Kandivali West 15 and 20 mins away from Kandivali and Borivali railway stations respectively 2 mins away from upcoming Kamraj Nagar Metro Station 20 mins away from Western Express Highway and major commercial parks


text:
Download Link
Code for forums
HTML code
Embed code2
Uploaded by: author on Sep 8, 2019
Category: Indian Sex Scandal Clips
Description: Homemade selfie video of desi call girl exposing her nude figure. With a slow striptease; she did the best to get your cock up and going for sure. She seduces with some teasing moves and then takes off her top to start with. The view of her firm sexy boobs is enough for people to cum inside pants for sure. She even strips fully nude to make the best video possible by her...
Click here for FULL video playback
Register FREE for FULL video playback without any limit
Buy Premium for FULL video playback and DIRECT download
Login or Register to add comments on this video


text:
Tips for a Safe and Happy Summer
Summer Time is here and we're all excited about the nice weather but keeping our kids safe and happy during the summer months can be challenging. Here are some quick tips for having a healthy, happy summer: 1. Stay Involved: Help your child or grandchild get… read more
It's a great time to join Granite United Way!
Granite United Way is currently seeking talent in the following openings:Vice President of Corporate Relations - this exciting opportunity is a full time position reporting to our Chief Development Officer. A full job description is posted here.City of Manchester Homelessness Prevention and Resource Coordinator - This is a dynamic… read more
Manchester Police Athletic League's Impact On Our Youth
"Before MPAL my oldest daughter was bullied and my youngest daughter was a bully." It has been a year and a half since Lynette Acosta and her two daughters, Sealynn and Ana, became involved with MPAL and the United Way Youth Enrichment Partnership."The programs… read more
Upper Valley Partners Putting Fun Back into Summer
"Summertime, an' the livin' is easy…" or so the song says – but is it really?School is out in most areas for two months which means a long break for students, but a tough break for parents. Gone is the reliable structure of the school… read more
Granite United Way Welcomes New Members to Board of Directors
Granite United Way recently announced that Heather Staples Lavoie, President of Geneia, has been named Chair of Granite United Way's Board of Directors. She previously served as the Vice Chair and as Chair of the statewide Resource Development Committee for the organization. Sean Owen, President and CEO of wedu, held… read more
Young Adults Raising Awareness in Carroll County
Young adults are stepping up to be the difference in the Carroll County Public Health region when it comes to raising awareness about mental health, substance use disorder and suicide prevention. On June 20th young adults ranging in age from 18-25 from across the region gathered in Tamworth and completed… read more
2019 Day of Caring Dates Announced
Day of Caring is about mobilizing the caring power of people in our community.Give an hour. Give a day. Give your BEST!We all have special talents. When we reach out a hand to one, we influence the condition of all. Whether it's washing… read more
Granite United Way Volunteers Announce Investments for 2019
Granite United Way's annual campaign mobilizes more than 20,000 donors and corporate supporters to raise more than $9 million across the state of New Hampshire and Windsor County, Vermont. These investments will deliver nearly $12 Million in total community impact this year, while leveraging another $2 Million in support through… read more
VISTA Opportunity at Whole Village Family Resource Center
BE PART OF A NATIONAL EFFORT TO RAISE PEOPLE OUT OF POVERTY.Help Granite United Way bring the community together to alleviate poverty in central New Hampshire by providing financial education, financial coaching and improving job skills. We are seeking an energetic individual to fill our current VISTA opening. … read more
Join the team at 211 NH
211 NH, an initiative of Granite United Way, currently has two full time openings for this dynamic team. This is a great opportunity to become part of a team that is helping to connect individuals across New Hampshire with critical services and programs.Information and Referral Specialist - review job… read more
Granite United Way Honors Merrimack County Supporters
Granite United Way hosted its annual Campaign Celebration on Wednesday, April 10, 2019 at the Concord Country Club in Concord. Supporters from throughout Merrimack County were recognized for their commitment to the community.The featured speaker was Christina Lachance from the New Hampshire Charitable Foundation who spoke about the impact… read more
Granite United Way Honors Southern Region Champions
Granite United Way hosted its annual Southern Region Celebration on Wednesday, April 3, 2019 at the Currier Museum in Manchester. Supporters from throughout the Manchester / Salem / Derry area were recognized for their commitment to the community.Featured speakers included Antonio Feliciano from the Boys and Girls Club of… read more
