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Menopause is a period of biological transition in middle-aged women, when oestrogen levels gradually drop. After menopause women no longer can give birth to children. However, menopause is more than biology; it is also an example of a bio-psycho-social process, where psychosocial and cultural involvement can influence experiences of the biological transformation. Furthermore, many myths and meanings surrounds menopause, and the purpose of this study drawing on a Foucauldian perspective, is to examine discourses in contemporary society that affect the understanding of what menopause is. The methodological approach consists of an analysis of media articles and interviews with middleaged women to explore different conceptions of menopause. The analysis of articles in two leading Swedish newspapers during a period of five years (Dagens Nyheter and Svenska Dagbladet, 2007- 2011) reveals that the media present menopause as a substantial risk factor that increases the possibilities of many diseases, irrespective of genes and lifestyle, and that menopause appears to cause reduced quality of life and degraded body. This female period of life is portrayed as “the beginning of the end”, filled with dichotomies concerning whether menopause is natural or pathological, but with an emphasis on the pathological. The newspaper articles present different strategies for women on how to deal with this transformation, such as hormone replacement therapy, fitness, and different diets that can "calm" women’s experience of menopause. Media thus present menopause as both problematic and challenging. However, interviews with six middle-aged women show that women themselves view this differently. Women define menopause as the border between being young and old, and this makes menopause in conflict with today's youth-obsessed society, where health and appearance are essential components of personal identity, particularly for women. Women talk about menopause as a confirmation of age, and also indirectly as the beginning of deteriorating health. In contrast, the majority of women experience menopause positive in terms of what they had expected. Due to the confusion surrounding menopause women call attention to the lack of information and knowledge on the subject of menopause. Information that can increase women’s knowledge, and thus give women more control over their own bodies. These different images of menopause are problematized both in terms of the gendered body, as well as in terms of knowledge and power.

published_or_final_version / Medical Sciences / Master / Master of Medical Sciences

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The aim of this thesis was to explore and describe foodwork and meals for older persons with dementia and their partners in ordinary homes. Descriptive and explorative designs were used in the four papers this thesis is based on. Longitudinal data, including older home-living unlike-sex twins, were analysed using descriptive and analytical statistics. An ethnographic approach was used to describe everyday life for persons with dementia. Interviews with partners and staff were analysed using thematic analysis and qualitative content analysis, respectively. The results revealed that, among home-living older persons, there is an association between a person’s cognitive ability and nutritional status; i.e. low cognitive ability leads to increased risk of malnutrition. For home-living persons with dementia and their partners, foodwork and meals sometimes changed, meaning that shopping, preparing food and eating as well as social interaction become complicated, which seemed to lead to transitions in roles, routines and relations. There was foodwork that the persons with dementia could perform, and participants expressed a desire that abilities and independence be preserved. However, support was sometimes needed, and it was emphasized that this was based on the person’s needs, wishes and problems. In conclusion, there is an association between decreased cognitive ability and increased risk of malnutrition. Furthermore, foodwork and meals affected both persons with dementia and their partners. Therefore, early intervention whereby both partners in a couple get individually adjusted support is of importance. Consequently, a person-centred care approach can be useful in arranging the support.

The health and fitness status of Canadian children has been declining over the past several decades. Children’s health and fitness impacts future health status as many health and fitness indicators track from youth into adulthood and are associated with serious illnesses such as cardiovascular disease (CVD). One potential determining factor of health and fitness may be the level of proficiency exhibited in performing fundamental movement skills (FMS). Failure to master FMS in childhood may decrease the physical activity options available in adulthood because FMS provide a foundation for all forms of physical activity pursuits necessary for health and fitness benefits. Todate, the relationship between health, fitness and proficiency of FMS has not been examined in Canadian children. Therefore, the purpose of the present investigation was to examine the current state of movement skill proficiency in relation to health and fitness in Canadian elementary-aged children. Boys (n = 71) and girls (n = 91 girls) ages 8 to 11 years were recruited from schools participating in the evaluation component of the Action Schools! BC program. Measures of fundamental movement skill proficiency (i.e., running, horizontal jumping, vertical jumping, jumping from a height, hopping, and skipping) and indicators of health and fitness (i.e., blood pressure, arterial compliance, weight status, musculoskeletal and cardiovascular fitness) were assessed. Results indicated low levels of FMS proficiency for both boys and girls. Analysis also revealed significant relationships between EMS and indicators of health and fitness. Correlation analyses found running and hopping to be significantly (p < .01) related to musculoskeletal and cardiorespiratory fitness tests. Significant (p < .01) relationships between vertical jumping and weight status, musculoskeletal and cardiorespiratory fitness were also found by the correlation analyses. Regression analyses were performed to determine the independent relationship between health and fitness indicators. Vertical jump was significantly (p < .01) related to blood pressure (BP) independent of confounding health and fitness variables. Finding significant relationships between FMS proficiencies and health and fitness indicators coupled with the low proficiencies demonstrated by our sample of children suggest the need for a greater emphasis on the development of FMS.

