SAMMANFATTNINGSjuksköterskan tillämpar omvårdnadsprocessen genom att observera, värdera, prioritera, dokumentera och vid behov åtgärda och hantera förändringar i allmäntillståndet, samt motverka komplikationer i samband med sjukdom, vård och behandling. Andningsfrekvens (AF) är den vitalparameter som först förändras och signalerar en förändring i allmäntillståndet. Vid de flesta hjärtstopp på sjukhus finns tecken till försämring hos patienten redan några timmar eller upp till ett dygn före. Syftet var att undersöka sjuksköterskans inställning och följsamhet till att mäta och bedöma AF hos akuta sjuka patienter, för att tidigt upptäcka en försämring i patientens hälsotillstånd. Genom en litteraturstudie framkom fyra teman. Rutiners betydelse, sjuksköterskans inställning till AF och varför den inte mättes, värdet av förändringsarbete samt möjliga arbetssätt för att undvika vårdskador.

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.

Storage of biomass is often associated with problems such as heat development, dry matter losses and reduction of fuel quality. The rise in temperature can potentially cause a risk of self-ignition in the fuel storage. Moreover, emissions from storage piles can cause health problems in the surrounding. The dry matter losses and reduction of fuel quality can have economical effects. The aim of this thesis project is to develop guidelines on how to store large amount of biomass at Vattenfalls heat and power plants in an optimal way.

Sahlgrenska Academyat University of GothenburgDepartment of internal medicine and clinical nutritionAbstractTitle: Can supplementation with vitamin E improve cognitive function in Alzheimer?s disease?Author: Malin Andersson and Elin LöfqvistSupervisor: Elisabet RothenbergExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2012-04-11Background: Alzheimer?s disease (AD) is the most common form of dementia. As the average life expectancy rises the prevalence increases. The disease leads to gradual Deterioration of cognitive functions. A recent Cochrane review describes how several studies demonstrate an increased oxidative damage in the brain in those with AD.

Background: A health damage that has been specifically related to nursing is pressure ulcers. Pressure ulcers are a complication caused by disease, care and treatment and can result in great suffering for the patient. Pressure ulcers can affect people both physically and psychosocially and is experienced, by most patients, as a serious and unnecessary complication of care. Today there are hundreds of identified risk factors for pressure ulcers described that can be divided into patient and care-related risk factors. A successful pressure ulcer prevention and treatment is to reduce or eliminate the underlying causes for the development of pressure ulcers, prevent Deterioration and to treat existing ulcers.

In this paper discourse analysis on the Ethiopian National Action Program (NAP) to combat desertification is made. The aim is to describe how the overall image/picture of desertification, its causes, and effects and of possible solutions are presented in the NAP. The result of this analysis shows that the main cause of desertification is human activities mainly due to the poorly developed socio-economic situation in the dryland areas. It is indicated that an excessive dependency of the rural population on the natural resources, particularly land, is the major cause of land degradation and this Deterioration of land is said to have been caused by the rapid population growth, overgrazing, forest clearing as well as past government and institutional failures. In addition it is indicated that the effect of desertification usually involves ecological changes that sap land of its ability to sustain agriculture and human habitation, therefore the most serious threat to human welfare.

Background: A health damage that has been specifically related to nursing is pressure ulcers. Pressure ulcers are a complication caused by disease, care and treatment and can result in great suffering for the patient. Pressure ulcers can affect people both physically and psychosocially and is experienced, by most patients, as a serious and unnecessary complication of care. Today there are hundreds of identified risk factors for pressure ulcers described that can be divided into patient and care-related risk factors. A successful pressure ulcer prevention and treatment is to reduce or eliminate the underlying causes for the development of pressure ulcers, prevent Deterioration and to treat existing ulcers.

This study investigates three different methods for evaluating MOE,Modulus of Elasticity, in field measurements. The purpose is toinvestigate the possibility to use dynamic measurement methods infield measurements that hitherto (2010) has been performed with staticmethods. The objects of investigation are 20 glulam beams. The firstfield measurement took place in november 2007 and applied a staticmethod based on the standard SS-EN 408. The second measurement,described in this study, took place during summer 2010, and appliedstatic as well as dynamic methods.The MOE of wood is affected by a range different factors.

