Bakgrund: Vårdrelaterade infektioner är en av de vanligaste komplikationerna för sjukhusvårdade patienter och drabbar uppskattningsvis 10 % av alla inneliggande patienter. Handhygien är den viktigaste åtgärden för att förebygga vårdrelaterade infektioner. Syfte: Syftet var att beskriva faktorer som påverkade sjuksköterskans följsamhet av basal hygienrutin inom slutenvård. Metod: En litteratursökning är gjord i databaserna PubMed och CINHAL. Studien är baserad på tio vetenskapliga artiklar som kvalitetsgranskades och analyserades för att få fram resultatet. Resultat: Kontinuerlig utbildning ökade följsamheten till handhygien. En annan viktig faktor för ökad följsamhet var utformningen av arbetsmiljön. Tillgång till handdesinfektionsmedel måste finnas i arbetsvägen och i synfältet för sjuksköterskan.

Introduction: Domestic violence is a big public health problem and the hiddennumbers over victims are big. There is a lack of scientific research in the Nordiccountries when it comes to how the health- and medical care identify and care for thevictims of domestic violence. Aim: This literature review has two aims: To investigatewhat kind of methods maternal health services, child health services and gynecologyclinics in the Nordic countries use to discover women and children exposed to domesticviolence and to investigate if there are any guidelines to go by when a victim ofdomestic violence is identified. Method: A literature review. 12 articles were found inPubMed, Scopus and Cinahl and three more were included after a manual search.

Kvalitetsbegreppet är svårdefinierat och mångdimensionellt. Därför bör det definieras för att ens kunna användas för mätning inom olika verksamheter. Syftet med uppsatsen är att undersöka hur Stockholms läns landsting, SLL, ställer för kvalitetskrav och utför sin uppföljning av vårdcentralerna.Vårdcentralen är den vårdenhet som först kommer i kontakt med patienter. Därför är det viktigt att de har en översikt över hela hälso- och sjukvården ifall de måste skicka patienter vidare för sjukvård som de själva inte kan ge. Under åren 1975-1995 drabbades Sverige av ekonomiska kriser och sjukvården fick mycket kritik för att inte hålla kvalitetsmåttet.[1] Den offentliga sektorn införde kvalitetsbegreppet och legitimerade den genom att sammanställa sju kvalitetskrav på vårdcentralerna.

The present BSc thesis is part of a newly established collaboration between the Swedish zoo Skansen and Kenya Wildlife Service (KWS), and constitutes of an inventory of the Nairobi Animal Orphanage (AO). As a refuge for wild animals found orphaned, abandoned or injured throughout Kenya, the AO has grown over the years and reached an unsustainable point where external help is needed for solutions and improvements. The aim of the inventory is to specifically consider the husbandry and enclosures of spotted hyena (Crocuta crocuta), serval (Felis serval), Sykes? monkey (Cercopithecus albogularis) and vervet monkey (Chlorocebus aethiops) and with the aid of facts about the species, estimate how well their biological needs are satisfied. Different educational elements are also reviewed since one of the main purposes of the AO is for education.

Vårdenheter i dagens sjukvård arbetar ofta och återkommande i överbeläggningssituationer. Detta kan innebära konsekvenser för patientsäkerheten. En litteraturstudie gjordes med granskning av 9 artiklar med syftet att belysa konsekvenser för patienter vid överbeläggningar inom somatisk slutenvård. Som största konsekvenser för patienter vid överbeläggningar identifierades brister i överrapporteringssituationer av patienternas fortsatta vård och konsekvenser av utlokalisering av patienter. För vårdpersonalen innebär utlokaliserade patienter ökade belastningar på flera nivåer, framförallt på grund av skillnader i kompetens och otillräckliga erfarenheter för att kunna tillgodose patienters omvårdnadsbehov.

Data retrieved from airborne laser scanning represents a new source of forest data. Today, the technology has matured so that it can function in an operational environment. The aim of this study was to compile areas of application of laserdata in forestry. Moreover to analyze costs and accessibility of laserdata. The goal was to provide private forest owners information to support assessments of possible benefits of laserdata.