Granite United Way Honors Central Region Community Champions
Granite United Way hosted its annual Campaign Celebration on Wednesday, March 20, 2019 at Church Landing, 281 Daniel Webster Highway in Meredith. Supporters from throughout the Lakes Region were recognized for their commitment to the community.David Levesque, Principal of the Pleasant Street School, was the featured impact speaker. He… read more
The Leader in Me Program Changing Lives
Gossler Park Elementary announced that their school has been named as a Leader in Me Lighthouse School by Franklin Covey Co. This recognition comes because the school has achieved outstanding results in school and student outcomes by faithfully implementing The Leader in Me program. The announcement was made at Gossler… read more
Share the Love
Share the Love For many, February is a month of romance (we're looking at you Cupid). At Granite United Way, we like tothink that February can also serve as a month of appreciation, a month of showing your community you care.… read more
Granite United Way Seeks Director of Resource Development
It's a great time to join the Granite United Way team!We are currently seeking a Director of Resource Development in our Central Region. To view a full job description, click on the link below. Interested candidates are encouraged to submit a cover letter and resume by email to read more
Internships Take on a New Meaning During Tax Season
Undergraduate students majoring in accounting at local New Hampshire universities can practice their craft at select Volunteer Income Tax Assistance (VITA) sites across the state. VITA is a volunteer-led service that helps individuals file their income tax returns at no cost. Students from St. Anselm's College, University of New Hampshire,… read more
Tips For a Financially Stable New Year
America Saves, a campaign managed by the nonprofit Consumer Federation of America, motivates, encourages, and supports low- to moderate-income households to save money, reduce debt, and build wealth has put together a list of 54 fun and creative ways to save throughout the year.… read more
Citizens Bank Donates $50,000 to Help Individuals & Families with Free Tax Prep
Granite United Way's Volunteer Income Tax Assistance (VITA) Program opened for free tax preparation sites with the help of a $50,000 contribution from Citizens Bank to support the program. A formal check presentation launched the program on Friday, January 25, 2019 at NeighborWorks Southern NH in Manchester. The day also… read more
Do you or someone you know need help this winter?
Do you, or someone you know, need help this winter?211 NH is a free resource available to all New Hampshire residents. This important program is an initiative of Granite United Way. Simply call 211 from any phone in New Hampshire and you'll speak to an Information and Referral Specialist who… read more


text:
NBC Evening News for Tuesday, Jan 28, 1992
View other clips in this broadcast →
Material supplied by VTNA may be used for educational analysis or research only. Any editing, reproduction, publication, rebroadcast, public showing or public display may be prohibited by copyright laws. For any such use, please visit NBC NEWS Archives XPRESS.
(Studio: Tom Brokaw) Results given of NBC News/"Wall Street Journal" poll on President Bush's overall job performance and on other issues.
(Washington: Lisa Myers) Bush's strength in foreign affairs and weakness in domestic policy featured; examples given. [BUSH - makes inaugural address.] [In Saudi Arabia, BUSH - talks about occupation of Kuwait.] [Presidential historian Michael BESCHLOSS - comments on Bush's management of turbulent international situation.] [BUSH - comments on intervening in the Persian Gulf.] [Presidential historian Barbara KELLERMAN - talks about Bush's leadership style.] [BUSH - talks about solving problems.]
Note to sponsor members: The Vanderbilt Television News Archive video player requires a modern operating system and browser to work properly. If you are experiencing playback problems, check the minimum requirements and adjust your setup accordingly. After adjustments, if you continue to experience problems, please contact us.
Welcome! Above is the abstract of the item that you're interested in viewing from the Vanderbilt Television News Archive's collection. You have three options if you'd like to view this item:
If you believe that you are associated with a sponsoring college or university and have received this message in error, please let us know.


text:
Bollywood has given us movies with co-stars who have sizzling chemistry on screen. Sometimes, that chemistry can be even seen off-screen. Some of these off-screen duos have resulted in real-life friendships. But one such on-screen couple that has become great friends off-screen are, Kiara Advani and Shahid Kapoor. Kiara Advani is riding high on the success of her recent film Kabir Singh. The film had an extremely successful run on the box-office. Kiara in a recent interview spoke about working with Shahid in the film. Read more to know about what she thinks about the Haider actor.
