The public health care sector has come under increasing pressure to cut down costs, maximize productivity and satisfy patients' needs during the 1990s and onwards. As a way of "getting more for less" quality management has been introduced. Originating in the private manufacturing industry, quality management has a strong focus on productivity and efficiency, aspects which are measured in quantitative terms. However, there are strong concerns that quality management is a means of speeding up the marketization of public health care by introducing core values much different from the ethic and medical norms that traditionally underpin health care organizations.This essay focuses on how quality management has been introduced to, and transformed by, public health care. A theoretical framework based on new institutionalism is constructed, and translation theories are used as a way of illustrating how the medical institutional environment, in fact, changes the concept of quality management.

Att klara vardagliga aktiviteter är viktigt för människan, möjligheten att påverka sin dag, göra egna val och umgås med andra på egna villkor. Kognitiva funktionsnedsättningar medför svårigheter att ta emot, bearbeta och förmedla information och innefattar bland annat förmågan att minnas, orientera sig i tid och rum och problemlösning. Allt fler personer med funktionshinder är i dag i behov av hjälpmedel som kan ge en ökad livskvalitet. Kognitiva funktionsnedsättningar uppmärksammas allt mer i samhället och utvecklingen av nya produkter går snabbt framåt. Syftet med studien var att undersöka hur arbetsterapeuter inom kommunal verksamhet upplevde sitt arbete med förskrivning av kognitiva hjälpmedel.

There are several different kinds of bacteria that has developed resistance against the antibiotic agents used in todays medicine. Most of them has evolved from the human health care but several of them has gone over to also cause problems in the animal health care. They often occur as nosocomial infections and the greatest risk of exposure to them is during health care. Since infections with a resistant bacterium can be difficult to treat, it is desirable to prevent this spread, especially since an animal treated in a hospital often is more susceptible to infection, due to their primary condition. In Sweden the current resistance situation is good and is yearly monitored by the Swedish Veterinary Antimicrobial Resistance Monitoring (SVARM) programme.

ABSTRACT Infertility is a medical condition that affects approximately 16 % of Swedish couples in childbearing age and is a condition found in both men and women. When a couple has been trying to conceive for more than 12 months without success they need to see a health care provider. Infertility can be treated with medicine, insemination or assisted reproductive technology such as in-vitro fertilization (IVF) and intra-cytoplasmic sperm injection (ICSI). The aim of this study was to validate a morphokinetic selection model, KIDScore? D3 Basic, against morphological selection model that is currently in use at the Fertility unit at University hospital in Orebro.

Our aim in this work has been to redesign ModernFamilies and make a user-friendly interface for people with aphasia. The focus has been to identify general issues they might face while using different technology and applications, in order to find better alternative design for ModernFamilies, with a focus on usability. To approach this issue, we used a qualitative method. Our study includes several interviews and observations preformed in conjunction with the AGNES project (AGeing in a NEtworked Society) and speech therapists. Aphasia requires simple design that in the same time gives them support to understand and use technology and different applications.

When a child is hospitalized, it is usually more than one person who needs attention ? i.e. the child as well as its parents. The emergency ward environment and surgery rooms are unfamiliar and the parents feel anxious, insecure and uncertain about how to act. They are expected to participate in the child?s care, cope with their own anxiety and simultaneously convey a sense of security and stability to the child.

Syftet med undersökningen var att undersöka olika rutiner vid hantering av skeppsapotek ur säkerhetssynpunkt och hur sjukvårdarsansvariga upplever rutiner kring hantering av skeppsapotek.Undersökningen bygger på intervjuer och enkätundersökningar från sjukvårdsansvarigbefäl. 19 enkäter delades ut till en klass med sjukvårdare i Kalmars sjöfartshögskola via en kontaktperson, av dessa intervjuades fyra personer. Enkäter av samma slag skickades även ut via internet.Undersökningens resultat visar på att det saknas tydliga riktlinjer för hur rutiner vid hantering av skeppsapotek ska skötas. Dock ur säkerhetssynpunkt upplevde sjukvårdarna inte detta som något problematiskt. Dessutom kunde man identifiera tre olika rutiner som användes ute till sjöss, nämligen rutiner med hjälp av Excell dokument, journalföring med papper och penna och rutiner med hjälp av underhållsprogrammet AMOS.

