Bakgrund: Modified Early Warning Score (MEWS) är ett bedömningsinstrument för utvärdering av patienters vitalparametrar. Verktygets funktion är att genom strukturerade observationer identifiera patienter med sviktande vitala funktioner, och således kunna vidta åtgärder innan patienten avlider eller kräver intensivvård. Nyttan av MEWS inom onkologisk heldygnsvård är än så länge dokumenterat i mycket liten utsträckning. En studie från 2012 indikerar att MEWS inte är ett effektivt verktyg för att förutse försämringar hos onkologiska patienter. Syfte: Att undersöka om patienter inom onkologisk vård uppvisar MEWS 0-17 poäng veckan innan dödsfall. Vidare ämnar författarna vilka specifika parametrar inom MEWS som orsakade förhöjda totalpoäng, samt om några skillnader föreligger mellan män och kvinnor.Metod: Retrospektiv journalgranskningsstudie där dokumentation av MEWS-bedömningar granskades i 70 patientjournaler.Resultat: Undersökningsgruppen hade ett genomsnittligt MEWS på 2,99 under den sista levnadsveckan. Av de enskilda variablerna inom MEWS var andningsfrekvens den som oftast gav poäng ?1.

We were commissioned to do this study by the Red Cross Centre for victims of torture and war (RKC) in Skövde and questions was asked about how it can be to come as a refugee to a new country and start over. The purpose of this study was to search for a deeper knowledge about older immigrants experiences of their integration in the Swedish community. The conception of ?older immigrant? aimed of persons born before 1954 since these persons culturally was the older ones in the patient group at RKC. This study handled both men and women, was categorised in different themes and was analysed from theoretical points about identity and crises.

This essay is about the female characters in the books of Hemingway. Are they as simple as some critics say, or are they more complex beings, and which ones of the women in the life of Hemingway, can be noticed in his female characters? In the work with this essay, biographies of Hemingway as well as a few of his novels have been studied. The selected novels are Farewell to Arms, Across the River and into the Trees, The Sun also rises and the short story The Snows of Kilimanjaro. The selection was based on the fact that these stories contain good female characters.

The aim of this master?s thesis is to analyse the construction of European identity in three ofcontemporary EU initiated projects for the digitisation of collections from museums, archives, andlibraries. The source material consists of the web pages of the projects Minerva, MICHAEL, andEuropeana, as well as some other policy documents on digitisation and access from EU authorities.Theories on nationalism and construction of heritage are used as an overall context to the problem.After a brief description of the mentioned projects, the author undertakes an analysis of theways that the concept of ?European heritage? is depicted in the source material. The result is thefollowing: normally, the true European heritage is considered being united even though it isdiveded culturally, historically and linguistically.

The eutrophication of lakes and seas with the algal bloom and deficiency inoxygen that follow, has been given priority by the Swedish government as oneof 16 environmental objectives. The purpose of this project was to develop a toolbased on a simple model, limited amount of data and geographic informationsystem (GIS) to identify areas with risk for phosphorus losses due to surfacerunoff. This tool can act as a decision support to decide where appropriatemeasures should be applied with the aim of reducing phosphorus losses and bythat the eutrophication.The method that has been used is a combination of two models, one calculatingthe potential erosion while the other one identifies areas of erosion (net erosion)or deposition. This ability is of great importance because potential erosionshould be calculated on areas with net erosion. Areas with high potential erosionhave an increased risk for phosphorus losses due to surface runoff.The potential erosion was calculated based on factors which describe how topography(LS), land use (C), soil type (K) and precipitation (R) effect the erosion.All of them have been modified to a greater or lesser extent.

In this report focus is put on the combustion process at a cement plant. Combustion is the heart of the cement making process and absolutely crucial to have under full control and well optimized. The fuel is put into the process through a burner pipe and this burner pipe is modified to reach a more efficient combustion. The primary target is to enable burning of heterogeneous alternative fuels and increase the production level. Other positive effects from this type of optimization is lowered specific fuel consumption and lowered CO2 emissions. A redundant burner is chosen for the project and overall the project steps are the following: 1. Installing a Jet air nozzle ring in a way so it can move both axially and radially due to temperature changes. 2.

