In today?s technological society, there are increasingly less physical demands on the locomotor system. However, despite that notion strength and function in the hand?s complex biomechanical system are in fact both needed to cope with daily life. The grip function is a main function in the hand and is used in many examples of scientific research, for instance when assessing physical health and predicting the probabilities of premature mortality.

The purpose of this study is to investigate the reading methods that pedagogues, active in classes 1-3, use in the first stage of learning to read and how they consider their own choices of methods. In the theoretical background I sort out the basic differences between synthetic and analytic methods of acquiring the skills of reading. The analytic reading method means that the skills of reading starts with the complete text in order to later analyze the parts of the text. The synthetic method approach is based on a reading method where the parts are linked as a whole. The two methods are considered antipodes but can also be looked upon as complements in the current governing documents.

ABSTRACT: Commercial swab transport systems are used for collection and transporting of fecal and other microbiological samples. This system must maintain viability and contribute to survival of microorganisms during transport to the laboratory. Four swab transport systems have been compared, eSwab, ?- Transwab and fecalSwab, all three with flocked swabs, and Copan Venturi Transystem with rayon swabs. The study followed the recommendations from the Clinical Laboratory Standard Institute; document M40-A for recovery of Samonella, Shigella, Yersinia and Neisseria gonorrhoeae after storage for 0, 6, 24, 48 and 72 h at room- (22-25°C) and refrigerated (2-8ºC) temperature.

The storm Gudrun in 2005 led to massive windthow damage in forests in southern Sweden. Since then there has been a growing interest in factors influencing wind damage in above all Norway spruce (Picea Abies) stands. Although many other interesting areas still need to be examined. In 2005 there where a lot of stands that suffered different degrees of damage, a lot of these stands weren?t cut, but instead left to grow. The future development of these stands is uncertain and the guidelines are unclear.

The aim of this literature review was to describe how the literature presents parents? need for information and how parents perceive the information from care personnel when their child 0-18 years of age is diagnosed with diabetes. The literature search was performed in the databases PubMed and Cinahl. Thirteen articles that met the inclusion criteria were studied. The results showed that when a child is diagnosed with diabetes the whole family faces a new situation and the parents are in great need for adequate information from care personnel to be able to deal with the new life situation and participate in the care.

Objective: In recent years there has been an increasing interest within the clinical (medical) science in measuring people?s health. When estimating quality of life, present practise is to use the EQ-5D questionnaire and an index which weighs the different questions. The question is what happens if the individuals estimate there own health, would it differ from the public preferences? The aim is to make a new prediction model based on the opinion of patients and compare it to the present model based on public preferences.Method: A sample of 362 patients with unstable coronary artery disease from the Frisc II trial, valued their quality of life in the acute phase and after 3, 6 and 12 months.

During the past few years there has been an observed decrease in physical fitness within different patient groups. As a part of the rehabilitating physiotherapy treatment it is important to acknowledge the physical condition of the patient. Physical fitness testing might be difficult due to physical limitations within different patient groups. A broad range of exercise tests is therefore of importance in clinical practice. The aim of this overview was to describe exercise tests used in rehabilitation contexts, and to define areas of use and restrictions.

To be able to maintain an adequate ITservice for various users and needs,more municipalities are looking at thepossibility for mergers of local ITdepartments. One solution for mergingmultiple services/functions and creatingsynergy opportunities is called SharedService Center (SSC). The concept of SSCis that the administrative serviceitself becomes a core activity withinthe organization. The aim of this thesisis to provide municipalities who areconsidering a merging of their local ITdepartments with recommendations on howto design the Shared IT Service Center.Recommendations are outlined based on ananalysis of IT-management literature,reports and by conducting a study onthree ongoing collaborations.The conclusions drawn from the studysuggest guidelines for the design of aShared IT Service Center formunicipalities. These are as following:Create a vision associated with aspecific and structured target state.Identify needs for different targetgroups in municipalities and set acommon standard.Create a clear and practical model/SLAappearance of the cooperation andagreement.Ensure the individual municipalitiescommissioning skills in order to notlose it in the context of a common IToperation.Find an organization that is democraticfor member municipalities andfacilitates long-term partnership.Specify the operation and maintenance sothat it can be regulated and controlledEstablish a common help desk.Establish a common standard andconsolidated infrastructure before theintroduction of a common technology platform..

