Mötet mellan människor sker alltid i någon form av miljö. Den fysiska miljön vi befinner oss i påverkar oss alltid. Begreppet miljö kan delas in i fysisk, psykisk och social miljö. I dag opereras allt fler patienter inom dagkirurgi. Dagkirurgi innebär att patienten kommer till sjukhuset och opereras samma dag som hon/han åker hem.

En felaktig uppläggning kan orsaka nervskador som kan leda till ett stort lidande för patienten. Detta har rapporterats som komplikation under operation både i Sverige och internationellt. Operationssjuksköterskan skall i sitt yrke arbeta patientsäkert och har ansvar för att vårda patientens kropp mot skada och lidande. Alla patienter som genomgår operation löper risk av att utveckla nervskador. Vid uppläggning av patienter på operationsbord måste operationssjuksköterskan uppmärksamma tre skaderisker, vilket är obstruktion, tryck och sträckning.

Syftet med studie var att undersöka om intensiv knäträning i grupp kunde förbättra rörlighet, funktion och styrka i knäet efter artroplastikoperationen i jämförelse med sedvanlig rehabilitation. Interventionsgruppen tränade 2 gånger/vecka i cirka 14 veckor i jämförelse med kontrollgruppen som fick rutinmässig träning via primärvårdens sjukgymnaster. Interventionen utvärderas med Knee injury and Osteoarthritis Outcome Score (KOOS) och smärtskattning (Visuell Analog Skala) och funktionstest med modifierad Functional Assessment System (m- FAS), före operation och fyra månader efter operation. Resultaten visade att det fanns ingen signifikant skillnad mellan grupperna efter interventionen beträffande någon utvärderings parametrar. Resultatet visade en liten tendens (inte signifikant) för bättre rörlighet i knäet, mindre smärta och bättre funktion i det dagliga livet och bättre livskvalitet för interventionsgruppen.

We have written this paper about gambling problems with the purpose to give us and all of our readers a sense of understanding. With the term understanding we mean that we all know what type of activity gambling is but not a lot of us know how it feels for individuals that due to their addiction play almost every day and sometimes several times a day. By somehow trying to explain what kind of experiences people who engage in gambling feel, we hope that we somehow can increase our knowledge towards these persons and towards gambling. We are well informed that the content of our particular subject that we?ve chosen is massive and that more research needs to be done about or subject since there are no simple answers that can explain gambling behavior so easily.

This thesis has been carried out within the bachelor program for mechanical engineering at Karlstad University in collaboration with BAE Systems in Karlskoga. The purpose with this work was to design a mechanism and associated parts for loading and unloading of shots between primary and secondary magazine in BAE's new 40mm's ship gun.Parts designed or redesigned among other things a transfer mechanism for shot at loading and unloading, well as a hatch mechanism which makes the shots do not fall out of the primary magazine when making separate use. Various important details have been designed to maintain a good functionality of the mechanism.The construction work has mainly been carried out in the CAD software Solid Edge and its associated FEM module. The construction work has also been carried out on rough calculations for constructed details in order to ensure that they meet the stringent requirements of military use in tough marine environment. Two of the most critical parts of the structure where analyzed with the FEM module for estimating the stresses in the material at the applied load.The final design, which is a result of the thesis, meets the requirement specification and the set targets.

SAMMANFATTNING (svenska) Introduktion: I Sverige genomförs över 400 000 operationer årligen på inneliggande patienter. Tidigare forskning visar brister på hur patienters förväntade smärta och den upplevda smärtan upplevs i samband med öppen bukkirurgi. Syfte: Syftet var att undersöka samband mellan förväntad smärta och upplevd smärta samt upplevelser av smärtlindring vid öppen bukkirurgi. Metod: En pilotstudie med kvantitativ design som syftar till att beskriva och mäta variablerna förväntad smärta och upplevd smärta samt upplevelse av given smärtlindring. I pilotstudien deltar 12 patienter från två kirurgiska avdelningar.

Syftet med detta arbete var att beskriva operationssjuksköterskors upplevelser av risken med att utsättas för blodburen smitta. Sju intervjuer ggenomfördes med operationssjuksköterskor vid två sjukhus. De analyserades medelst manifest kvalitativ innehållsanalys med ett kodningssystem baserat på ett induktivt arbetssätt. Analysen resulterade i fem kategorier: Att vara professionell, att förbereda sig mentalt, att för- och efterarbete är tidskrävande, att känna rädsla samt att det är svårt att följa rutiner. Resultatet visade att operationssjuksköterskors professionella förhållningssätt inte ändrades då patienterna bar på blodburen smitta.

