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Bakgrund: Stroke är en av de främsta dödsorsakerna globalt bland hjärt-kärlsjukdomar. Det inträffar när blodflödet till hjärnan plötsligt avbryts, antingen av en blodpropp eller en blödning, vilket resulterar i syre- och näringsbrist i hjärnan och potentiellt leder till förlust av motoriska och kognitiva funktioner. Dessa komplikationer kan avsevärt påverka patienternas livskvalitet och kräver noggrann och omfattande vård samt rehabilitering för att hantera dem effektivt. Syfte:  Syftet var att beskriva vuxna patienters upplevelse av att leva med komplikationer efter en stroke. Metod: En allmän litteraturöversikt användes enligt Friberg för att granska och kategorisera elva kvalitativa vetenskapliga artiklar. Resultat: Resultaten visar tre huvudteman - upplevelse av fysiska förändringar, emotionella förändringar och sociala förändringar - med åtta underteman som beskriver olika aspekter av strokeöverlevares upplevelser. Slutsats: Strokeöverlevare möter en komplex resa präglad av fysiska, emotionella och sociala utmaningar efter stroke, vilket betonar behovet av adekvat stöd och interventioner för att underlätta deras rehabiliteringsprocess. / Background: Stroke is one of the leading causes of death globally among cardiovascular diseases, occurring when the blood flow to the brain is abruptly interrupted either by a blood clot or a hemorrhage, resulting in oxygen and nutrient deprivation in the brain and potentially leading to the loss of motor and cognitive functions. These complications can significantly affect patients' quality of life and require careful and comprehensive care and rehabilitation to manage them effectively. Aim: The aim was to describe the experiences of adult patients living with complications after a stroke. Method: A general literature review was used according to Friberg to examine and categorize eleven qualitative scientific articles. Results: The results show three main themes - experience of physical changes, emotional changes, and social changes - with eight subthemes describing various aspects of stroke survivors’ experiences. Conclusion: Stroke survivors face a complex journey characterized by physical, emotional, and social challenges after stroke, emphasizing the need for adequate support and interventions to facilitate their rehabilitation process.

Postmemory is an interpretive theory that describes the relationship between the children of Holocaust survivors (Second-generation witnesses) and the trauma suffered by their parents. This thesis extends postmemory in two ways: first, postmemory is extended to include refugees who escaped the Holocaust. Thus, refugee families are situated in the three familial paradigms of Holocaust memory. Second, postmemory is extended to Third-generation witnesses (grandchildren of Holocaust survivors and refugees). Manifestations and representations of postmemory in Third-generation refugee families is demonstrated by authorial narration of photographs in third-generation refugee writer Erika Dreifus's short story collection Quiet Americans. / Includes bibliography. / Thesis (M.S.)--Florida Atlantic University, 2015. / FAU Electronic Theses and Dissertations Collection

The death of a loved one is currently a very common topic, and it is important for a social worker to keep it in mind. This thesis is called "The Phenomena of Death in a Social Worker's Job". The theoretical part was made by using analysed relevant literature, chosen by snowballing sampling. This thesis is divided into three chapters. The first two chapters focus on the theory and definition of death, anticipation and sudden death, suicide, mourning and options to help the survivors. The third chapter contains the practical part, with research data, including charts and graphical interpretation. The goal of this empiric research is to use semi-structured online surveys to answer the main research question: "How do students of the second year of postgraduate study of major SACH at HTF UK feel about their readiness to handle death of their clients and confrontation with survivors during their work?" I was trying to find out whether students at our faculty are considering this topic and how they feel about it. The research shows that students do not feel prepared to encounter these topics during their work. The most important part of the thesis I consider a subchapter, which contains interviews with social workers who have already encountered deaths and survivors during their work. I am using these...

The purpose of this study is to provide descriptions of conversations with survivors of suicide, including their relationships with the persons who committed suicide, the relationships that followed these deaths, their experiences of suicide, and the way that they made sense of these deaths. The epistemological framework of this dissertation is ecosystemic and social constructionist. This study involved in-depth interviews with three suicide survivors, exploring personal and professional domains. Thematic analysis was the method used to generate patterns of meaning. The researcher recounted the research participants' stories and punctuated emergent themes and patterns according to what she deemed important. Each story was contextualised, and included reflections of the researcher. Themes both common and unique to each participant story were highlighted and discussed. The information yielded from this study could have value to survivors of suicide and psychotherapists whose clients commit suicide. / Psychology / M.A. (Clinical Psychology)

