Introduction: In Sweden the definition of ambulance nursing is the examination and treatment of sick or injured people done by ambulance nurses during transport.  This means not only focus on the illness or injury but also the human being treated. The paramedic service must be based on the presumption that the medical needs of the patients are guaranteed, and that the expectations and demands of the public are satisfied. Competence and availability are basic terms for a well-functional paramedic service. There is a lot of pressure put on the people working with pre-hospital nursing. One mistake can lead to serious consequences for the patient.

Chronic obstructive pulmonary disease (COPD) is a chronic lung disease. The disease is the fourth leading cause of death and more than 5 percent of the adult population worldwide is affected.The aim of this study was to investigate the association between periodontitis and COPD.Search for material for the literature review was done in the medical database PubMed where the keywords were: "Chronic obstructive pulmonary disease" and "Periodontal health or periodontal disease". The result is based on twelve studies that were extracted and analyzed. The studies have investigated pocket depth, attachment loss, plaque index, bleeding on probing and bone loss. Ten studies compared a COPD group with a healthy control group, one study compared two COPD groups and one study examined a COPD group and a group with other lung diseases.Most studies found that people with COPD had a higher incidence of pocket depth, attachment loss, plaque index, bleeding on probing and bone loss.

Introduction: Increased ill health in the workplace in terms of increased workload, stress and pressure from employers is common in Sweden today, which may lead to a future variety of medical conditions and disabilities. Aim: The aim of the present study was to describe what employees at companies in the health industry experienced as a health and illhealth on a workplace. Method: A qualitative approach was used in which the interviews were based on an interview guide. The method of analysis was thematic analysis in which three themes emerged. Results: Tree themes emerged; a social interaction with colleagues, good leadership, and access to health care and movement.

The aim of child health care is to promote health and development for all children, to early identify problems that concern children´s growth and development and to prevent ill-health among children. Today in our society the proportion of children who are underweight are few.The aim with this study was to describe paediatric nurses experience in meeting with underweight children and their parents. Interviews were implemented and analyzed according to qualitative content analysis. Focus was placed on looking at differences and interpretations in the text content. The analyse resulted in six main categories, such as a need of sensitivity and a holistic view from the nurse, difficulties in handling the meeting because lack of tools.

ABSTRACT Infertility is a medical condition that affects approximately 16 % of Swedish couples in childbearing age and is a condition found in both men and women. When a couple has been trying to conceive for more than 12 months without success they need to see a health care provider. Infertility can be treated with medicine, insemination or assisted reproductive technology such as in-vitro fertilization (IVF) and intra-cytoplasmic sperm injection (ICSI). The aim of this study was to validate a morphokinetic selection model, KIDScore? D3 Basic, against morphological selection model that is currently in use at the Fertility unit at University hospital in Orebro.

This thesis describes the design of a tipping trailer, from a company?s demands andrequests to complete manufacturing documentation. The design is developed for thecompany Abexor AB in Östersund that produces tipping trailers. The product issupposed to be used by Abexors customer to transport cargos of different kinds,such as gravel, stone, dirt, etc.The work commenced with a meeting at the company where demands were set.After that a pre-study was conducted to find out what traffic rules were required forthe trailer to be allowed to be driven on roads. Similar products were examined tosee how the trailer could be designed.

With the political situation that prevails in the world, the need for contingency planning for the ecclesiastical heritage has become actualized with the aim of protecting the churches and their assets in war and armed conflicts. In accordance with Kulturmilj?lagen (SFS 1988:950) chapter 4 ? 15a, the Church of Sweden and its organizational parts are responsible for ensuring that contingency plans for the ecclesiastical heritage are established. In the legal statutes, it is not clear how this is to be carried out, who is responsible for all practical aspects or what is to be protected, something that creates gaps of knowledge regarding logistics, roles and selection. This means that there is currently a lack of principles and practice around the protection of the ecclesiastical cultural heritage, as contingency planning for cultural heritage is a fairly new phenomenon that has not been practiced in times of peace.

