Väntetiden för patienter som ådragit sig höftfraktur till operation är ofta lång och kan uppgå till över ett dygn. I första delen av vårdkedjan är det ambulanssjuksköterskan som möter patienter som ådragit sig höftfraktur och omhändertagandet där smärtbehandling ingår genomförs med stöd av upprättade vårdriktlinjer. Ambulanssjuksköterskan har ett ansvar enligt svensk lag att den prehospitala akutsjukvården som genomförs ska vara evidensbaserad.Syftet med denna studie var att undersöka specialistutbildade ambulanssjuksköterskors uppfattningar om möjligheten att bedriva evidensbaserad vård vid prehospital smärtbehandling av patienter med höftfraktur. Detta är en kvalitativ studie med beskrivande design.Resultatet visade att den specialistutbildade ambulanssjuksköterskan uppfattade generellt att vårdriktlinjerna var tydliga och lätta att förhålla sig till. De uppfattade att smärtbehandling var väl fungerande och evidensbaserad.

The downsizing of the Swedish armed forces during the late 20th century and early 21 th century has caused several thousand people to choose a different career. This undergraduate thesis investigates the self-observed employability and work-place competence of a number of Swedish armed forces officers who has made the transition to a civil career. The thesis seeks to answer questions about how the transition is comprehended, how military merits and competences are valued in civil work places and which differences in ability to use their competences the respondents experience. The study is made using qualitative interviews, which are analysed using a miexed method inspired by phenomenological method. The findings include that the essence of the respondents emplooyability is a shared work indentity as miltary officers and a common experienced problem in translating their merits.

Limb-sparing surgery aims to provide a functional pain free leg for the patient after removal of a local tumour in the leg. Reasons to perform limb-sparing instead of amputation can be arthrosis or hipdysplasia or other problems with the locomotor apparatus that makes the patient unsuitable for amputataion. Owner reluctance to amputate is another reason for limb-sparing. This master?s thesis is a case study of a dog with an osteosarcoma in its distal radius. The dog was treated by a limb-sparing method that uses the ipsilateral ulna as a vascularized roll-over autograft.

The subject for this thesis is to analyze the Swedish political the Sweden Democrats (Sverigedemokraterna) through the use of history theories. The purpose is to examine the following two questions:1. what types of history consciousness is present in the source material2. the use of history (historiebruk) shown in the source materialThe source material has consisted two official party publications, Sverigedemokraternas principprogram from 2005 and 2011.The main theoretical frameworks for the analysis has consisted of the typology for use of history as presented by professor Klas-Göran Karlsson together with selected theories connected to history consciousness, not the least the model presented by Bernard Eric Jensen.The result of the analysis shows frequent examples where the use of history and history consciousness is present in the rhetoric used in the source material. By tracing the use back to the theories selected Sverigedemokraterna?s deployment of use of history and history consciousness is interpreted and discussed..

Syftet med studien var att jämföra skattad hanteringsförmåga och hälsorelateradlivskvalitet hos närstående till personer med kronisk hjärtsvikt och stroke. Ett annat syfte var också att studera om samband fanns mellan hanteringsförmågaoch hälsorelaterad livskvalitet.  Metod: En komparativ och korrelativdesign med kvantitativ ansats användes. För att mäta hanteringsförmåga ochhälsorelaterad livskvalitet användes Jalowiec Coping Scale (JCS) och Shortform- 36 (SF- 36). Urvalsgruppen för studien var närstående till patienter med kronisk hjärtsvikt och stroke (n = 46).

Background: Type 2 diabetes is a chronic disease that vigorously increases worldwide. The disease can affect the entire everyday life which usually results in major lifestyle change. The treatment consists largely of self care which the patient itself has great responsibility for. The nurses have an important role in supporting, guiding and teaching the patients. Since every patient is unique the nurse would benefit from an increased knowledge about the patients experiences of what promotes and prevents self care in type 2 diabetes. Aim: The aim was, from a patient perspective, describe the experience of what promotes and prevents a self care in type 2 diabetes. Methods: A literature review based on nine scientific articles gathered from the databases CINAHL plus with full text, PubMed and Medline.

During the last decade a number of studies have been published that investigate how the most fundamental aspect of political organization, the regime type, affects population health. The results unanimously show that citizens of democracies live longer and healthier lives than citizens of non-democracies. Many explanations for this have been suggested, among these are that democracies redistribute more and invest more in salutogenic resources, and that the tendency of dictatorships to control the media negatively affects the ability to spread information crucial to public health. When these mechanisms are controlled for, however, it turns out that democracy has a large residual correlation with for example life expectancy, which suggests that other mechanisms are also involved.In this paper two new mechanisms regarding the possible psychosocially mediated health effects of the regime type are investigated, namely political repression, and the possible negative effects this might have on the levels of chronic stress, and autonomy, which connects to a large previous literature in social epidemiology. In the paper an ecological cross-country design is used and country-level data, provided mainly by the World Bank and Freedom House, is analyzed with a simple multiple OLS-regression model.