Many companies with expansion plans may eventually need to take a decision whether tomove parts of the organization abroad or not. One example is how Swedish companies? placesits production in Asia where labor is cheaper, but at the same time wants to use Swedishengineers. The communication possibilities today makes it no longer necessary to travelacross the world to have a meeting, and questions can be answered in a matter of minutes.This means that a company that is spread out over the world still can communicate betweentheir employees.When participants in a project are spread out over the world, and can?t meet in person, it iseasy for problems to appear.

Bakgrund: Bröstcancer är idag en av de vanligaste cancersjukdomarna och som har ökat konstant de senaste två decennierna. Årligen insjuknar cirka 7000 kvinnor i bröstcancer vilket motsvarar ungefär 15-20 fall per dag. Lidande, välbefinnande, att ingå i en vårdrelation, kommunikation och information är begrepp som ingår i en människas livsvärld. Begreppen beskriver hur en människa upplever sin egen värld och på så sätt även hur unik den kan vara. Med livsvärld menas den värld vi lever i och ständigt är omgivna av. Syftet med studien var att belysa livsvärlden hos medelålders kvinnor med bröstcancer, från diagnos till operation.

This thesis has been carried out within the bachelor program for mechanical engineering at Karlstad University in collaboration with BAE Systems in Karlskoga. The purpose with this work was to design a mechanism and associated parts for loading and unloading of shots between primary and secondary magazine in BAE's new 40mm's ship gun.Parts designed or redesigned among other things a transfer mechanism for shot at loading and unloading, well as a hatch mechanism which makes the shots do not fall out of the primary magazine when making separate use. Various important details have been designed to maintain a good functionality of the mechanism.The construction work has mainly been carried out in the CAD software Solid Edge and its associated FEM module. The construction work has also been carried out on rough calculations for constructed details in order to ensure that they meet the stringent requirements of military use in tough marine environment. Two of the most critical parts of the structure where analyzed with the FEM module for estimating the stresses in the material at the applied load.The final design, which is a result of the thesis, meets the requirement specification and the set targets.

In a business environment where the stakeholder perspective is evolving and sustainable development is receiving increased attention, it is of importance for companies to adjust. The demand and pressure is exerted from several stakeholders who force companies to take action and live up to the expectations because if failing to do so, negative consequences will most likely be the case. The attention of this study is on ABB Power Products (ABB PP) and their environment and working environment risk management. The aim of this thesis is to identify and describe how perceived environmental risks are managed and what the incentives are to work proactively to minimize the risks. The incentives for a proactive risk management strategy are researched through both a strategic and operational perspective.

Abstract This Concept Analysis according to Walker & Avant (1995) studies the concept of uncertainty in the nursing context. It consists of four parts where uncertainty in general have been encircled in a semantic analysis (part one) and a qualitative content analysis consisting of an questionnaire, distributed to the staff members at one nursing and medicine institution, with an open question about the meaning of uncertainty (part two). The third part is a literature study of the nursing context to find out how uncertainty is described (part three). Part four is the actual concept analysis based on the three first parts. Uncertainty in the nursing context is an individual conscious experience witch is changeable and impressionable. It is chained together with its antecendents and consequences.

Bakgrund: Hjärtats slag har länge förknippats med skillnaden mellan liv och död. År 2010 genomfördes 6 358 hjärtkirurgiska ingrepp i Sverige. De vanligaste ingreppen är koronar bypass-operation, klaffoperation och operation på missbildningar på hjärtat. De viktigaste delarna i pre- och postoperativ omvårdnad är helhetsbedömning av patienten, ge information, ge råd om nödvändiga livsstilsförändringar och att finnas som stöd för patienten. Syfte: Att beskriva patienters erfarenheter före och efter hjärtkirurgi.

The Department of Forest Products and Management, Swedish University of Agricultural Sciences has received means from Vinnova for a preliminary study of the organisation of logging work of today and how a better logging organisation should be brought about. This thesis reports results from qualitative interviews with nine forest machine contractors regarding the situation of their companies. The interviews have been analysed with respect to the genesis of the companies, which tasks they perform or that they could consider perform-ing, business relationships of the companies, relationships between the different partners of the companies, and the state of competition experienced by the contractors. The companies have developed either from the contractor previously being machine operator employee or from that the contractor in making has owned a machine and needed work. Their primary business is mechanised logging.

Presently Sjöfartsverket do their maintenance according to a standard program, which means that every maintenance task will be done when the task limit occurs. This leads to a very long downtime for the aircraft in some occasions and very short downtime in others. The goal with this work is to reach a higher regularity of the aircraft operation. To reach a higher regularity for the operational needs, this work will present a hypothetic better maintenance concept for Swedish Maritime Administration. The concept is based on equalized maintenance structure, which means that every maintenance occasions are meant to take the same time to perform.