This thesis examines what and in which language young people in Sweden with other linguistic backgrounds than Swedish read, as well as if they have access to the literature that they demand, how they use the library and what kind of role the library plays to them. The chosen method was quantitative and it consisted of a questionnaire as this method is useful in quantifying phenomena, which is the purpose of this thesis. The investigation shows that the studied population is bilingual. I hope that the thesis points out the range of the problems and that these issues need to be solved within the society and not the within the family. We need to make use of the resources of the young immigrants, as their cultural competence, in some cases even bi-cultural competence, can be useful for the Swedish society.

Bakgrund: Trauma är ett världsomfattande problem. I Sverige avlider 4500 personer årligen av traumarelaterade skador. Lennquist (2007) menar att denna siffra kan minskas vid optimerad organisation och förhöjd/förbättrad kompetens inom traumavård. Syfte: Att undersöka operationssjuksköterskors självskattade kompetens inom traumavård utifrån Landstinget Västmanlands kompetensutvecklings modell, baserad på Benners kompetens- och utvecklingsstadier. Metod: Deskriptiv analys av kvantitativ data.

Denna studie har som syfte att se hur medarbetare på ?golvet? i en stor organisation upplever att deras kompetens och talang tas tillvara på. Avsikten är dessutom att jämföra hur denna hantering av kompetens och talang skiljer sig i två likadana verksamheter på olika platser i Sverige. För att undersöka detta har enkäter delats ut, där medarbetare ombads skatta hur de anser att organisationen tar tillvara på deras kompetens och talang. De ombads även skatta den egna kompetensen och talangen samt besvara en rad bakgrundsfrågor som senare låg till grund för analysen.

The purpose of this thesis was to investigate the implications and challenges of intercultural communication. An in-depth study was performed of the perspectives from people who work within an international organization. How they experience cultural differences and how they handle them, in particular when it comes to communication. Also, their perceptions of communicative competence were explored. The study was carried out at Svalorna India Bangladesh, at the Swedish office in Lund.

The Bovine respiratory syncytial virus (BRSV) causes bronchiolitis and interstitial pneumonia, predominantly in calves, and is a major cause of bovine respiratory disease worldwide. In humans, BRSV is paralleled by the closely related Human respiratory syncytial virus (HRSV), an important cause of respiratory disease, most severe in infants.The clinical signs and pathology during RSV infection is caused, not only by the direct effects of viral replication, but also by the response of the host immune system. The immunopathology of RSV has long obfuscated our understanding of the disease, and development of effective treatment and vaccines will be very difficult until greater knowledge is gained.One of the components of the immune system that has come into focus in RSV research the last few years, is the Toll-like receptor 4 (TLR4). The TLR4 receptor is well known as the receptor that binds lipopolysaccaride (LPS), and initiates the host response to bacterial infection. Recently, it has been shown that the fusion protein of RSV also interacts with, and up-regulates the expression of, the TLR4 receptor.

Personal Life Coaching is a new profession in Sweden. A Personal Life Coach wants to empower his/her client to make changes, clarify needs and reach goals. A coach can also be just a pivotal human connection for dialogue. The need for coaching has grown due to the societal changes and unsure rules on the labourmarket. Personal Life Coaching lays the groundwork for competence development and good health..

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Sahlgrenska AcademyAt University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: The obesity paradox, myth or truth in adults with cardiovascular disease.Author: Louise Svensson och Amanda NilssonSupervisor: Fredrik BertzExaminer: Ingrid LarssonProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 30, 2013Background: It has long been generally accepted that obesity is a risk factor for many diseases. Despite this, new research indicates that a higher BMI could be a protective factor for those with a chronic cardiovascular disease. This discovery is called the obesity paradox and could change the perception of patients' BMI in both public health and clinical work.Objective: The objective of this systematic review article is to examine the scientific evidence for the existence of the obesity paradox in chronic cardiovascular disease, i.e. if a BMI >25 kg/m2 is associated with lower mortality among adults with chronic cardiovascular disease.Search strategy: The databases used in the literature study were PubMed, Summon, Scopus and Cochrane. The keywords were: obesity paradox, cardiovascular, heart, male, BMI, intentional weight loss, cardiovascular mortality and mortality heart failure.Selection criteria: Studies, which had an adult population classified after BMI that suffered from chronic cardiovascular disease and had all-cause mortality and cardiovascular mortality as endpoints, were included.Data collection and analysis: Ten studies were included.