Read | Kiara Advani's Latest Outfit Has The Internet Craving For This Snack
Kiara Advani and Shahid Kapoor were recently seen in the movie Kabir Singh. The movie enjoyed tremendous success at the box-office. The film Kabir Singh was directed by Sandeep Vanga. He also directed the Telugu version of the film Arjun Reddy. In an interview with a media portal, Kiara Advani said the sweetest thing about Shahid Kapoor. She said that after completing an entire schedule with him, she can say that she cannot see anyone but him in the titular role.
But their friendship does not stop there. On the completion of Kabir Singh's one month run at the box-office, Kiara made this heartfelt post. She thanked a number of people of the cast and crew of the film. She wrote, that she does not know where to begin when talking about her feeling for the movie Kabir Singh.
Read | Kiara Advani's Sassy Reply Over 'Maggi' Dress Is Making Netizens LOL
Kiara then went on to write more appreciation posts about Shahid Kapoor. The audience cannot wait to see these two working together again. Shahid Kapoor and Kiara Advani worked together once before Kabir Singh, in the remake of AR Rahman's song Urvashi. The song was another chartbuster and was on the top of music charts for a long time. Kiara was also seen in Kalank starring Varun Dhawan, Alia Bhatt, Aditya Roy Kapur, Sonakshi Sinha, Madhuri Dixit and Sanjay Dutt.
Read | Kabir Singh: Vidya Balan Wasn't Pleased With This Scene Of The Film
Read | Kareena Kapoor And Diljit Dosanjh Set To Reunite For 'Good Newwz'
Get the latest entertainment news from India & around the world. Now follow your favourite television celebs and telly updates. Republic World is your one-stop destination for trending Bollywood news. Tune in today to stay updated with all the latest news and headlines from the world of entertainment.


text:
Medical Dispensarys
Sort by: Newly listed | Lower price first | Higher price first
Aguilar (Colorado) - February 26, 2020
http://click2nextorder.com/nolatreve-south-africa/ Nolatreve South Africa It will likely emerge as being the fantastic assist for your touchy pores and pores and pores and skin to maintain it secured, more younger and splendid. By killing your flaws it offers you a sparkling pores and pores and pore...
Aguilar (Colorado) - February 26, 2020
https://www.news4supplements.org/primal-core-reviews/ Primal Core Primal Core Male Enhancement water. One tablet each within the morning and at night time time time time time time time time time time. Do not exceed extra than this desired dose. Keep this supplement from the benefit of youngsters, an...
Alamosa (Colorado) - February 25, 2020
https://newsletter4healhzones.info/pure-canna-leaf-oil/ Pure Canna leaf Oil Pure Canna leaf CBD Oil the creators direct the extraction process of the hemp plant. During the extraction, they make a factor to expel all THC parts. Along those strains, this CBD oil is sheltered and legitimate to purchas...
Almont (Colorado) - February 24, 2020
https://wealthpediaa.com/formax-lean-reviews/ Formax Lean Reviews This is been proclaimed that Male Enhancement is the extraordinary ever tested male enhancement supplement of all time. It is uniquely synthetic with all-natural substances that artwork awesomely and holistically on all frame kinds. M...
Verterans Vitality CBD
Aguilar (Colorado) - February 24, 2020
Verterans Vitality CBD:- That said I decided to make a plunge any case. I didn't feel a brief response, it took me around seven days of consistent use to feel less anxious and have the choice to rest better around night time. Since taking these drops for several months I can totally communicate that...
Verterans Vitality CBD
Aguilar (Colorado) - February 24, 2020
Verterans Vitality CBD:-The greater part of them revealed improvement of their condition inside long stretches of taking CBD Oil. They report that they have more than 76,500 cheerful clients. This is a great deal of input and something we are continually searching for while prescribing an item. The ...
Keto Engaged Tank buy on best price (Website)!
Akron (Colorado) - February 21, 2020
Keto Engaged Old propensities are hard to isolate. Or on the other hand right? Low-Carb diets and low fat weight control plans are made to work quickly, they diminish our eating regimens so much, that they're extremely hard to keep up. Regularly we wind up feeling denied and we will tumble off the w...
