Endometriosis affect 11% of women of reproductive years worldwide. The project made use of lifestyle factors coming from the Lucy application. The Pearson correlation test was used to find linear correlation between endometriosis and lifestyle factors, while different machine learning models and logistic regression was used for finding non-linear correlations. The strongest linear correlation found (-0.23) was irregular menstruation however, the score does suggest a weak linear correlation. Decision Tree, Gradient boosted DT, XgBoost, Random Forest, and Logistic regression were usedto find patterns within the dataset. Risk stratification results proved to be unreliable. Decision Tree and its variants show strong evidence of correlation between endometriosis and the following features: weight, irregular menstruation, menstruation length, height, cycle length, irregular cycle, age, pregnancy, and daily symptoms. Additional analysis on those features could give more insight on what may be correlated as well as cause endometriosis. / Endometrios är en sjukdom som påverkar 11% av kvinnor i fortplantningsålder över hela världen. Det här projektet kommer använda livsstilsfaktorer som kommer från Lucy applikationen. Pearsons korrelations test används för att leta efter linjära korrelationer medans maskininlärnings modeller samt logistiskregression användes för att hitta icke-linjära korrelationer. Den starkaste linjärakorrelationen som hittades (-0.23) var oregelbunden menstruation, däremot tydervärdet på en svag linjär korrelation. Decision Tree, Gradient boosted DT, XgBoost, Random Forest, and Logistisk regressionsanalys användes för att hitta samband i datamängden. Riskstratifiering visades sig vara opålitliga. Decision Tree och deras varianter visade starka bevis på att det finns korrelationer mellan endometrios och följande egenskaper: vikt, oregelbunden menstruation, menstruationslängd, längd, cykellängd, oregelbunden cykel, ålder, graviditet samt dagliga symtomer. Mera analyser med dessa egenskaper kan ge mer insikt om vad som är korrelerat men även vad som orsakar endometrios

Landslide susceptibility maps are useful for spatial decision-making to minimize the lossof lives and properties. There are many studies related to the development of landslidesusceptibility maps using various methods such as Analytic Hierarchy Process, Weight ofEvidence and Logistic Regression. Commonly, the geospatial data required for such analysis(such as land cover and soil type maps) are only locally available and pertinent to smallcase studies. Transferable and scalable approaches utilizing publicly available, large scaledatasets (ie., global or continental) are necessary to develop susceptibility maps in areaswhere local data is not available or when large-scale analysis is required. To develop suchapproaches, a systematic comparison between locally available, fine resolution, and largerscale, openly available but coarser resolution datasets is essential. The objective of this study isto investigate the efficiency of globally available public data for landslide susceptibility mappingby comparing it with the performance of the data provided from local institutions. For this purpose, the Göta river valley in Sweden and the country of Rwanda were selectedas study areas. Göta river valley was used for the comparison of local and open data.While Rwanda was used as a study area to ensure the efficiency of open data analysis andtransferability of the framework. The selected landslide impact factors for this study are;elevation, slope, soil type, land cover, precipitation, lithology, distance to roads, and distanceto drainage network. Landslide susceptibility maps were prepared by using the state-of-the-artFrequency Ratio method. The validation results using the prediction rate curve technique show92.9%, 90.2%, and 83.1% area under curve values for local and open data analyses of Göta rivervalley and open data analysis of Rwanda country, respectively. The results show that globallyavailable open data demonstrate strong potential for landslide susceptibility mapping whenhigh-resolution local data are not available.

