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.

Hyperthyroidism and chronic kidney failure (CKD) are common diseases in older cats. It can be difficult to evaluate kidney function in cats suffering from both conditions simultaneously. In the daily clinic serum creatinine is the analysis of choice when evaluating kidney function and secondary glomerular filtration rate (GFR). This marker does not, however, detect kidney damage until about 75 % of the function is lost. There are several other techniques available when investigating GFR but none are readily available for the small clinic.

Hypertoni är en folksjukdom som drabbar en femtedel av den svenska befolkningen. Orsaker till hypertoni kan vara livsstilsrelaterade, som stress, övervikt eller fysisk inaktivitet. Distriktssköterskor har som uppdrag att kontrollera patienters blodtryck, ge stöd och rådgivning till förändrad livsstil. Detta för att främja hälsa och förebygga hypertoni eller förbättra ett förhöjt blodtryck.Syftet med examensarbetet är att sammanställa befintlig kunskap från litteratur om distriktssköterskors hälsofrämjande omvårdnadsåtgärder till patienter med hypertoni.Examensarbetet är en litteraturstudie där kunskap från 12 vetenskapliga studier förts samman till ett nytt övergripande resultat, en metasyntes. Resultatet visar att de hälsofrämjande omvårdnadsåtgärder distriktssköterskor utför till patienter med hypertoni sker som Hälsoutbildning på standardiserat eller personcentrerat sätt.

Denna kvantitativa studie syftar till att undersöka om bästsäljande spel tenderar att bli alltmer likriktade i fråga om genre, åldersmärkning, innehållsbeskrivningar och försäljning. Vi för en teoretisk diskussion kring studiens resultat som kopplas ihop med Adorno och Horkheimers teorier om kulturindustrin och passiviseringen av individen. De teoretiska utgångspunkterna är kritisk politisk ekonomi och Adorno och Horkheimers teorier om kulturindustrin, enformighet och passivisering. Data inhämtas från listor över bästsäljande spel i USA och Europa mellan åren 2006 och 2013. Vi har kvantitativt analyserat listorna utifrån variabler såsom åldersmärkning, innehållsbeskrivningar, genre och försäljning.

Testosterone is a steroid and anabolic hormone found in all mammals. Previous research indicates that testosterone levels correlates with physical capacities related to physical performance. However, these studies refers only to men and boys. The aim of present study was therefore to investigate the potential relationship between body composition, strength, power and endurance capabilities in relation to blood levels of testosterone and DHEAS in young female football players. Seventeen female elite football (age: 15,4 ± 0,6, body mass: 57,2 ± 7,4kg, height 1,65 ±0,04m) players volunteered for the study.

Bakgrund: Sällskapsdjur har ett flertal positiva hälsoeffekter på människor och det har lett till att viidag använder djur inom vården, främst hundar.Syfte: Syftet med denna litteraturstudie var att undersöka hundens användande inom vården, attbeskriva och förklara dess effekt på människor.Metod: Metoden var en litteraturstudie och elva vetenskapliga artiklar granskades. Dessaanalyserades och sammanställdes utifrån gemensamma teman.Resultat: Vårdhundar inom vården kan i de flesta fall reducera ångest och acceptansen av vårdhundär mycket god både bland patienter, anhöriga och personal. Minskning av blodtryck ochhjärtfrekvens råder det delade meningar om, då vissa studier visar en minskning av dessa och andragör det inte. Vårdhundar kan användes till att vara motivationshöjande för patienten.Slutsats: Vårdhundar har många positiva effekter på människor, men fler studier behövs för att seom dessa resultat inte bara gäller för de grupper som har undersökts i studien utan även äröverförbara till andra grupper..

It's an everyday experience shared by many that nature can be of help in relieving pain, reducing stress, support mental recovery etc. In the last three decades or so this experience has also found support in a large number of scientific investigations. Among other things the experience of nature has been shown to reduce stress and pain in patients and to boost concentration and reduce impulsive behavior in children. Most of this research however has mainly been concerned with the visual modality. In this thesis the aim has been to focus on the auditory modality in this context by trying to reveal some effects on people from the exposure of nature sounds played indoors in three different environments: a grammar school class room, a kindergarten play room and a post-surgery wake up room at an intensive care unit.