Agate (Colorado) - February 20, 2020
Keto Trim 800 It also improves the digestion system and helps you get rid of other side effects like stomach cramp and diarrhea. Consumption of 1 tsp. to 3 tsp. is adviced. Regularly check the levels of ketones: You must regularly check your body ketones and change your diet accordingly. The ketones...
Maxx Boosted of Pills to restore physical
Akron (Colorado) - February 20, 2020
Maxx Boosted:-This is only the start of the advantages that you can involvement in curcumin and turmeric! To open the full medical advantages, you have to attempt it for yourself. Thus, click any picture or catch on this page to check whether you can find a good pace OFF the retail turmeric cost bef...
Akron (Colorado) - February 20, 2020
Keto Original Diet Dr. Ethan Weiss, a researcher and preventive cardiologist at the university of California, San Francisco, had long been skeptical of low-carb diets however decided to experiment with the ketogenic weight loss plan a couple years ago. In a standard day he skips breakfast and eats p...
Amherst (Colorado) - February 20, 2020
Create dinner plan of your own for that entire week and Electro Keto stick to barefoot jogging. You will definitely to avoid grabbing last minute foods that are going to get less healthy than food intake that a person planned. Lessons also endure easier in which you to get your food. If are generall...
OxyBreath Pro
Aguilar (Colorado) - February 19, 2020
OxyBreath Pro:- My supervisor in the workplace proposed that I take OxyBreath Pro alongside me. He said that OxyBreath Pro is demonstrated to secure against the allergens, microscopic organisms, and infections that skim noticeable all around. It is a cover that channels the air before we inhale it i...
Meta Keto Boost Best Fat Burner Advanced Weightloss
Aurora (Colorado) - February 19, 2020
Meta Keto Boost:-BHB is a principal part of the upgrade and decreases weight by growing the assimilation pace of the body. There are no different parts present right now can hurt your wellbeing. Specialists have recommended this pill to all the individuals who are experiencing fat and stoutness like...
KetoGenasis : Is Easy and Fast Way To Weight Loss!(usa)
Niwot (Colorado) - February 18, 2020
KetoGenasis Reviews I do not need to possess another mistake. I have been working on Best Diet Tips since last month. Here it's in a very nutshell: That's a disaster waiting to happen. This is often how to finish being nervous constantly in relation to Easy Lose Weight. Perhaps I may be happy with L...
Where To Buy" Maxi Keto Canada: 100% Natural, Diet ...
Alamosa (Colorado) - February 18, 2020
Maxi Keto Canada:- A few people may think they have gotten very hefty, and no enhancement will support them. On the off chance that you are after some eating regimen and you likewise need it to work speedier, you can couple it with Maxi Keto Canada since then the impact of your own weight reduction ...
Allenspark (Colorado) - February 18, 2020
Ryzex Male Enhancement:-Last words Ryzex male improvement accompanies a wide scope of advantages from improving penile size long and circumference to helping you remain longer and more grounded in the bed, connecting new skylines with your accomplice fulfilling them the most. http://menhealthdiets.c...
Maxi Keto Advanced Fat Burner Reviews
Austin (Colorado) - February 18, 2020
Maxi Keto Furthermore, that is on the off chance that you get things like stomachaches, migraines, and opposite reactions. Fortunately, Maxi Keto Pills won't do this to you. Are The Price of Maxi Keto What's more, all the client audits expressed this plan caused them to feel extraordinary. In this w...
Agate (Colorado) - February 17, 2020
Easy Keto Diet Mar 31, 2018. When following the ketogenic diet, you may well experience sweet cravings. Therefore, provided whatever you eat to cure your sweet craving fits into your daily carb allotment, you're OK. Before starting a ketogenic diet, you should consult with your doctor and again if y...
Fit Diet Pills
New Castle (Colorado) - February 17, 2020
I was ambitious. Who are you trying to completely point out anything that gives a lacking explanation with respect to Health? Health may be very impractical. They're at the bottom of the pecking order. Sure it's a lot of work but a Health that gives a circumstances for a Health. What are the main ad...
Alma (Colorado) - February 17, 2020
Veona Creme helps in improving the surface of your skin.It helps in decreasing early enemy of maturing signs and makes your skin more advantageous again.It helps in shielding your skin from hurtful UV rays.It balances your sketchy skin and diminishes bluntness from your skin.It helps in giving appro...