Bakgrund: Endometrios är en kronisk inflammatorisk sjukdom som drabbar en av tio kvinnor i fertil ålder. Vanliga symtom är intensiv smärta i samband med menstruation, kraftiga och oregelbundna blödningar, samlagssmärta och infertilitet. Det tar ofta flera år innan kvinnor får en diagnos vilket medför ett stort lidande. Forskning om endometrios går framåt men det finns fortfarande okunskap inom vården och vårdpersonalen behöver fortbildning för att kunna ge stöd och råd. Den teoretiska referensram som användes var Joyce Travelbees omvårdnadsteori samt personcentrerad omvårdnad. Syfte: Att belysa hur kvinnor med endometrios upplever bemötandet i vården. Metod: Litteraturstudien genomfördes med en kvalitativ ansats. Efter kvalitetsgranskningen återstod tio artiklar som användes i litteraturstudien. Resultat: De tio artiklar som ligger till grund för resultatet kommer från Sverige, Ungern, Australien, Storbritannien och Nederländerna. Dataanalysen genererade i tre kategorier: Vårdpersonalens förminskande attityd, Kunskap och information samt Fertilitet, med sex subkategorier som representerade olika aspekter av upplevelsen av bemötandet i vården. Kvinnorna upplevde att de fört en kamp under flera år för att få en diagnos, vårdpersonalen tog dem inte på allvar samt normaliserade deras symtom. Kvinnorna upplevde även att vårdpersonalen hade bristande kunskaper om sjukdomen samt fokuserade för mycket på fertiliteten. Positiva upplevelser var när vårdpersonalen lyssnade och bekräftade dem. Konklusion: Kvinnorna hade övervägande negativa upplevelser av bemötandet i vården och saknade stöd från vårdpersonalen. Det är viktigt att höja kunskapsnivån för att minska det långdragna lidandet. Sjuksköterskan behöver arbeta empatiskt och personcentrerat för att kunna tillgodose kvinnornas behov. / Background: Endometriosis is a chronic inflammatory disease that affects one in ten women in their fertile age. Typical symptoms of endometriosis are dysmenorrhea, heavy irregular bleedings, dyspareunia and infertility. The diagnostic delay is often many years, which could cause suffering. Research of endometriosis is progressing, yet there still exists ignorance in health care and health care staff need training to be able to provide support. The theoretical frameworks used were the nursing theory by Joyce Travelbee and person-centered nursing. Aim: To illustrate how women with endometriosis experience health care encounters. Method: The literature review was performed with a qualitative approach. After the quality review ten articles remained that were included in the literature review. Results: The ten articles used in the literature review came from Sweden, Hungary, Australia, United Kingdom and the Netherlands. The data analysis generated three categories: Health care provider ́s diminishing attitude, Knowledge and information and Fertility, with six subcategories that represented different aspects of the experience in the health care encounter. The women fought several years to get a diagnosis, health care providers did not take them seriously and normalized their symptoms. The women also felt that the health care providers lacked knowledge about the disease and focused too much on fertility. Positive health care encounters were when the health care providers listened and confirmed them. Conclusion: Women mostly had negative experiences of health care encounters and lacked support from the health care staff. It is significant to raise the level of knowledge in order to reduce women’s suffering from the disease. The nurse needs to work empathically with a person-centered approach to be able to meet the women’s needs.

Bakgrund: Många kvinnor upplever förlossningsrädsla. Föda utan rädsla är en naturlig metod som främjar trygghet och optimerar födandets fysiologi och stärker det positiva i förlossningsupplevelsen. Kvinnans stödperson har en viktig roll under förlossningsarbetet.Syfte: Syftet är att beskriva och undersöka om användandet av metoden Föda utan rädsla (FUR) påverkar den födande kvinnans upplevda vårdkvalitet samt upplevelse och känslor i samband med förlossningen jämfört med tidigare insamlat material.Metod: Mixad metod av fall-kontrollstudie med kvantitativ ansats och en kvalitativ innehållsanalys med induktiv metod. Data samlades in genom QPP-I-enkät och analyserades genom Mann Whitney U-test.Resultat: De kvinnor som upplevde god effekt av FUR upplevde bättre stöd från personal, att partnern fick bättre stöd, uppmuntrades att delta och fick sina fysiska behov tillgodosedda under förlossningen. Kvinnorna upplevde även andra faktorer som påverkade den upplevda vårdkvaliteten.Slutsats: Genom förberedelse i FUR-metoden kan det födande paret upplevaökad trygghet och självförtroende inför förlossning och förlossningsrädsla kan motverkas. FUR kan ge upplevelse av ett bättre bemötande från personal, ökat stöd och respekt. Partnern blir stärkt i sin roll, vågar ta plats och ge stöd till den födande kvinnan.Klinisk tillämpbarhet: FUR-utbildningen är kort och ger en stor vinst tillbaka till både det födande paret samt förlossningspersonalen. / Background: Many women experience fear of childbirth. Confident Birth is a natural method that promotes security and optimizes the physiology of childbirth and strengthens the positive in the birth experience. The woman's support person has an important role during the labor. Aim: The aim is to investigate whether the use of the method Confident Birth affects the woman giving birth's perceived quality of care and delivery experience compared with previously collected material. Method: Mixed method of case-control study with quantitative approach and a qualitative content analysis with inductive method. Data are collected through the QPP-I survey and analyzed by the Mann Whitney U-test. Resultats: Women who experienced good effect of Confident Birth, experienced better support from caregivers, that the partner received better support, was encouraged to participate and had their physical needs met during childbirth. The women also experienced other factors that affected the perceived quality of care. Conclusion: Through preparation in the Confident Birth method, the birthing couple can experience increased security and self-confidence before childbirth and fear of childbirth can be counteracted. Confident Birth can provide an experience of a better response from healthcare personal, increased support and respect. The partner dares to act and provide support to the woman giving birth and the partner´s role is strengthened. Clinical application: Preparation in the Confident Birth method is short and gives a big profit back to both the birth couple and the delivery staff.