Background: There is little information on how the quality of oral health services in long-term care (LTC) facilities is conceptualized or assessed. Objectives: This study aims to develop a model for assessing the quality of oral healthcare services in LTC facilities. Methods: This study is divided into four main steps. Firstly, I examined literature for existing concepts relating to program evaluation and quality assessment in healthcare to build a theoretical framework appropriate to dental geriatrics. Secondly, I explored as an ethnographic case study a comprehensive oral healthcare program within a single administrative group of 5 LTC facilities in a large metropolis by interviewing 33 participants, including residents and their families, nursing staff, administrators and dental personnel. I also examined policy documents and made site visits to identify other attributes influencing the quality of the program. Thirdly, I drafted the assessment model combining a theoretical framework with empirical information from the case study. And lastly, I tested the feasibility and usability of the model in another dental geriatric program in northern British Columbia. I applied the assessment model by conducting 15 interviews with participants in the program, made site-visits to the 5 facilities, and reviewed documents on the development and operation of the program. Results: A combination of theory-based evaluation and quality assurance provided six sequential and iterative steps for quality assessment of oral health services in LTC. The empirical information supported the theoretical framework that a program of oral healthcare in a LTC context should be assessed for quality from multiple perspectives; it should be comprehensive; and it should include the three main attributes of quality - capacity, performance, and outcomes. Participants revealed 20 quality indicators along with suggested program objectives which encompass eight quality dimensions such as effectiveness, efficiency, and patient-centered. Conclusion: The model provides a unique system for assessing the quality of dental services in LTC facilities that seems to meet the needs of dental and non-dental personnel in LTC.

In vitro assays were developed using small intestinal contents from broilers fed maltodextrin in preparation for shipping. This was done to establish an effective bactericidal dose of allicin or lysozyme as ingredients in maltodextrin-based feed. The antimicrobials were added to overnight cultures of gut material bacteria from maltodextrin fed broilers and a pure culture of Salmonella. Following this, lysozyme was incorporated into maltodextrin feed at 0, 10 and 20 g.kg-1 of feed and offered for 9 h to 4 pens of 20 birds per treatment. Bacterial numbers were analyzed using Proc Mixed of SAS. Allicin and lysozyme inhibited Enterobacteriaceae and Clostridium perfringens, respectively, in vitro. Lysozyme showed the most promise; it reduced bacterial numbers in nutrient broth. Feeding lysozyme-enriched maltodextrin for 9 h inhibited bacilli growth (P<0.05) when evaluated using next generation sequencing. Lysozyme was effective in reducing specific bacterial numbers in the gut of market-aged broilers / The project focused on ways to ensure poultry meat safety by controlling bacteria population in the gastrointestinal tract of market-aged broilers prior to shipping.

The purpose of this study was to determine if del Nido cardioplegia provides superior protection for aged and young adult hearts. We used our isolated working heart model of cardioplegic arrest and reperfusion to compare functional recovery in both senescent and young adult rat hearts, with delivery of del Nido or our standard cardioplegia. In the aged hearts, use of del Nido cardioplegia prevented spontaneous contractions during arrest, reduced troponin release, and provided superior functional recovery during working heart. In contrast, in the young adult hearts, although stroke work was higher in the del Nido group, there were no significant differences in spontaneous activity, troponin release, and cardiac output between del Nido and standard cardioplegia, suggesting that del Nido cardioplegia did not provide superior functional recovery in the young adult heart. Del Nido cardioplegia has the potential to provide superior myocardial protection for elderly patients undergoing cardiac surgery.