This thesis deals with the ethical attitudes of professionals working with Methadone or Subutex assisted rehabilitation, concerning the constructed guidelines and directions from the Swedish National Board of Health and Welfare. The central themes in the thesis are: 1. What do professionals think of the rules concerning admissions to the rehabilitation programme? 2. What do professionals think of the rules/criteria for being excluded from the programme? 3.

Aims: The aim of this study was to describe how patients that received a patient diary after their stay at an intensive care unit (ICU) had used the diary and if they found it useful for dealing with their stay in the ICU. The study also aimed to investigate if the patients felt a need for discussing their stay in the ICU and the diary with a registered nurse.Method: The study was performed as an interview study with explorative design. Six informants participated in the study. Recorded personal interviews were held with the informants. The recorded material was transcribed and analysed using qualitative content analysis on a manifest level.Results: This study shows that informants have used their diaries to establish a conception of what they have experienced during their stay in the ICU.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

SammanfattningI arbetet beskrivs olika beteenden och fysiologiska förändringar som kan indikera smärta hos hund. Det finns också en kort beskrivning av tre smärtbedömningskalor: Visuell analog skala (VAS) Glasgow Composite Pain Scale Short Form (GCPS) och University of Melbourne Pain Scale (MPS). Dessa skalor har utvecklats som verktyg för att gradera smärta. VAS har tagits fram för humanvården och de andra är utvecklade för bedömning av postoperativ smärta hos hund. Arbetet innehåller också en mindre studie, där skalorna jämförs mot varandra.

In 1911 Valfrid Palmgren founded the Children's Library of Stockholm, the very first in Sweden.She was a well-educated woman, who believed in social and educational equality for all.During a journey to the USA in 1907, she was deeply impressed by the public libraries, andshe put many of the public library ideas to use in the Children's Library of Stockholm. Palmgrenstrongly opposed to the Swedish libraries not allowing admission to children, since shefirmly believed that educating the people had to start with the children.Other reasons for opening a children's library were to give children an alternative to roamingthe streets, to give children a quiet place to read, to give an alternative to the cheap trashliterature that flooded the market and to teach the young ones how to extract information frombooks. Of great importance was that the library should be equal to all classes in society.In 1927 the children's library was taken over by the new public library of Stockholm..

Escherichia (E) coli is one of the most common udder pathogens associated with acute clinical mastitis in Swedish dairy cows. The aim of this study is to review some of the existing literature on E coli mastitis from a Swedish perspective. The bacteria, its most important characteristics, and diagnostics under field conditions is covered, as well as what happens during infection, how E coli affects the cow and which consequences this have. Clinical symptoms associated with E coli mastitis are described and information on when these cases of mastitis usually occurs is given. Risk factors in the cow?s enviroment are described as well as the importance of the cow?s immune defence.

BACKGROUND: A Pressure ulcer means much suffering for many people. It also leads to big economical costs for the society. Therefore it?s of great importance to prevent pressure ulcers. If pressure ulcers are to be prevented nurses need to have sufficient knowledge about preventive strategies.

Background: Heart ischemia is a disease affected by behaviour, lifestyle and heredity. The disease is more common in the western world and the number of those who suffer increases. The mortality has reduced thanks to that medical resources and knowledge have approved. Purpose: The purpose of this study of the literature was to find out what patients experienced emotionally at an acute heart attack. Methods: A study of literature where scientific articles has been refereed and analyzed, then resulted into five categories presented in the result.