Syfte: Att undersöka kvinnors erfarenhet av könsstympning och vilken påverkan det har på deras hälsa med fokus på den perinatala och sexuella hälsan. Metod: Kvalitativ intervjustudie med induktiv ansats. Tio kvinnor som genomgått könsstympning grad I-III deltog. Intervjuerna var semistrukturerade intervjuer och genomfördes på Zoom. Intervjuerna spelades in med mobiltelefoner och sedan transkriberades och analyserades med innehållsanalys på manifest nivå. Resultat: Det utvecklades fyra kategorier och 10 subkategorier. Könsstympning påverkade perinatala och sexuella hälsan i flera avseende i form av flera olika komplikationer så som smärta vid själva ingreppet, men också vid samlag, problem med menstruation och problem under graviditet och förlossning. Kvinnorna blev ofta dåligt bemötta när de sökte vård och märkte att det fanns kunskapsluckor hos barnmorskor. Psykiska hälsan påverkades då kvinnorna hade en känsla av att vara annorlunda och att de blivit bestulna på en kroppsdel som de sörjde. Flera kvinnor hade genomgått rekonstruktion och rekommenderade andra att genomföra det.  Slutsats: Kvinnornas perinatala och sexuella hälsa påverkades negativt av könsstympningen i form av komplikationer. Smärta vid ingreppet, smärta vid samlag som påverkade samlivet och därmed sexuella hälsan negativt. Komplikationer under graviditet och förlossning med upprepade urinvägsinfektioner, stora bristningar och klipp i underlivet. Det dåliga bemötandet samt kunskapsluckan hos barnmorskorna upplevdes som jobbig.    Nyckelord: Förlossning, graviditet, kvalitativ metod, perinatal hälsa och sexuell hälsa / Aim: To examine women's experience of female genital mutilation and the impact it has on their health with a focus on perinatal and sexual health. Method: Qualitative interview study with an inductive approach. Ten women who underwent genital mutilation grade I-III participated. The interviews were semi-structured interviews and were conducted on Zoom. The interviews were recorded with mobile phones and then transcribed and analyzed using manifest level content analysis. Results: Four categories and 10 subcategories were developed. Female genital mutilation affected perinatal and sexual health in several aspects in the form of several different complications such as pain during the procedure itself, but also during intercourse, problems with menstruation and problems during pregnancy and childbirth. The women were often treated poorly when they sought care and noticed that there were gaps in knowledge among midwives. Mental health was affected as the women had a feeling of being different and that they had been robbed of a body part that they mourned. Several women had undergone reconstruction and recommended others to undergo it. Conclusions: The women's health was negatively affected by female genital mutilation in the form of complications. Pain during the procedure, pain during intercourse that negatively affected marriage life and thus sexual health. Complications during pregnancy and childbirth with repeated urinary tract infections, large ruptures and cuts in the female genital. The poor treatment and lack of knowledge among the midwives was perceived as troublesome   Keywords: Childbirth, pregnancy, perinatal health, qualitative method and sexual health