Bakgrund: Hepatit C är en leverinflammation som orsakas av ett virus. HCV räknas som blodburen smitta. Den största riskgruppen för att få smittan är sprutnarkomaner, vårdpersonal och patienter som fick smittan i vårdsammanhang, innan blod som användes inom sjukvården testades på viruset.Syftet: Att beskriva hur människor med kronisk hepatit C upplever att leva med sin sjukdom och hur bemötandet från sjukvården och omgivningen upplevs.Metod: Litteraturöversikt med kvalitativ ansats. Sju vetenskapliga, kvalitativa artiklar användes och en manifest innehållsanalys genomfördes.Resultat: Informanterna upplevde en förlorad tro på den egna kroppsförmågan och en sämre livssituation på grund av de fysiska sjukdomssymtomen. Att leva med hepatit C gjorde att framtiden kändes osäker och oförutsägbar.

Given that the oil prices have risen and the environmental regulations has become more stringent, the interest in operating efficiency has increased. The project has investigated the possibility of producing electricity from waste heat generated in the diesel process. One technique to utilize and convert energy into electricity is the ORC (Organic Rankine Cycle). This process is based on the Rankine process (the steam process), the difference from the traditional Rankine process is that instead of water as a working medium, an organic substance is used. The main component used in the process is a evaporator, a turbine, a condenser and a pump.

Veterinary hospital care and advanced veterinary services are rapidly growing industries. As of January 1, 2010, veterinary nursing became a licensed vocation, the title of veterinary nurse became protected, and the act regulating competence among the professions of the veterinary field was extended. These changes, along with increased demands and expectations from owners, have given rise to greater demands on the staff's qualifications and have increased the need for well-educated staff with expertise in several different areas. The aim of this study was to find out what the licensed veterinary nurse can do in terms of rehabilitation for the hospitalized equine patient suffering from orthopedic injury. This has been carried out through qualitative interviews with veterinary surgeons experienced in treating such patients, and also by reviewing the relevant literature.

As a leisure time pedagogue I find it hard to have an insight into what children are playing, and how they play when it comes to free play. My experience is that in some free play, conflicts arise, which reveal hierarchies and power structures containing violations, whereas other occasions of free play suddenly come to an end as the pedagogue interferes. In this essay I investigate my responsibility as a leisure time pedagogue during children´s free play, based on two differing play situations. I also investigate the play as a phenomenon by looking into previous research on children?s play and development psychology.

By comparing the experience off interaction in a life world with a drug habit and a life world without a drug habit you might find how they differ. We asked four former drug abusers in four semi structured interviews to describe their experiences off interaction under these two circumstances. The difference between the two life worlds when it comes to interaction is that in the drug abusing life world our informants describe that communicative action has to stand back for a more goal oriented action. In the drug free life world, communicative action on the other hand is experienced as the most important action. The difference is about wether interaction is goal oriented or oriented at understanding.

Syftet med studien var att utvärdera patientens upplevelse av den postoperativa smärtan och behandlingen av denna när den perifera nervblockadens effekt avtagit efter operation av distal radiusfraktur. Metoden som använts är en empirisk kvantitativ deskriptiv enkätstudie. Tjugo patienter deltog i denna pilotstudie. Demografin stämde väl överens med de statistiska data, som visar att distrala radiusfrakturer är vanligt förekommande hos kvinnor i åldern 55 år och äldre. Resultatet av studien har påvisat att många patienter har upplevt mer smärta än vad de själva varit beredda på.

The Göta älv-bridge is a welded steelbridge which is located in Gothenburg,it connects the inner city of Gothenburgwith the island Hisingen. Cracks wasdiscovered in the steel in 1999-2000which started an investigation of thebridge to clearify the condition of thebridge. The conclusion was a monitoringsystem based on laser light sent throughan optical fiber.This report describes the bridge, thedamages, the monitoring system and thetraffic on the bridge.Stefan Pup, at Vectura Borlänge was mysupervisor during this work. In myinvestigation the costs of themonitoring system and the costs ofclosing the bridge is compared andevaluated. The biggest investigatingpart is the costs of closing the bridge.The results of my investigations is thatclosing the Göta älv-bridge would cost 1107 300 SEK / day.

Syfte: Syftet med studien var att, utifrån vetenskaplig litteratur, beskriva hur patienter med KOL upplever att livskvaliteten påverkas av sjukdomen och hur sjuksköterskor kan bidra till att bibehålla livskvaliteten hos dessa patienter samt att beskriva artiklarnas kvalitet gällande deltagare och bortfall i undersökningsgruppen.Metod: Deskriptiv litteraturstudie. Artiklarna har sökts i databasen Medline och via manuella sökningar vilket resulterade i 13 artiklar.Resultat: Patienter med KOL beskriver att oro och ångest över de fysiska begränsningarna som kommer med sjukdomen kan ha en negativ inverkan på livskvaliteten. Genom att delta i fritidsaktiviteter samt att umgås med familj och vänner höjdes välmående och livskvaliteten. Trots att de flesta patienterna var påverkade av symtom, sjukdom och oförmåga att delta i aktiviteter ansåg sig de flesta ha en god livskvalitet. För sjuksköterskan är det viktigt att inge hopp, ge stöd och stärka patienternas hanteringsförmåga.