Background: Traditional oral health education is seldom enough in order for dental care personnel to motivate their patients to good, long-lasting oral health care habits and there is a need for evaluation of other more efficient methods. One of these methods is motivational interviewing. An overview of its origin, definition, theoretical background and practical methods is given by way of introduction. Aim: The aim of the investigation was to review studies that had used motivational interviewing in order to obtain oral health, focusing on prevention and treatment of gingivitis, periodontitis and dental caries. Method: Systematic review. A search question was run through the databases ASSIA, ERIC, PsycINFO, Social Services Abstracts, Sociological Abstracts and PubMed. The articles were reviewed based on defined inclusion and exclusion criteria. Results: Five publications (based on three studies) met the inclusion criteria.

Adherence to medical ordination is low and for long-time medication it is estimated to be as low as 50 percent. Depending on the prescribed drug this could lead to adverse effects and/or loss of effect of the drug. Information about why a drug is prescribed is important patient information and is thought to help increase compliance with the physician?s prescription. According to results from a recent study of visits to the emergency room at Karolinska Universitetssjukhuset in Solna, Stockholm, medically related problems were the cause in about 30 percent of the cases.

Elever från omvårdnadsprogrammet har delar av sin utbildning förlagd i klinisk verksamhet. Undersköterskor ute i verksamheten är ålagda att handleda dessa elever. För att göra detta ställs det krav på att hon/han är kompetent för uppdraget. Idag finns ett litet dokumenterat underlag för vad det innebär att vara undersköterska och kompetent handledare.Denna studies syfte var att belysa synen på undersköterskans kompetens som handledare utifrån fyra perspektiv.Det är en kvalitativ studie. Data samlades in från fyra informanter/respondenter från varje grupp, lärare, chef, undersköterska och elev, totalt 16 intervjuer.

Bakgrund: Sjuksköterskestudenter kan känna sig sårbara i början av sin verksamhetsförlagda utbildning (VFU) och kan påverkas både positivt och negativt av bemötandet från både handledare och övrig personalgrupp.Syfte: Att undersöka sjuksköterskestudenters upplevelser av bemötande från handledare och övrig personalgrupp och hur detta påverkar förmågan att utföra omvårdnad, samt studenternas upplevelse av studentrollen.Metod: Kvalitativ forskningsdesign med fem semistrukturerade intervjuer.Resultat: Resultatet delades in i tre huvudkategorier: Bemötande från handledare; Bemötande från övrig personalgrupp och Studentroll. Ett bra bemötande karaktäriserades av vänlighet, involvering i arbetet och förmedlande av trygghet. Ett dåligt bemötande kunde bestå av försummelse, att känna sig i vägen och dålig struktur. Studenterna hade haft skiftande roller under VFU och samtliga hade positiva aspekter. Studenterna upplevde att de hade utvecklats i sin förmåga att utföra omvårdnad.Slutsats: Studien påvisar att det är viktigt för studenter hur de blir bemötta på sin VFU, och vilken roll de får på arbetsplatsen.

BackgroundWorld Alliance for Patient Safety, launched by the WHO, has created a Surgical Safety Checklist. It was first published in 2008 and has been translated and modified in Sweden by Landstingens Ömsesidiga Försäkringsbolag, LÖF. The use of the WHO Surgical Safety Checklist has been shown to reduce the number of complications and deaths related to surgery.AimThe aim of this study is to describe the Theatre Nurse?s participation in in the use of a modified version of the WHO Surgical Safety Checklist intraoperatively in two Theatres in a hospital in the centre of Sweden.MethodThis study has a quantitative descriptive approach. A direct observational study was carried out in two Theatres and the participants were asked a few complementary questions after the observations.

Our study examining how well the guidelines, from Skolverket (School Department), aboutgrades in the course "Samhällskunskap A" are implemented in the Swedish Upper SecondarySchool. The study focus on both teachers and students. To discover which knowledge the bothgroups have, we have used two different methods. The students have answered a survey,which was based on the phrases from the course plan "Samhällskunskap A" about grades. Thesurvey wanted to see how well the students could match the correct phrases with the gradesteps (the Swedish school uses three grade steps).

Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.