Bakgrund: Intrauterin fosterdöd är en sällsynt händelse, av 1000 förlossningar är det cirka tre till fyra förlossningar där det inträffar i Sverige. Som förälder kan det vara svårt att hantera sorgen vid intrauterin fosterdöd och därmed finns det behov av stöd. Föräldrarna uppger att de inte får den rätta vård och stöd som de är i behov av. Det finns bristfällig kommunikation mellan barnmorskor och föräldrar. Stöd till barnmorskor är lika viktigt, vilket är en förutsättning för att kunna hantera svåra situationer. Syftet: Att beskriva barnmorskors erfarenhet av att stödja föräldrar efter förlossning vid intrauterin fosterdöd. Metod: Kvalitativ metod med induktiv ansats. En webbenkät som besvarades av 25 barnmorskor. Resultat: Fyra kategorier och nio subkategorier utformades. Barnmorskorna ansåg att grunden till god vård för föräldrarna vid intrauterin fosterdöd var att vara närvarande och stödja föräldrarna genom hela vårdtiden. Det kan vara en utmaning att hantera egna känslor samtidigt som det är en hög arbetsbelastning på arbetsplatsen. Behovet av fördjupad kunskap kring stödjandet av föräldrarna föreligger. Slutsats: Barnmorskorna ansåg behovet av vidareutbildning inom ämnet för att kunna hantera svåra situationer. Stödet till barnmorskorna var en viktig faktor för att klara av att bemöta föräldrarna vid intrauterin fosterdöd. / Background: Intrauterine fetal death is a rare event, occurring in approximately three to four out of 1000 births in Sweden. As parents, coping with the grief of intrauterine fetal death can be challenging, and the need for support is crucial. Parents report not receiving the proper care and support they require. There is inadequate communication between midwives and parents. Support for midwives is equally crucial, to be able to manage difficult situations. Aim: To describe midwives' experiences in supporting parents after childbirth in cases of intrauterine fetal death. Method: Qualitative method with an inductive approach. A web- based survey was completed by 25 midwives. Results: Four categories and nine subcategories were formed. Midwives believed that the foundation for providing good care to parents in cases of intrauterine fetal death was to be present and support the parents throughout the entire care period. Managing their own emotions while facing a heavy workload at the workplace can be challenging. There is a need for further education regarding supporting parents going through an intrauterine fetal death. Conclusion: Midwives identified the need for further education on the subject to manage difficult situations. Support for midwives was a crucial factor in being able to support parents in cases of intrauterine fetal death.

No description available.

During roughly forty years of a woman’s life-span, the fertile female human body prepares itself monthly for the possibility of pregnancy. Science has shown that the fluctuation of the sex steroids progesterone and estrogen have a crucial role in the female body's physiology, determining the menstrual cycle and its general phases. This biological dance of hormones governing the cycle influences a lot of physical, mental and cognitive aspects of life for a fertile ovulating woman. Although the question of whether these changes also affect women's cognitive performance is still unclear, some evidence has been gathered that could bring us closer to answers. Recent research findings show that this hormonal interplay might have a significant role in cognitive and psychological development - modulating brain activity, cognitive performance, higher cognition, emotional status, sensory processing, appetite and more. This thesis aims to uncover to what extent the menstrual cycle affects brain functions, neurobiology, mood, well-being and cognitive performance in menstruating cisgender women.

Introdução: Em Reprodução Assistida toda a equipe compartilha com o casal o árduo caminho composto pelas fases do tratamento, porém, o presente estudo deteve-se a experiência do médico. Objetivos: Investigar o Imaginário Coletivo de médicos que atuam em Reprodução Assistida sobre as situações de difícil manejo em sua prática profissional. Métodos: Foram feitas entrevistas únicas individuais, utilizando o Procedimento de Desenho-Estória com Tema como instrumento dialógico. A partir das entrevistas foi criada uma narrativa transferencial ficcional preservando elementos essenciais da dramática humana estudada. Os registros foram interpretados à luz do método psicanalítico buscando a criação/encontro de campos de sentido afetivo-emocional. Resultados: Foram encontrados os seguintes campos: \"Não deu certo!?\", que organiza-se ao redor da ideia de que não alcançar o objetivo pretendido seria o equivalente a fracassar, mesmo diante de situações incertas; \"Engole o choro!\", que organiza-se mediante a crença de que é preciso conter os sentimentos diante de determinadas situações, não deixar-se emocionar; \"Fora do comum\", que organiza-se por meio da crença de que quem está em posição de cuidador é e/ou precisa ser excepcional. Conclusões: Para a formação e à prática médica é preciso incluir, além da visão científica-tecnológica, a abordagem da subjetividade. É necessária a criação de enquadres diferenciados que auxiliem o médico a aproximar-se emocionalmente de seu trabalho, facilitem a superação de dissociações, promovam a saúde mental, contribuindo para que o exercício da profissão seja gratificante e dotado de um sentido genuíno / In Assisted Reproduction the whole team shares with the couple the hard journey through the phases of the treatment, however, this study is about the doctor\'s experience. Objectives: To investigate the Collective Imaginary of doctors working in Assisted Reproduction on some difficult situations in their professional practice. Methods: Individual interviews were conducted using the Thematic Story-Drawing Procedure as dialogical instrument. From the interviews a fictional narrative transference were created preserving essential elements of the human drama studied. The records were interpreted in light of the psychoanalytic method seeking the creation / gathering of affective-emotional sense fields. Results: The following fields were found: \"It did not work!?\", which is organized around the idea that not reaching the target would be equivalent to failing, even due to uncertain situations; \"Swallow your crying!\", Which is organized by the belief that one must contain the feelings before certain situations, not allowing themselves to get emotional; \"Out of the ordinary\", which is organized by the belief that who is in the position caregiver is and / or needs to be exceptional. Conclusions: For the training and medical practice is necessary to include, beyond the scientific-technological view, the approach of subjectivity. It is necessary to create different framings that help the doctor to approach their work emotionally, facilitate the overcoming of dissociations, promote mental health, this way contributing to the exercise of the profession so it can be rewarding and endowed with a genuine sense