Sahlgrenska Academy at University of GothenburgDepartment of Clinical NutritionAbstractTitle: The effect of nutritional treatment on functional recovery after stroke, a systematic reviewAuthor: Ingrid Blankenau and Amanda LindbladSupervisor: AnneMarie GrönbergExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTS Type of paper: Examination paper, 15 hpDate: April 13, 2011Background: Every year 30 000 people in Sweden suffer from stroke. This costs society about twelve billion SEK. Many stroke survivors experience functional impairment which may lead to difficulties for them to meet their nutritional needs. Nutritional treatment is important in the recovery process after stroke as malnutrition increases the risk of complications.Objective: To investigate the possible effect of nutritional treatment on functional recovery after stroke.Search strategy: The search was conducted in the databases PubMed, Scopus and Cochrane by using the English keywords stroke, nutrition, rehabilitation, functional outcome, recovery, acute stroke, ischemic stroke, ischemic acute stroke, nutrition therapy, brain hemorrhage, functional recovery and nutritional rehabilitation.Selection criteria: Studies published before 2001 conducted on human subjects who suffer from stroke where they measured functional capacity and did a nutritional intervention, written in English, Swedish or Norwegian, and did not have to be requested from the library.Data collection and analysis: A systematic search was performed in PubMed. Studies which had an interesting heading were examined and abstract read.

The traditional view of maintenance is machine-based, where acute maintenance tasks are highly valued. Preventive maintenance is viewed as secondary and less desirable to work with. The more modern view is to regard maintenance as a process. The machine-driven tasks are still necessary but are viewed as a part of the big picture.The purpose of this study is to examine how to high light general difficulties concerning maintenance management to aid organizations to reflecting upon their own situation. The study is based upon a pilot study initiated by ProcessIT concerning relevant key figures in maintenance.

Laminitis is a common but devastating condition, and affected horses are often euthanized or influenced a very long time. Many horses never return to their original capacity. Laminitis is often associated with severe pain and a long time of convalescence. Symthoms includes lameness, hoof hyperthermia, strenghthened digital pulse and pain. The horse often tries to move the body weight away from the forelegs which are often more severly affected than the hindlimbs.

Children are a group of patients that require special knowledge from the anesthesia staff, both general and specific. Theoretical knowledge and practical experience is necessary to adequately care for the child as it anatomically, physiologically and mentally may differ from adult patients.A growing problem in the pediatric population is overweight and obesity. From a stagnation in the early 2000s the prevalence of overweight and obesity among children in the world are again increasing.The purpose of this study was to examine peri-operative care of overweight and obese children.Systematic searches were done in PubMed, CINAHL and Scopus. After the quality audit according to SBU, twelve articles were included for analysis.Results suggest that overweight and obese children have a higher risk of respiratory peri-operative complications. The risk of hospital admission after outpatient surgery was also greater in this group as well as higher costs for health care.Overweight and obese children are complex subjects with more frequent peri-operative risk factors than normal-weight children.

Heart failure is the most common reason to hospitalization among persons over 65 years old. Self-care is an important part in the treatment of heart failure, but poor information and knowledge limits the ability of self-care and increases the risk of admission to hospital.The aim of the study was to investigate what information patients with heart failure describes that they receive from health care personal, how information is perceived, who provides the information, and on what occasions it is given. The aim was also to investigate whether patients' perception of knowledge about heart failure increased after hospitalization.The study is cross-sectional study with a descriptive design. A consecutive selection was used. A questionnaire was filled in by 28 participants.The study has shown that patients with heart failure largely experience information about heart failure inadequate.

Syfte: Syftet med studien var att undersöka sjuksköterskors upplevelse av omvårdnaden av patienten vid förändrade inskrivningsrutiner inför en operation på kirurgavdelningen på Enköpings lasarett. Metod: Kvalitativ design med deskriptiv ansats. Åtta sjuksköterskor med erfarenhet av att arbeta innan och efter de nya inskrivningsrutinerna trädde i kraft intervjuades. En intervjuguide av semistrukturerad typ togs fram med en bred huvudfråga och olika teman för att besvara syftet. En innehållsanalys på manifest nivå med en induktiv ansats gjordes.

Whether use of affirmative action can be justified is an ethical dilemma that hasbeen intensely debated. The question raises several conflict dimensions. Thepurpose of this thesis is to separate different arguments of the debate and classifywhich principles they are built upon. To accomplish this, an analytical instrumentis created where three different perspectives of equality, and deontology versusconsequentialism, are compared. A third conflict dimension, individual versusgroup ethical principles, is also considered.