Syfte: Studiens syfte var att jämföra en ny extubationsalgoritm med sedvanligtextubationsförfarande. Gruppen som studerades var patienter som genomgått en HIPEC-operationoch vårdats på Centrala intensivvårdsavdelningen.Metod: I En randomiserad kontrollerad klinisk pilotstudie randomiserades patienterna till en av tvågrupper. Därefter extuberades patienten enligt en studiealgoritm eller post-operativ standard.Resultat: Syresättningen var väsentligen oförändrad för studiegruppen (37,5 kPa till 36,6 kPa)medan den sjönk för kontrollgruppen (50,1 kPa till 40,6 kPa) vid jämförelse mellan 10 minuter efterankomst och 15 minuter efter extubation. Efter 13 till 18 timmars kontroll strax innan patienternalämnade intensivvårdsavdelningen var syresättningen på samma nivå som 15 minuter efterextubation för både studiegruppen och kontrollgrupp. Således kvarstod en försämrad syresättninghos kontrollgruppen vid utskrivning jämfört med 10 minuter efter ankomst.Slutsats: Studien visar att det skulle kunna vara fördelaktigt att extubera patienter enligt denstudiealgoritm som testats jämfört med dagens kliniska standard.

'Hir in the box' is a study about the gender perspective in packaging design and how it is today. The study deals with the product category razors, for both women and men, to examine and compare products with the same function but with different designs. Based on an analysis of how packages are designed for different sexes, information should be given on how gender-neutral packaging can be designed and used in the future to reach the market. The purpose of the study is also to contribute to future research on the subject. To fulfill the purpose of this study, nuanced and in-depth data is collected by means of a small-N-study and a qualitative study in the form of open group interviews where the survey units are reviewed and discussed.

Bakgrund: Globalt ses en ökad internationell migration där Sverige varje år tar emottiotusentals asylsökande. De asylsökandes rättigheter skyddas av internationelladeklarationer och konventioner om mänskliga rättigheter, där rätten till hälsa ärcentral. Ändå lider asylsökande av hög grad av ohälsa, mycket till följd av derasstatus som asylsökande och den utsatthet som det medför. Att dessutom vara gravidgör dem extra utsatta trots att de har rätt till mödrahälsovård på samma villkor somicke-asylsökande i Sverige, då de inte har rätt till övrig sjukvård. Barnmorskor inommödrahälsovården arbetar för vård på lika villkor utifrån kompetensbeskrivningen ochden etiska koden, men utifrån lagstiftningens begränsningar riskerar barnmorskornaställas inför professionsetiska dilemman i vården av asylsökande gravida kvinnor.Syfte: Att förstå hur barnmorskor upplever det är att vårda asylsökande gravidakvinnor inom mödrahälsovården i Sverige.

The number of elderly continues to increase in Sweden which puts pressure on the elderly care. Aproposed solution is to increase the use of information and communication technologies (ICT) inhome care to both streamline care and enable older people to manage on their own to a greaterextent. So far Västerås is the only municipality that has made a decision on an ICT solution, whichthey have chosen to call ?eHemtjänst? (eHomecare). The purpose of this paper was to investigatethe specific prerequisites and requirements for Gothenburg city regarding the potentialimplementation of eHemtjänst.

Aim: To describe nurses' experiences providing end of life care to patients. Method Descriptive literature study, 15 articles were included. The search was made in PubMed, CINAHL and by manual search. The articles were reviewed, analyzed and summarized. Results: For newly graduated nurses? experience in end of life care proved to be something new, developing, difficult to manage and frightening, but expected in the profession.

This master of science thesis is focusing on how the fault handling on hardware connected toa control unit on a Scania vehicle is working. To the hardware counts buttons levers, sensorsand CAN. The work has been concentrated upon how the fault handling is working and if it ispossible to find any new fault modes.The control unit that has been studied is called the Coordinator and is the core in Scanias threenetworks of control units. The Coordinators work is to transmit messages between the threenetworks and to process signals from buttons, levers and sensors. The values is then usedinternally or is sent to other control units on the CAN networks.

- To be trapped in a roller-coaster That ?s how some of the patients are describing the situa- tion of living with heart failure. To be stuck in their home not knowing if they will have to seek care today and not knowing if they will have the energy to attend that birth- day party later this week.Each year 2-3% of the Swedish population are diagnosed with heart failure, which results in 30,000 new individu- als with the disorder. Cardiovascular disease is rapidly in- creasing in the world and before 2030, people with heart failure will increased by 100%. Our improved living condi- tions and better health have allowed us to grow older and made us more dependent on other types of care, care at home.Today the patients are only looking for changes in weight and if they have excessive water in their body.

