Bakgrund: Schizofreni är en psykossjukdom som påverkar både personen som drabbas och dennes anhöriga. Den drabbade har ofta svårt att leva ett normalt liv och behöver stor omsorg. Anhöriga som har rollen som primär vårdare kan behöva vara i ständig beredskap att ge stöd och hjälp. Ansvaret är ibland omfattande och kan resultera i att bli en börda i både subjektiv och objektiv bemärkelse. Syfte: Att undersöka anhörigas erfarenhet av att vårda personer med schizofreni och hur de hanterar den dagliga tillvaron för att bibehålla den egna hälsan. Metod: En litteraturöversikt, i enlighet med Friberg genomfördes. Systematiska sökningar har utförts i databas CINAHL Complete och PsycINFO. Resultatet av översikt utformades på 13 originalartiklar. Resultat: Litteraturöversikten resulterade i två huvudteman: förändringens början och vägen framåt. Förändringens början bestod av två underteman: chock och skuld samt ansvar och börda. Huvudtemat beskrev anhörigas erfarenheter av att vårda den drabbade. Vägen framåt bestod av två underteman: en anpassning samt ett sökande efter stöd, som i sin tur presenterade anhörigas självhantering av livsförändringar och erhållande av stöd. Diskussion: De väsentligaste punkterna i resultatet diskuterades utifrån Antonovskys teori om KASAM – känsla av sammanhang. Positiv föreställning utlöste acceptans som ledde vidare till en effektiv anpassning. Kulturella och religiösa aspekter visade sig förstärka anhörigas inre resurser, likaså stödgrupper som medförde känslan av samhörighet. / Background: Schizophrenia is a mental disease, which has effects on both the person and the relatives. A person suffering from schizophrenia has often difficulties in living a normal life and is in need of a great care from the relatives. The relative who takes the role as primary guardian can be in constant preparedness to provide support and help. Responsibilities sometimes become so extensive and may result being a burden in both the subjective and objective sense. Aim: The aim was to examine relatives’ experience of caring for persons who suffering from schizophrenia and how they managing daily life in order to maintain their own health. Method: A literature review in accordance with Friberg was conducted. Systematic searches have been performed in the database CINAHL Complete and PsycINFO. The result of the literature review is based on 13 original articles. Results: A literature review resulted in two main themes: the beginning of change and the way forward. The beginning of change consisted of two subthemes: shock and guilt and responsibility and burden. The main theme described the relatives' experiences of caring for the person who suffered from schizophrenia. The way forward consisted of two sub-themes: adaptation and a search for help, which in turn was presented to the relatives in order to help self-management of life changes and obtaining support. Discussion: The main findings of the literature review discussed by Antonovsky's theory sense of coherence (SOC). Positive performance contributes to acceptance that further leads to effective adaptation. Cultural and religious aspects proved to strengthen the inner resources of the relatives as well as support groups brought the feeling of solidarity.

Nursing research has been performed during the last 20-30 years, about the next of kin’s vulnerability. Despite this, the health care system has had difficulties to integrate the next of kin in a way that gives support. The overall aim of the thesis was to describe and further explore the life situation of the next of kin to persons who are long-term ill, disabled, and/or older, and in need of care. Method: Multiple methods were used. Study I had a descriptive design, 44 next of kin of patients with multiple sclerosis were interviewed, latent content analysis was used for the analysis. Study II had a mixed method approach; the descriptive core study was analyzed with directed content analysis. The supplementary study with descriptive, correlative design was analyzed with descriptive and correlative statistics. Forty-four next of kin of patients with multiple sclerosis were interviewed; thereafter 37 of them answered a questionnaire about Quality of Life. Study III had a descriptive, explorative design. Twelve next of kin of older persons were interviewed with repeated informal conversational interviews, analyzed with latent content analysis. Study IV was cross-sectional with a descriptive, correlative design. Eighty-four next of kin of persons who were long-term ill, disabled, and/or older answered two questionnaires about Burden and Quality of Life that were analyzed with descriptive and correlative statistics. Results and Conclusions: Next of kin described a balance/imbalance in their relations to others and a high burden, but in general a good Quality of Life. Some next of kin also experienced chronic sorrow. Significant correlations were found between interpersonal relations and Quality of Life as a whole. Love and obligations were two anchor points on a continuum, describing the next of kin’s relationship to the ill/disabled person. The relationship with the health care personnel was described through cooperation and obligations. Good communication was seen as the key to balance the relationship with others. One possibility to achieve symmetrical communications is to adapt the Partnership Model, as a tool for creating good relationships. Honest and specific communication between the health care personnel, the next of kin, and the care receiver are necessary.