About 80 % of all Swedish dairy cows are kept in tie-stalls, but loose housing is increasing, probably because it is more profitable for the farmer. The design of the floors is of cruicial importance to the cows well-being. Traditionally, the most common type of floor in the alleys of a cubicle system still is a slatted manure-draining floor made of concrete. The typical Swedish design has 125-mm slats and 40-mm slots, maximally. With too wide slots, there is an increased risk of injuries to the claws when the cow makes a hasty move.

Soil properties affect the chemical composition of soil water. When studying transport of chemical substances through a basin, it is therefore important to know from which soil layer the main part of the runoff is generated. The aim of this study is to develop an HBV/PULSE model with merged soil moisture and response routines, which generates good approximations of groundwater levels. It should be possible to extend the model to simulate transport of substances and take into account which soil layer the groundwater level is currently in. The hydrological version of HBV/PULSE is used since there is no need to account for pH or alcalinity at this stage.

Background Anesthesia-related deaths are common in dogs, especially in the postoperative period, in compare to humans. This study aims to describe and elucidate the qualities of the postoperative care for dogs in Sweden. Method To investigate the postoperative care, a qualitative study was made by interviewing personnel in the animal health care sector. The primary information from the interviews was analyzed in a qualitative manor and a few distinguished qualities came forth. Results These qualities describe the postoperative care and include preventive activities, postoperative activities, monitoring and communication. A variation in regards to the results was seen between the interviewed.

The purpose of this study is to investigate how to use remote sensing data when making a forest management plan. The main focus of the study is to compare different methods to identify forest stands of a forest property, and by manual measures and estimates try to evaluate the quality of interpreting data. This report is based on survey questions sent to five different organizations working with remote sensing data. Only two of these where willing to participate in this investigation. The organizations where asked to analyze the same forest property and divide into compartments and make estimations of volume, basal area etc. in every stand.

The purpose of this study was to investigate parents' knowledge about diet and dental caries. The survey was conducted using a structured questionnaire consisting of 19 questions regarding knowledge of diet and caries, and preventive measures. The questionnaires were distributed to parents who were visiting a dental hygienist or prophylaxis nurse with their children aged 0-3 years. A total of 88 completed surveys were collected. The study showed that the majority of the parents had knowledge about diet and dental caries.

Detection of leukocytes in semen from boars is part of the routine control of semen quality. Leukocytes in semen can cause damage to spermatozoa that leads to impaired fertilization. In the artificial insemination (AI) industry there are standard routines for the quality control of the boars and of the neat semen before use. Since 2001, Quality Genetics has not done the leukocyte examination on semen samples from boars which are used for the production of pigs for slaughter. The purpose of this study was to investigate the occurrence of leukocytes in semen from AI-boars. The questions addressed were whether there are boars that have leukocytes in their semen and how frequently it occurs and, moreover, if there are differences between breeds, or even between individuals whose semen was checked before use in AI-dose production compared to those which were not. The study included a total of 135 AI-boars, of which 67 were Hampshire, 35 Yorkshire and 33 Landrace, all belonging to Quality Genetics AI-station in Hållsta.

Människors allmänna välbefinnande och livskvalitet påverkas av deras sömn.    Sömnproblemen ökar och resulterar i ökade kostnader för den enskilde, arbetsgivarna och samhället. Syftet med litteraturstudien var att beskriva effekter av sömnhygieniska åtgärder riktade till individer inom hälsovården med primär insomni. Resultatet visade att en kombination av åtgärder utifrån personliga behov gav bäst resultat men också att det rådde begreppsförvirring runt sömnhygieniska åtgärder och deras effektivitet. Fördjupad kunskap behövs vad det gäller de enskilda sömnhygieniska rådens effektivitet.

The aim of this paper is to investigate to what degree the groups in our inquiry work independently. It is a qualitative research, which points to a well?functioning unit, that by definition is not self-governing, but has many traits of self- government. We have reached to the conclusion, that complete self?government does not have to be the best solution, if you want both quality and efficiency.

Horses are by nature herbivores, specialized on grass, and graze during the main part of the day. The horse has neither changed this basic behaviour nor the function of gastro-intestinal tract, when the horse was domesticated by man. A horse on pasture has an even production of saliva and gastric acids. The buffering effect of the saliva makes the pH in the stomach above four throughout most of the day. With abnormal long breaks of eating, the pH may decrease, causing an increased risk of gastric ulcer.