The purpose of this study has been to investigate how the temperance movement IOGT in Karlstadcampaigned for people to vote for a referendum on alcohol in 1922 and how it has been tackled bythe local press. To answer the purpose a qualitative text interpretation has been used from IOGT'smeetings protocols and the local press used are the two largest newspapers in Karlstad during thisperiod of time, Karlstads-Tidningen and Nya Wermlands-Tidningen. The type of examinationperformed is called interpretive case study where it has been used a theoretical basis. Thetheoretical point is Habermas Bourgeois publicity also been used by Lars Båtefalk in his thesisStaten, samhället och superiet. Can the temperance movement be said to take part of the publicsphere?The results show that IOGT during this period have grown large enough to be a part of the publicwhich Båtefalk mean was not the case around 1900.

This work is a study of how the principal's educational leadership designs in two different forms of organization. I have chosen to do a comparative study between how two headmasters identify educational leadership, and to what level they feel they can act as educational leaders in their school. The comparison is made between two educational organizations, and two principals? image, one in Sweden and one in New Zealand. I have chosen interview as method and I have only two respondents on the grounds that is the person's unique perception I want to bring into focus.

The purpose of this study was to describe how patients with hemodialysis experience their dialysis treatment. The study was conducted as a qualitative descriptive design. The study is based on six interviews. The interviews were transcribed in their entirety and analyzed according to content analysis inspired by Granheim and Lundman. The result is based on five categories; Stress and requirements, Life-supporting haemodialysis treatment, physical impairments, social constraints and a positive view on haemodialysis.

The main objective of this study is to divide a number of colorectal cancer cases into subgroups based on their molecular features using cluster analysis. The data used is supplied by a research group at Pathology, the Department of Medical Biosciences, Umeå University, and consists, after some preparation, of 455 observations which is a larger data set than many similar studies. The molecular variables that the clustering is based on are CIMP (CpG Island Methylator Phenotype), MSI (Micro Satellite Instability), BRAF- and KRAS-mutations. These are categorical variables and consequently the clustering method used is PAM (Partitioning Around Medoids) which is particularly useful with data on diverse variable level. The final analysis results in four subgroups that are represented by different combinations of attributes on the aforementioned variables.

The European Union's long-term budget negotiations during the summer of 2005 were obstructed from being successful due to a quite fierceful debate about the future guidelines of the Common Agricultural Policy. A quarrel about money and who gets what, was the common answer as to why it took the European leaders six months to accept the budget, and quite rightfully. This essay, however, goes beneath those explanations and tries to see what other reasons there might be for such a phenomena.With a new institutionalistic approach this study seeks to see what underlying reasons for why an institution such as CAP is so resistant to change. With special attention to the new historical institutionalism and the rational choice institutionalism the study successfully shows that though the front laying reasons to the problems with the budget might have been economical, several other factors also affected the outcome of the budget negotiations.Structures, national identity and decisions taken when outlining the Common Agricultural Policy in the 1960's still affect the European union, its members and foremost of all, the Policy/institution itself..

Akutmottagningar idag får ofta in barn som behöver opereras akut. Personalen på akutmottagningen ställs då inför en situation där de inte hinner informera och förbereda barnet på vad som ska ske. Detta kan skapa en otillräcklighetskänsla hos anestesisjuksköterskorna på operation som därmed får ta hand om ett barn som inte är förberett på vad som kommer att hända. Att skapa förtroende hos barnet är en process som inte kan skyndas på och kräver mycket tid ända från första mötet med barnet. Denna studie vill belysa vad anestesisjuksköterskorna baserar sina val och strategier på i detta möte.

BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a slow progressive disease affecting the family caregivers by limiting their lifestyle. Subsequently the situation can be experienced as stressful for both the afflicted and the relatives. To easier understand the needs of the caregivers of family members suffering from COPD have, it is important to get an insight into their experience of every-day life, so that medical staff can help, support and promote their health according to their needs. AIM: To illustrate caregivers? experiences of living with a family member suffering from Chronic Obstructive Pulmonary Disease.

The proportion of elderly people in Sweden is increasing. Many of these live at home and as their age increases so does the likelihood of health problems and the need for support, medical attention and care. Personnel working with home help provide a large part of this care, including areas of home-based care that are the responsibility of the district nurse. The purpose of this paper is to describe how home-help personnel perceive their work in the area of home-based care, as their views are an important factor in the ability to provide a care system that funktions successfully. The method employed here is phenomenografic and nine subjects from a home-help group have been interviewed.