Background: Depression is a common condition that affects the life of the person suffering from depression as well as their surroundings. Relatives of the person suffering from depression are affected by the condition and among these the partner is one of the most affected. The partner can be affected both physically and mentally from living with a person suffering from depression. Aim: The aim of the study was to explore partners’ experiences of living with a person suffering from depression. Method: The chosen method for this study was a literature review. The data was collected through both systematic and unsystematic searches. Eight articles were included, both qualitative and quantitative. The analysis was conducted according to a model made for literature reviews, where the data was compiled and sorted into descriptive themes. Results: The results of this study yielded three themes of experiences, including one with two subthemes. (1) Experience of how the daily life is affected (subthemes: experience of living on another person’s terms, and experience of how the situation affects the mental and physical health). (2) Experience of the need for knowledge. (3) Experience of being able to cope with the situation. Conclusion: The study shows that partners of people with depression need to be more included in the patient’s care. They also need to be offered information and support to make it easier to cope with the situation. The results of the study also shows that more research is needed on the subject.

This thesis deals with the responsibility associated with the provision of health care, specifically it deals with the problem of causal link in medical disputes, its peculiarities, its obstacles related to its proving and possible ways of burden-of-proof- easement in relation to causation, including in particular the loss of chance concept. Second section of the thesis is dedicated to the brief introduction to the issue of liability, as a specific phenomenon necessary for the functioning of the human community, which is in the provision of health care represented not only by civil liability, but also by ethical disciplinary or labour liability. Legal liability is however clearly the dominant and most efficient instrument to regulate the conduct of the legal norm addressees. Legal liability, defined as secondary legal obligation, arising as a result of a breach of the primary legal obligation, is described in the third section of this thesis according to its basic structural elements. These basic structural elements are: infringement, emergence of damage, fault and finally causal link between the unlawful conduct and the damage. Crucial attention is paid to the causal link, to the specification of the causal link concept, to the requirement for level of proof in the Czech legal system and also in...

The object of this master's degree thesis is to present a view of the evidence in civil proceedings. The document concerns the process of evidencing from both theoretical and practical point of view as it provides factual and material information which is crucial for the meritory decision of a court. The thesis is divided into three main chapters. There is also an introductory part situated in the very beginning of the paper which concerns the main reasons why the author chose this particular topic and describes overall importance for society. Furthermore, the thesis is ammended by a conclusion at the end of the paper. It comprises a subjective evaluation of the current legal basis and proposes possibilities of improvement of the Czech Civil Procedure Code. The first chapter focuses on the general description of the process of evidencing. It provides a legal definition of the concept of evidencing in connection with an explanation of other basic terms such as the subject of evidence, principles of evidence, a legal concentration etc. The role of the court, its main tasks and the level of maximum permitted initiative in civil proceedings are also taken into account. The second chapter concentrates on procedural obligations of the parties to litigation. Legislature imposes a certain procedural...

Taking care of seniors with dementia in the home environment can prove itself difficult not only for the individuals burdened with the main caretaking, but it is also challenging for their close family relationships. There is usually some way of sharing the care in the families, where more family members are put into a caregiver's position. Based on the semistructured interviews with the family caregivers this paper describes the alterations of the family relationships and the forms of support between the family members, as well as the common conflicts and rejections. The issue is being described from the point of view of the caregivers with a direct, actual and long-time experience in the home caregiving. Also the data of the interviews has been shortly compared to the information retrieved from the anxiety, depression and burden inquiries, all collected among the respondents. Powered by TCPDF (www.tcpdf.org)