This is a qualitative study based on interviews with teachers, social workers and school counselors ? with aim to analyze how norm critical social work is in schools. Gender and sexuality norms are in focus which is analyzed in a intersectional and queer theoretical perspective. The study shows that what is defined as a norm in the society varies both socially, historically and culturally. School is a reflection of its society and therefore also reflects its norms, such as heteronormativity and gender roles.

Pain and pain treatment constitute a huge part of the general nurses work. For that reason the nurse is required to have great knowledge about this area. The fact that our society is getting more multicultural increase the nurses demands even more, to understand and treat pain in patients of foreign cultural background. The aim of this literature review is to examine which culturally learned and trans-ferred valuations, norms and approaches that appear related to physical pain. The aim is also to examine the most appropriate ways for the nurse to show respect and to get more information about this cultural experience in the encounter with the patient.

The forest and mire landscape surrounding the north Swedish villages have been of fundamental importance through time for the farmers. In the Scandinavian summer farm system the forest and mire pasture was used to its full potential. The system consisted of smaller summer farms some kilometres from the main farm in the village, and were the livestock grazed in the forest around the summer farm. The livestock affect their environment, and grazed forests generally contain a higher biodiversity than an ungrazed forest. The overall aim of this thesis is to understand the impact of livestock grazing on a northern forest ecosystem over a long time period.

Species that have a high degree of specialization and poor dispersal ability can be more prone to extinction than more generalist species and good dispersers. How these species traits affect the viability of populations is dependent on landscape factors,such as isolation and connectivity. Additionally, interactions between species (e.g. symbiosis), and how these interactions vary spatially and temporally can have a large impact on populations. When the range and habitat areas of a species continuously decrease, management strategies are often needed if the species shall be able to survive.

Today, the TV vignette is considered an embellishment to a TV program, despite its broad audiences and unique appearance. We wanted to find out if the television vignette has some common features and conventions but also find out how it relates to genre.We used a case study where we analyzed ten vignettes that we chose from certain criteria. We used a model based on image analysis that we modified to fit our needs. The main parts of each model consisted semiotics, imagery, dramaturgy and sound.We also made a couple of interviews with people who are active or used to work with vignettes. As a result we discovered that the television vignettes consist of certain conventions and that the vignette will not be considered as an independent genre, until the public has accepted it.

This project is a collaboration with Ett Klick för Skogen, a foundation that buys and preserves endangered forests in Sweden. There are several ways of helping the foundation, e.g. buy a tree and for this the buyer obtains a symbolic diploma. Many organisations uses this method to collect money and for me the lack of a thorough expressions are consistent. The objective with this project has been to renew these diplomas for Ett Klick för Skogen and in the long run increase the collections and preservation of endangered forests in Sweden.The idea has been to vivify hardwood trees in a new and rather poetic than pedagogic manner.

Food-poisoning is a major health problem and an estimated half a million Swedes are food-poisoned annually, with acute gastroenteritis as a consequence. One of the major causes of contaminated foods is related to food- and waterborne viruses. To be able to trace back the source of contaminant, the method of detecting viruses must be specific and sensitive. No standardized method for detecting foods for sapovirus exists today. The aim of the work described in this bachelor thesis is to implement and opti-mize a real-time RT-PCR method for the detection of all genogroups of human sapovirus in foods.

AbstractPurpose:The purpose of the study is to describe the internationalization process of one firm when in a country culturally diverse from the firm?s original market.Methodology/approach:The study is a single case study which examines one firm?s internationalization process when entering the Chinese market. The approach has been an empiric interaction between empirical and theoretical data.Findings:The theory of the Uppsala model was applied to the case-company to test the model?s completeness. The authors found weaknesses and added three more aspects to the model.

This study explores the selection processes regarding fictional literature in English as asecond language education. The aim is to illustrate the relationship between the knowledgeteachers seek to pass on to their students and how the governing documents and the Westernliterary canon affect which literature that is chosen. The study uses qualitative interviews withsix teachers from different gymnasial schools in Northern Sweden. The results show thatteachers use literature as a tool for teaching grammar, lexicon, language structure and storytellingskills. In the more advanced English courses, the teachers prefer to exert more controlover which literature is read, mainly due to the fact that the governing documents specificallyrequire a presence of older, culturally established works.