Children's need of a good environment of playing outdoor at schoolyards is, both from a perspective of commonly public's health and from the children themselves, indisputable. Children who have a good and varying playground develop physically, psychologically and socially. As an instrument of pedagogic a playground also is valuable for example in teaching the round, periodical successions and understanding of democratic processes. The conception playground means here in my work the environment outdoor for children at schools up to about twelve years old. What is a good playground then? How is it possible for a landscape architect to contribute improvements? The purpose of my work has been to enlarge my knowledge about playgrounds, understand more of the profession as a landscape architect and apply a perspective of children in the planning. To sum up, the shaping of playgrounds has great importance for the activities of the children and if the teachers make use of it, the teaching. A good playground gives the delight, the excitement and the curiosity free spaces and stimulates new challenges.

Background: The Swedish population is aging [1] and malnutrition is a common problem among elderly people [2]. A method called food registration is used to monitor the patients? nutritional intake, with the purpose of reducing the risk of patients deteriorating in nutritional status during hospitalisation. However, the current method is not satisfactory and many food registration lists are incomplete. [3-6] Thus, patients do not receive a qualitative nutritional care since the assessment of the patients? nutritional status is based on incomplete documentation.Purpose: The purpose of this master thesis is to increase the quality in the nutrition monitoring process in the geriatric units B72 and B74 at Karolinska University Hospital in Huddinge, Sweden.

SAMMAMFATTNINGBakgrund: Reaktiv hyperemi definieras som ett övergående ökat blodflöde över det normala efter en tids ischemi. Det kan registreras med laserdopplerteknik. Att registrera reaktiv hyperemi är ett sätt att värdera mikrocirkulationen. Det finns många flödesvariabler att studera varav tid till maxflöde efter ocklusion är en. Det har gjorts studier som undersöker om det finns ett samband mellan reaktiv hyperemi och fysisk aktivitet/syreupptagningsförmåga.

This work is about euthanasia and how to use it on horses, dogs and cats. A description for each animal is done, about when it is time, why, which methods can be used and who is allowed to use them, how and where it shall be done. The methods we have concentrated on are: - Chemical destruction and the most common drugs for euthanatize horses, dogs and cats. - Physical disruption of the brain activity by a captive bolt, only for horses. The captive bolt only makes the horse unconscious and must always be followed by cutting off the vena jugularis. Then the horse dies because of loss of blood. No matter which method used for euthanizing, the animal must be declared to be dead by the operator before other measures. The testing criteria for death: muscle relaxation and cyanosis, cessation of reflex activity and pupillary dilatation, cessation of respiratory activity and cessation of all cardiac activity.

Background: More than half of the elderly (65-84 years) in Sweden have problems with hearing. In some studiesit?s discussed if age related hearing loss or presbyacusis is a part of natural aging or if it depends on underlyingfactors.The purpose of this literature study was to analyse scientific papers which illustrate correlations between lessknown underlying factors and presbyacusis, defined from psychoacoustic and/or neurofysiological tests.Material and method; Literature study where scientific papers, relevant to the purpose of the study and thequestions at issue were found in the database PubMed.The result shows that cardiovascular disease, hormones, diet and drugs have an influence on presbyacusis. Thehealth condition of the individual and their lifestyle matters, likewise estrogen which according to the results of 2studies has a protective effect on hearing.Conclusion; The studies show that heart attack and high systolic blood pressure in women have a correlation topresbyacusis, but not in men, - the hormone estrogen, - some vitamins, antioxidants and diet have a protectiveeffect on hearing and studies show that smoking and alcohol have negative effects..

Trust is the most important thing for a webshop. The consumers must be able to feel trust to choose to submit their personal information to a webshop. In this study we examine the impact that design has on the consumers trust and confidence. We study six consumers that are engaged in e-commerce in their everyday life. By allowing these participants to be presented with two different webshops, an assessement could be made in both how much design is affecting and also which parts of the design that leads to trust and lack of trust.

The main purpose of this stydy was to evaluate the Aurora clinic (for women afraid of birth/delivery) in the south of Sweden. Questionnaires were sent to 197 women who had contact with the Aurora clinic during 2007 and 2008. The group of participants contained both pregnant women and women who have given birth. A total of 136 women replied. The results showed that both the average age and the level of education of the women were high.

The study examines the massacre of the garrison of the castle of Kalmar in 1525 and its causes. The goal of the investigation has been on the one hand to elucidate the most probable sequence of events, and on the other to identify as many different plausible explanations to the massacre as possible. For this end, four contemporary sources have been examined and compared in their details. To enable a broad basis for interpretation, the author has consulted various works on the themes of warfare, soldiers and violence in the late middle ages and the sixteenth century. Apart from political aspects, the study highlights social and cultural conditions as important factors in explaining how the massacre could be carried out without provoking any single part of society.