This diploma thesis is focused on measuring the corporate tax burden with the implicit and statutory corporate tax rates within the European Union. The aim of this study is to compare tax burdens across the European Union. Furthermore, to determine whether the implicit tax rate on corporate income depends on the following factors; statutory tax rate, depreciation period of certain assets, tax preferences of research and development, investment incentives or the possibility of transfer of tax losses. In the period 1995 to 2010 the average statutory corporate tax rate decreased significantly. The development of average implicit tax rate on corporate income was not so clear. The differences exist mainly between the Old and New Member States. The performed analysis did not prove dependence of implicit tax rates on corporate income on the above mentioned factors.

The subject of this thesis is "Comparison of the corporation tax base in selected OECD countries". The main objective is comparison of corporation tax base legislation and its impact on the tax burden of corporations in Czech Republic, Austria and Cyprus. Sub-objectives are: analyzing the elements of corporation tax base in these countries, finding out how the asset depreciation is regulated in these countries and assess the impact of corporation tax base legislation on effective tax burden. For each country there are described elements that affect the tax base: subjects, incomes, expenses and other items deductible from the tax base. Impact on the tax burden is assessed using a model example and implicit tax rate on corporate income.

The burden of proof on the unlawful conduct of the health service provider Abstract This thesis describes a burden of proof and the distribution of the burden of proof on the unlawful conduct of the health service provider between the parties to the dispute. Particular emphasis is put on cases in which patient as party burdened by the burden of proof is unable to prove unlawful conduct of the health service provider or other elements of the obligation to pay damages because the health service provider violated his obligation to properly maintain medical records. This thesis is composed of eight chapters. Chapter One is introductory and describes the civil liability which can arise out of the provision of health services. It presents cases of strict liability and also liability for fault. Chapter Two deals with the unlawful conduct of the health care service provider. Besides the general introduction, attention is paid to medical malpractice and other typical cases of unlawful conduct related to the provision of health services. Chapter Three examines other elements of the obligation to pay damages in cases of medical malpractice. Chapter Four deals with the procedural obligations of the parties to the dispute, especially with the duty of assertion and evidence and the burden of assertion. Chapter Five is...