Dissociation is commonly associated with sexual crimes or other forms of trauma where a person experienced a threat to the existence or survival of the self. During dissociation the ego may split in such a way that ego-states (subselves or segments of the greater personality) form to encapsulate feelings of guilt, pain, fear, and anger. If dissociation is severe, sufferers will have no conscious recollection of the sexual trauma as it is deeply repressed in the subconscious. This may result in symptoms/pathology later in life. Research indicated that hypnosis (due to its dissociative nature) is favourable as treatment modality for pathology/symptomatology associated with trauma and dissociation. This research study investigates the development of ego-states during experiences of sexual trauma and hypnosis (especially Medical Hypno-analysis and Ego-State Therapy) as effective treatment modality within the field of psycho-education. It proposes a hypnotherapy model where the diagnostic tools as indicated by the Medical Hypno-analysis model, are being used to determine the existence of repressed memories related to sexual trauma. The therapeutic processes as indicated by the Ego-State Therapy model, are being used to resolve and work through the core repressed traumatic experiences through the mobilization of associated and related ego-states. This study presents four case studies and discusses their clinical diagnostic procedures and therapeutic processes. The case studies illustrate that certain symptomatology/pathology experienced later in life may be the result of repressed memories and the formation of maladapted ego-states earlier in life when sexual trauma was experienced. Highly charged emotional and negative beliefs were set in the ego-states and could only be disarmed from their destructive content through regressions and hypnotherapy. A detailed discussion of the proposed hypnotherapy model and its application and concerns regarding its application within the field of psycho-education are also presented. The results of this study indicate that the proposed hypnotherapy model (the combination of Medical Hypno-analysis and Ego-State Therapy) can be used effectively and successfully when working with survivors and symptomatology/pathology associated with sexual crimes. / Educational Studies / D. Ed.

Je tiens à remercier les bourses des IRSC en collaboration avec le programme COPSE, les Bourses du Programme de Sciences biomédicales 2014-2015 et les Bourses d’excellence de la Faculté des études supérieures et post-doctorales Hydro-Québec (2015- 2016) pour leur contribution. / Introduction. Avec l’optimisation des traitements, le taux de guérison de la leucémie lymphoblastique aigüe (LLA) de l’enfant approche 90%. Cependant, 60% des survivants devront faire face à des complications à long-terme en lien avec les traitements. Ces patients ont un risque accru de complications cardiométaboliques telles que l’obésité, la résistance à l’insuline, la dyslipidémie et l’hypertension artérielle. Alors qu’il est reconnu que des facteurs génétiques contribuent au développement de ces complications, peu d’études ont observé l’impact de ces déterminants chez les survivants. Le but de cette étude est d’évaluer les associations entre les variantes rares et communes et le développement des complications cardiométaboliques chez les survivants de la LLA. Méthodes. La caractérisation du profil cardiométabolique et le séquençage de l’exome ont été réalisés dans une cohorte de 209 survivants de la LLA pédiatrique. Les variantes associées avec les complications cardiométaboliques ont été identifiées avec PLINK (commune) ou SKAT (rare et commune) et une régression logistique a été utilisée pour évaluer leur impact dans des modèles multivariés. Résultats. Nos analyses ont démontré que des variantes rares et communes dans les gènes BAD et FCRL3 sont associées au risque de présenter un phénotype dit extrême, soit trois facteurs de risque cardiométabolique et plus. Les variantes communes dans OGFOD3 et APOB et les variantes rares et communes dans BAD ont été associées à la dyslipidémie. Les variantes communes dans BAD et SERPINA6 ont été associées respectivement à l’obésité et la résistance à l’insuline. Conclusion. Notre étude a révélé une susceptibilité génétique au développement des complications cardiométaboliques chez les survivants de la LLA pédiatrique. Ces biomarqueurs pourront être utilisés pour la détection précoce et l’intervention chez cette population à haut risque. / Background. While cure rates for childhood acute lymphoblastic leukemia (cALL) now exceed 80%, over 60% of survivors will face treatment-related long-term sequelae, including cardiometabolic complications such as obesity, insulin resistance, dyslipidemia and hypertension. Although genetic susceptibility contributes to the development of these problems, there are very few studies that have so far addressed this issue in a cALL survivorship context. In this study, we aimed at evaluating the associations between common and rare genetic variants and long-term cardiometabolic complications in survivors of cALL. Method. We examined the cardiometabolic profile and performed whole-exome sequencing in 209 cALL survivors from the PETALE cohort. Variants associated with cardiometabolic outcomes were identified using PLINK (common) or SKAT (common and rare) and a logistic regression was used to evaluate their impact in multivariate models. Results. Our results showed that rare and common variants in the BAD and FCRL3 genes were associated (p<0.05) with an extreme cardiometabolic phenotype (3 or more cardiometabolic risk factors). Common variants in OGFOD3 and APOB as well as rare and common BAD variants were significantly (p<0.05) associated with dyslipidemia. Common BAD and SERPINA6 variants were associated (p<0.05) with obesity and insulin resistance, respectively. Conclusion. In summary, we identified genetic susceptibility loci as contributing factors to the development of late treatment-related cardiometabolic complications in cALL survivors. These biomarkers could be used as early detection strategies to identify susceptible individuals and implement appropriate measures and follow-up to prevent the development of risk factors in this high-risk population.