There is an increasing demand for information literacy, which is mirrored in curriculum throughout the whole educational system. This, in turn, has brought forward a growing need for librarians who can teach. But do librarians possess pedagogical competence, and if they do, how is this ability used in everyday library practice? The aim of this study is to investigate librarians' conceptions of the pedagogical role, as it is expressed in their didactic interaction with the users. The research questions focus on librarians' experiences of teaching information seeking and use and their activities in this respect.

 The purpose with my study was primarily to illuminate the students' expectations on gained knowledge during their studies at the upper secondary school Hotel- and Restaurant program, and to what extent these expectations were fulfilled. Secondarily, the purpose was to compare the students' expected and perceived knowledge with the program goals set by the Swedish government and the knowledge requirements expressed in a pilot study made by the Education council of the Hotel and restaurant business (UHR, 2007).I chose a quantative approach and I used an anonymous group enquiry among students at the Hotel- and Restaurant program at two different upper secondary schools to carry out my study.Tendencies in the result suggested that the students at the Hotel- and Restaurant program expected high knowledge level within the competence areas of Guest reception and communication, Cleaning and hygiene, Cooking of cold and hot dishes and Waiting. The expectations were not big within the areas Computers and Internet and Business economics and management.Fulfillment of expected knowledge tended to be high within the areas where the expectations were big. It might therefore be a good investment for schools to work on the student expectations to increase motivation within the low expectation areas.A confrontation of the tendencies in the result with the program goals and the competence requirements expressed in the UHR study, suggested that the upper secondary Hotel- and Restaurant education might focus some more the areas of Guest reception and communication, Beverages and Organization of banquets. Business economics and management should be given much more weight..

Renal dysplasi (RD) is a congenital chronic renal disease affecting young dogs. It is a rather common disease that occurs in a large number of dogs and in some breeds there is a familiar incidence or suspected hereditary background. Both the etiology and pathogenesis are still unknown, but a theory about the cause of RD is that the two components that form the kidney, the uretheric bud and the metanephrogenic blastema, don´t interact normally in the embryo. Kidneys affected by RD contain fetal (immature) structures that are inappropriate for the state of development/age of the dog and abnormal structures caused by an abnormal differentiation. Affected dogs usually are under .

Every year 300 children in Sweden are diagnosed with cancer, but through research and successful clinical work 70 % of the children survive their cancer. Aim: To illuminate nursing care of children with cancer. Method: The study was carried out as a general literature study through systematic review and analyse of 18 scientific articles. Result: The analysis resulted in five themes: Support, play as a psychological assistance, alternatives to alleviation of pain, nutrition and relieving symptoms of fatigue.Conclusion: It is important that the nurse has knowledge about the children and their family?s experiences when dealing with a cancer illness to provide the children with adequate care.

ABSTRACTChlamydia and Chlamydophila are species of a family of bacteria (Chlamydiaceae) that cause a range of diseases, including conjunctivitis, in a variety of animals including pigs and humans. Some species cause zoonotic disease. This study examined the occurrence of Chlamydiaceae in samples taken from the lower eyelid conjunctiva in pigs with and without conjunctivitis. The study was initiated based on a herd investigation aimed to examine the experienced increase of conjunctivitis in some finisher herds. This study was conducted as a case-control study, by collecting samples from 62 case pigs (16-26 weeks old) and an equal number of controls, from three herds in Uppland, Sweden.

Canine parvovirus is associated with two disorders: enteritis, which is common, and myocarditis, which is rare. Prominent clinical signs of parvovirus enteritis are vomiting, diarrhea and rapid dehydration. Canine parvovirus type 2 (CPV-2) is very contagious. When CPV-2 first emerged it had high rates of mortality, but later studies have shown that most infections are self-limiting and do not require veterinary care. Mortality rates vary greatly, and therefore it is important to determine risk factors for developing severe canine parvovirus enteritis.

In 1993 Sweden introduced a new Forest policy, with a larger freedom of action for the forest owners, but in the same time the forest owners are expected to take greater consideration of the forests and the environment, that is required by the law. This is necessary to be able to obtain the goals of the new policy. Therefore the demand for competence and guidance is larger than before. At the same period of time organisations where slimmed and trimmed during a economic recession and the question is how this has affected the number of employees on different levels in the organisations, the competence of the employees and their internal education and if these changes affects the possibility of implementing the forest policy. This study contains three points in time where measures were made, 1990, 1995 and 2000.