Il presente elaborato si colloca entro l’area di ricerca sull’invecchiamento patologico, con particolare riferimento al paziente con diagnosi di demenza moderata e grave e al relativo caregiver; tema centrale è la qualità della vita dei due membri della diade paziente/familiare, e la necessità di diversificare e arricchire l’attività psicologica entro i contesti di ricovero a lungo termine in favore di un miglioramento del benessere della diade stessa. A tale scopo, il lavoro si articola in due studi distinti: nel primo, si propone un intervento di stimolazione musicale individualizzata diretta al paziente con diagnosi di demenza moderata o grave, nel secondo un intervento di reminiscenza che ha come target il familiare. La tesi si articola in tre sezioni: la prima è una cornice teorica di riferimento, la seconda e la terza espongono rispettivamente il primo e il secondo studio sperimentale. Il primo capitolo ha lo scopo di fornire un quadro teorico e empirico aggiornato in merito al tema dell’invecchiamento. Inizialmente viene trattata la questione della “Ageing Society” da un punto di vista globale, delineando nel corso del capitolo le caratteristiche e le criticità legate all’invecchiamento patologico e alla sua gestione entro il Sistema Sanitario Nazionale, con particolare interesse verso la realtà delle Residenze Sanitario-Assistenziali (RSA), contesto entro il quale si sono svolti i due lavori di ricerca proposti. Si tocca infine il tema dell’intervento non farmacologico diretto al paziente. In una seconda parte è descritta la prospettiva del familiare, il concetto di burden e il ruolo della relazione pregressa tra paziente e caregiver da un punto di vista teorico; segue la descrizione degli interventi non farmacologici diretti al caregiver finora proposti in letteratura, ideati allo scopo di alleviare stress legato al ruolo di cura e alle sue implicazioni. Il secondo capitolo ha lo scopo di esporre il primo studio della tesi, che si è occupato di verificare l’efficacia di un intervento di ascolto musicale individualizzato sulla qualità della vita di pazienti con diagnosi di demenza moderata o grave. Per questo motivo, si sono prima di tutto descritti i sintomi comportamentali della demenza, con particolare riferimento alla agitazione psicomotoria e al suo ruolo di indice dello stato psicologico del paziente con deficit cognitivi avanzati. Nella sezione empirica del capitolo viene descritta nei dettagli la modalità di intervento selezionata, gli obiettivi dello studio e i risultati ottenuti in base alla misurazione pre-post delle variabili di outcome selezionate e al confronto tra gruppo sperimentale e gruppo di controllo. Il terzo capitolo tratta il secondo studio del lavoro di tesi, che ha indagato l’efficacia di un intervento di reminiscenza sulla qualità della vita percepita dai familiari di pazienti con diagnosi di demenza afferenti alla RSA Monsignor Bicchierai – Istituto Auxologico Italiano di Milano. Allo scopo di motivare le ragioni della scelta di questa modalità di intervento, si sono descritte le premesse teoriche della teoria della reminiscenza e le sue potenzialità come forma di approccio al paziente anziano; l’idea dello studio è stata quella di applicare tale modalità di intervento sul caregiver, allo scopo di alleviare il burden percepito conseguente al carico pratico e emotivo che la cura della persona cara comporta. Analogamente al secondo capitolo, segue la sezione empirica dello studio, con un esteso approfondimento metodologico e la descrizione e discussione dei risultati ottenuti. Una sezione finale avrà lo scopo di proporre riflessioni e spunti clinici emersi da entrambi gli studi, entro una visione globale della presa in carico della diade paziente/caregiver. / This research thesis refers to pathological aging, with a particular focus on the patient with a diagnosis of dementia and his/her caregiver. The intended central theme is the patient and the caregiver’s quality of life, assuming them as a dyad; the work also concentrated on the need to diversify and enrich the psychological offer within the context of long-term hospitalization. To this end, it is divided into two separate studies. In the first one, we propose an individualized musical intervention directed to the patient with a diagnosis of moderate or severe dementia; in the second the effcacy of a reminiscence intervention that targets the family member is tested. The thesis consists of three separate sections: the first is a theoretical frame, the second and the third expose the first and the second experimental study respectively. The first chapter aims at providing an updated theoretical and empirical framework on the subject of aging. The problem of the "Aging Society" is firstly discussed; among the chapter the characteristics and the critical issues related to pathological aging and its management are debated. This topic requested a deepening into the features of the italian National Health System, with a particular focus on the reality of Nursing Homes (RSA), within which the two proposed research works were carried out. Finally, the topic of non-pharmacological intervention directed to the patient is treated. The second part describes the caregivers’ perspective, the concept of burden and the role of the prior relationship between patient and caregiver: in order to act on the stress related to the role of care and its implications, non-pharmacological interventions directed to the caregiver according to scientific literature are described. The second chapter objective is to display the first study, which aimed at testing the effectiveness of an individualized music listening intervention on the quality of life of patients diagnosed with moderate or severe dementia. For this reason, the behavioral symptoms of dementia (BPSD) were first described, with particular reference to agitation and its role as an index of the psychological state of the patient with advanced cognitive impairment. In the empirical section of the chapter the intervention is carefully described, together with the objectives of the study and the results obtained based on the pre-post measurement of the selected outcome variables and the comparison between the experimental group and the control group. The third chapter deals with the second study of the thesis work, which investigated the effectiveness of a reminiscence intervention on the caregivers’ perceived quality of life; they belonged to the RSA Monsignor Bicchierai - Italian Auxologic Institute of Milan. In order to support the choice of this modality of intervention, the theoretical premises and its potential use as a form of treatment for dementia patients have been described; the seminal idea of the study was to apply this kind of intervention on the caregiver, in order to relieve the burden resulting from the practical and emotional load requested. Similarly to the second chapter, the empirical section of the study follows, with an extensive methodological study together with a description of the obtained results. A final section had the purpose to think over the clinical ideas emerged from both studies, viewing the dyad patient-caregiver as a single care recipient.