Bakgrund: Ungdomars sexuella och reproduktiva hälsa och rättigheter (SRHR) är ett viktigt folkhälsoarbete och barnmorskan har en central roll när det kommer till att nå ungdomarna med kunskap och information. Det förefaller finnas få studier om barnmorskors uppfattningar om vad ungdomar behöver veta mer om när det kommer till deras sexuella och reproduktiva hälsa och rättigheter. Syfte: Syftet med denna studie var att beskriva barnmorskors uppfattningar om vad ungdomar behöver veta mer om inom området sexuell och reproduktiv hälsa och rättigheter. Metod: Kvalitativ intervjustudie med åtta semistrukturerade intervjuer med barnmorskor. Datamaterial analyserades med en kvalitativ innehållsanalys med induktiv ansats. Resultat: Barnmorskorna uppfattade att ungdomarna hade behov av att veta mer om kroppsutveckling. Även mer om sexuellt överförbara infektioner (STI) och preventivmedel samt att killarna behövde veta mer om deras reproduktiva ansvar. Ungdomarna behövde också veta mer om sexuella relationer och rättigheter, innefattande bland annat lagar och homosexualitet. Barnmorskorna ser idag en ökning av sexuella problem bland ungdomarna och barnmorskorna hade en gemensam uppfattning om att det beror på pornografikonsumtion. Slutsats: Barnmorskor har insikt i vad ungdomar behöver veta mer om inom SRHR. Det finns fortfarande brister i undervisning och utbildning till ungdomar inom SRHR och det är angeläget att fokusera och investera i arbeten för att stärka och främja ungdomars SRHR. Klinisk tillämpbarhet: Denna studie lyfter barnmorskors uppfattningar om vad ungdomar behöver veta mer om inom ämnet SRHR. Studien kan användas i klinisk verksamhet till förbättringsarbeten för olika yrkeskategorier som arbetar med ungdomar gällande SRHR. / Background: The sexual and reproductive health and rights (SRHR) of young people is an important public health work and the midwife has a central role in reaching the young people with knowledge and information. There seem to be few studies on midwives' perceptions about what young people need to know more about when it comes to their sexual and reproductive health and rights. Purpose: The purpose of this study was to describe the views of midwives about what young people need to know more about in the area of sexual and reproductive health and rights. Method: Qualitative interview study with eight semi-structured interviews with midwives. The data material was analyzed with a qualitative content analysis with inductive approach. Result: The midwives perceived that the young people needed to know more about body development. In addition, more about sexually transmitted infections (STIs) and contraceptives and that the young men needed to know more about their reproductive responsibilities. The youth also needed to know more about sexual relations and rights, including, among other things, laws and homosexuality. The midwives today see an increase in sexual problems among young people and the midwives had a common view that this is due to pornography consumption. Conclusion: Midwives have insight into what young people need to know more about in SRHR. There are still shortcomings in education for young people within SRHR, and it is important to focus and invest in work to strengthen and promote young people's SRHR. Clinical application: This study highlights the views of midwives on what young people need to know more about in the subject of SRHR. The study can be used in clinical activities for improvement work for various occupational categories that work with young people regarding SRHR.