Numerous dogs are stressed during a stay at a veterinary clinic. Stress has an impact physically as well as mentally, and may influence animal care. There are different ways to prevent and handle animal stress. Dog Appeasing Pheromones (DAP) is sometimes used to reduce stress. The aim of this study was to investigate the potential need for stressreducers, explore the use of DAP and evaluate pheromonatherapy for dogs as a potential stressreducer within veterinary health care.

The aim of thie literature review was to study the advantages and disadventages of the intranasal medication, treating children with acute pain in  prehsopital settings and in emergency care. Searches were performed in databases PubMed and Cinahl. The intranasal method of administrating drugs could be a acceptable compliment to todays's traditional metods. Unnecessary pain is avoided as there is no need for skin penetration. Further studies are necessary in order to integrate this metod both in prehospital settings and in emeregncy care..

The purpose of this study was to assess which basic principles collide when home care service users have requests about how their help is going to be performed. The requests involve gender and ethnicity of the personnel. The study is based on the experiences and reflections of the managers regarding this issue.As the study is focused on the reflections of the managers, I have used a qualitative research method based on interviews. I have also used two case examples as a compliment (vignettes).I was interested to explore how the managers reasoned and argued about gender and ethnicity of the personnel, and their importance in home care situations. I have investigated whether it is considered to be appropriate that the service users chose if a man or a woman helps them in intimate situations (such as showers), and if they are entitled to refuse to receive home care services from people with a different ethnic background.

Different institutional and culture contexts are argued to create differences in fathers practices and attitudes toward fatherhood. By in-depth interviews with swedish and spanish fathers, this Bachelor thesis aims to describe fathers experiences and attitudes toward fatherhood and how they relate to the institutional and culture context. The selection of swedish and spanish fathers aims to illustrate differences and similarities in two welfaremodels that differ. The main difference was how social policy provoces differences in the distribution between paid and non-paid work, where the spanish fathers remain as the main breadwinner. Differences also appeared in attitudes toward formal care.

Background: Delirium is a common condition among elderly patients who are being treated in a hospital environment. However, a large number of patients are wrongly diagnosed. The highest risk categories to develop delirium are elderly people and postoperative patients. By understanding the patients´ experiences the nurse can formulate the care to make it easier for the patient. Aim: The aim of the literature review was to illuminate elderly patients´ experiences of delirium in connection with a hospital visit.

The purpose of this study is to examine some after-school teachers? perceptions about the outdoor stay at the after-school care centre in the schoolyard and in the leisure- environment.Five semi-structured interviews were conducted with the after-school teachers at five after-school care centres in the Stockholm area.In the theoretical part presents the leisure- governance and ongoing research on outdoor learning, research on the school playground and kindergarten local environment affects children in their development and learning, and after-school teachers? professional identity.The theoretical foundation is based on the phenomenographic approach.The questions are:? What is outdoor education according to the after-school teachers?? According to after-school teachers, what educational opportunities are provided by the schoolyard and the local environment?? How do the after-school teachers use the schoolyard and local environment?The result shows that outdoor education can be a knowledge invigorating complement to the indoor teaching and a way for the after-school centre to supplement the compulsory schoolday. The play outdoors can help to increase children's social development, creativity and imagination. The after-school teachers used the schoolyard and local environment for various purposes which may be due to different circumstances, knowledge and experience to carry out educational activities outdoors. But it may also depend on whether the after-school teacher focuses on the regular school day or in the afternoon at the after-school care centre..

Background: Encounters between patient and health care have been shortened and fragmented. Times when the patient is in the continuum of care is related to how well the patient feels confirmed in the meeting with his/her carers. Aim : The aim of this study is to highlight skills that nurses use to provide good care relationships with patients in the ambulance and emergency room. Method: A literature review was done. Search for articles was conducted in the databases Cinahl and Pubmed.

Discussion about the connection between severe mental disorders and criminal acts is constantly ongoing. Violent crimes committed by persons with severe men-tal disorders get a lot of media attention in today´s society. This arise general questions regarding the penalties that these offenders are sentenced to. It is known that the responsibility for these people lies on the forensic psychiatry, however, the media does not draw attention to what is happening in this organization. The purpose of this study is to describe the forensic psychiatric organization from a staff perspective and from a legal perspective.