This article presents a survey of male dogs treated with the gonadotropin releasing hormone (GnRH) agonist deslorelin (Suprelorin®, Virbac) at three animal clinics in central Sweden. Filled-in questionnaires from 110 dogs were received. The paper also includes a review of existing litterature concerning reproduction in male dogs, focusing on endocrinology, the effects of gonadectomy and the GnRH agonist deslorelin. Continuous treatment with deslorelin produces infertility in male dogs. The pituitary is initially stimulated by deslorelin leading to a rise in luteinizing hormone (LH) and follicle stimulating hormone (FSH) secretion. As a consequence the testosterone levels also increase temporarily.

Hearing is considered to be the most important sense for the communication between people. Several studies have shown that hearing loss can lead to Deterioration in quality of life, reduced social activities, feelings of alienation and hence the increasing incidence of depression symptoms.An early audiological rehabilitation is a prerequisite for proper communication among people with hearing loss. Knowledge has been shown to be of great importance and structured learning and individually targeted approach can be expected to facilitate the audiological rehabilitation.The purpose of this study was to examine the effect of an educational effort for people with hearing loss where the effort was made in the distance within the audiological rehabilitation and was followed-up by professional phone support, through a randomized controlled study.The study group consisted of 69 hearing aid users who were randomized by an independent person into two groups, an intervention group and a control group. The intervention group (n = 33) had access to the book "When the sounds are weaker - on hearing and hearing aids". The group received weekly topic-based information related to the different chapters of the book, in five rounds.

We have made a litterature study about pain in animals. In this studie we have brought up areas like sign of pains in animals, pain relief and the care perspective. Pain is perceived when body tissue is damaged or nearly damaged by stimuli. Nociceptors, which are receptors placed at nerve endings, responds to a provocation of pain and transmit an impulse along the nerve to the brain via the spinal cord. Pain is urgent or chronic, and can be divided into nociceptive pain (somatic pain and visceral pain) and neuropathic pain. Different pain mechanisms can arise, such as referred pain, which is when signals of pain are referred to other parts of the body.

When rubber equipment in a milking system ages, physical and chemical Deterioration occurs and cracks, crevices, as well as deposits of organic and inorganic material is formed on the surface. Bacterial colonization can accumulate, especially on ageing rubber equipment and if the cleaning procedure is not functioning properly. Formation of biofilm in milking equipment could in turn cause bacterial contamination of bulk tank milk. ATP bioluminescence is a fast and easy way to determine the hygienic status of a surface based on its ATP content, and results are given in relative light units (RLU). The method measures both bacterial contamination as well as residues from other organic material.

This examination work is the final work in our education to become a Bachelor of Science inMechanical Engineering by the University of Lund.The main purpose with this work has been to develop a new effective material handling system for TPPM AB in Lund since the existing system starts to become out of date. The future system that is going to be installed shall have the capacity to support all machines with unit-, semi- and finished goods during full production. The work has also included studying the possibilities to change the material flow in a positive way between the storage and the production when one is using existing buildings.During our work we have been used a simulation program called AutoMod, performing company visits, interviews and reviewed internal and external information to create a picture of what the best conclusion can be. During the work we have contacted five suppliers to receive system solutions and quotatioris. The suppliers, which have been contacted, are Swisslog, Moving, Rocia, Christensen & Hansen and ABB.

Ökad efterfrågan på virke har lett till ett ökat intresse för och användande av olika produktionshöjande åtgärder. En sådan åtgärd är dikesrensning som innebär att befintliga diken eller dikessystem rensas för att de skall bibehålla eller återfå sin ursprungligt avvattnande och produktionshöjande funktion. Sveaskog avser att öka omfattningen av dikesrensning. Därför behövs en kartläggning av behovet på deras marker. På samma gång behöver produktionseffekterna och livslängden på dikena utrönas. Studien genomfördes via en studie av befintlig litteratur om skogsproduktionseffekter efter dikesrensning och dikning samt förfall och livslängd hos diken.

Den konkurrens som råder inom affärsvärlden har gjort att företag blivit tvungna att effektivisera sitt arbete. Man ser gärna att vissa steg i värdekedjan förkortas eller försvinner helt och hållet.Internet är en plats som många företag etablerat sig och bedriver e-handel på och har blivit ett komplement till detaljhandeln. Internet och e-handelns stora framgång har gjort det möjligt för företag att nå ut till fler konsumenter än tidigare. Urvalet av företag och produkter på Internet ökar och har gett konsumenten större valmöjligheter när de handlar på Internet. Internet har blivit ett bekvämligt sätt för konsumenten att handla på eftersom företagen alltid finns tillgängliga.