Research shows that almost 30 per cent men and 20 per cent women at the age of 16-24 in Sweden download music on a regular basis instead of buying records. Thanks to modern technologies teenagers of today have become used to downloading music illegally from theInternet. Even though legal alternatives, such as Spotify, have become popular, the behavior of illegal download of music still persists. What do record companies do to prevent this phenomenon and why do they go to such length to stop this widespread movement? The question is, why is illegal download of music a problem ? and for whom? To investigate this I?ve read books about the subject, analyzed web pages of alternative record companies and interviewed a drummer in a local band.

In this thesis, the impact of collective ratings on customers? perception of a product is examined. The empirical data comes from an experimentally designed survey where the effect of collective ratings is measured in the setting of a traditional advertisement for a feature film. In contrast to what previous research would suggest be to the expected outcome, the authors of this paper concludes that in comparison with alternative designs of advertisements, there are no measurable advantages of including collective ratings in advertisements from the marketers point of view. We find two explanations to the result: (1) people tend to self-report that they are more influenced by collective ratings than they actually are, and (2) the advertisement which lacked a rating could be as attractive due to cultural interpretations of white spaces..

The thesis deals with three document retrieval models based on logic: the Boolean model,the fuzzy model and the Van Rijsbergen model.In Chapter 1, the author presents the purpose of the thesis. This is to give the logical foundationof the models, to describe them and to examine them critically. In Chapter 2, some importantnotions in document retrieval are presented. Chapter 3 is devoted to the Boolean model, Chapter4 to the fuzzy model and Chapter 5 to the Van Rijsbergen model.These three chapters are organized in the same way. First, the logical foundation of the modelis given.

A large part of Sweden?s green, urban landscape is covered by lawns. Approximately 80 000 ha of maintained grass lawns are part of public courtyards, schoolyards, parks, golf courses, sport fields and traffic environments. Beyond this figure, the lawn is also an essential element in most private villa-gardens. Lawns have become a universal phenomenon through the dispersion of landscape aesthetics from the Western world.

Multiprofessional teams is a common way of organizing the work in rehabilitationmedicine clinics. Team members are usually physicians, physiotherapists, occupationaltherapists, counselors and nurses where the counselor is the only one from the psycho-social discipline. Team care interventions are provided from a holistic perspective inwhich the patient's physical, psychological and social rehabilitation is taken intoconsideration. The meetings between the professional team and patient have the mainpurpose to increase patient participation. The aim of the study is to observe and analyzecommunication between the professionals, the patient and their relatives during teammeetings.

VAV (Variable Air Volume) system has been studied in a newly constructed office-building. The goal for the study has been to evaluate how the ventilations system work in practice, if adjustments can be made to achieve an more energy efficient system and to evaluate if other alternative ventilation systems is to be preferred in the further.The degree project has been executed at Helenius Engineering Firm who is working with the environment, media systems, HVAC and energy in buildings. The building that has been studied is owned and operated by Akademiska hus.Literature studies, visits at site, inventory, review of system documentation, energy analyses, interviews, key figures, LCC, sand energy- and indoor climate simulations has been made to study the building. Where appropriate some tools from Six Sigma have also been used.How to achieve an energy efficient system and a pleasant indoor climate is studied with human health and well-being as base for the indoor climate requirements. Technical support systems such as ventilation systems have to be designed so that an acceptable indoor climate can be achieved.

People live longer. There is a growing need to increase the knowledge of aging and of the need among the elderly for medical care in the near future. As a step towards meeting this need, a survey among the elderly in Skåne is made by the division of Geriatric Medicine in Malmö University Hospital. This survey is called Gott åldrande i Skåne, GÅS. A frequent decease among the elderly is Mild Cognitive Impairment (MCI).

Hemoglobin is an oxygen binding protein in erythrocytes. Hemoglobin is composed of four polypeptide chains. During the fetal stage the type of hemoglobin called fetal hemoglobin (HbF) dominates. After birth HbF is replaced by adult hemoglobin (HbA). HbF persists in concentrations less than 1%.