Syfte: Att undersöka huruvida patienterna upplever det postoperativa förloppet avseende smärta i hals, heshet, smärta vid sväljning samt generellt obehag beroende på om endotrakealtub (ETT) eller i-gel supraglottic airway device (SAD) använts i samband med generell anestesi vid elektiv kirurgi.Metod: I denna kvantitativa tvärsnittsstudie samlades informationen in på formulär. Parametrarna skattades av patienterna med hjälp av visuell analog skala (VAS). 60 patienter tillfrågades konsekutivt till studien och 13 föll bort vilket resulterade i 47 patienter som fullföljde studien.Resultat: Gällande graden av smärta i hals, heshet, sväljsvårigheter och allmänt obehag postoperativt så skattade sammanlagt sju deltagare i grupperna med ETT och i-gel ett VAS värde över 3. Patienter som haft ETT upplevde signifikant mer heshet, och sväljsvårigheter än patienter som haft i-gel.Slutsats: Denna studie visar att patienter som får ETT eller i-gel skattar sina besvär avseende smärta i hals, heshet, sväljsvårigheter och allmänt obehag i en låg frekvens. Dessutom påvisas att majoriteten av de som skattar besvär gör detta i de lägre segmenten av VAS skalan..

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

Basal cell carcinoma (BCC) is the most common non-melanoma skin cancer. It can be divided in different subtypes. The most common type is superficial and is most frequently occurring on the trunk and on the face. In severe cases it can be difficult to differentiate basal cell carcinoma from other skin tumors, therefore a skin biopsy is conclusive diagnostic method. In terms of treatment, curettage is a common non-surgical treatment of basal cell carcinoma.

Earlier studies have shown that musculoskeletal disorders among animal keepers are more frequent than in other occupations. Most of the farms have expanded and the farmers who used to work alone have suddenly become a work manager with several employers. There are only a few studies made on the work environment in dairy farms. Our study is based on a questionnaire and is a part of a project called large dairy herds. The study is based on data from the persons who milk most of the time. The questions they had to answer were about the work environment, musculoskeletal disorders and the psychosocial environment. The results of the survey are presented in diagrams and figures. It was common that the dairy producer themselves answered the questionnaire.

The main goal with this thesis report was to come up with ideas of how to make the use of energy more effective and thus save money for the company.First a survey was made to find out where and how the energy consumers were divided within the company. The results were then used in calculations to find out how much money that could be saved and how long it would take to get back the investments.There is a big potential in saving money by recovering heat from the UV-lamps with a heat exchanger. It would also even out the pressure in the factory which is a source to heat loss and a cause for Discomfort amongst the employees. It?s possible to save 105 000 kr in a year and the money needed for the investments is 600 000 kr.By using the recovery air more effectively the company could save up to 250 000 kr a year in lowered heat purchases, but this would require the use of automatic dampers.If you reschedule the running times for the wood chipper and invest in some kind of load management, for example Sydkraft?s ?Energidirigent? you can save at least 42 000 kr.

Stressful routines for animal handling can reduce immune function and productivity of animals. If stakeholders are handling animals aversively, animals will show increased expressions of fear for humans and higher stress levels which lead to the compromise of animals? welfare. In Ethiopia, there are no legislations to protect animals from suffering or Discomfort. The main objective of this study was therefore to analyse welfare of cattle on animal markets in Ethiopia and map out supply chains of animals to these markets.

We have in this field study been researching how social comfort is affected by the work of social services and their collaboration with police, schools and health care within a small village located countryside in the northern part of Sweden. The attribute which sets this village a part from most other small countryside villages is the fact that the crime rate is amongst the lowest in Sweden as well as the social security feeling within the inhabitants are amongst the highest. We traveled 2298 kilometers back and forth to be able to interview professionals and gather empiric material for this study. The method we have used for data collection has been in the form of semi structured interviews. We have used previous research concerning collaboration, social comfort, social Discomfort and fear of crime as our aid to analyze our findings with the help of theories regarding different types of communites (gemeinschaft and gesellschaft) invented by Ferdinand Tönnies (2001) and Human Service Organisation by Hasenfeld (1983).

Resignations are common in all business sectors and can also be found among forest machine operators in the forest business. As the industry today faces a lack of forest machine operators it is justified to determine why machine operators choose to quit their jobs. The aim of this study was to a) find out the number of machine operators that have resigned b) identify and analyse the cause for these resignations c) identify the reasons why the machine operators started to work in the forest and d) give suggestions on different measures that will limit resignations amongst forest machine operators. A questionnaire was sent to machine operators who have quit working as employees, contractors or as employees for contractors with Holmen Skog during 2003-2007. 32 machine operators responded to the questionnaire. Interviews were made with 10 machine operators who had answered the questionnaire to gather more qualitative data. The results of the study indicate that fewer forest machine operators change profession than employees in other occupations in Sweden.

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

A large amount of our time is spent indoors in an artificial climate. To make the experience pleasant there are requirements on the ventilation and the heating system. At the present time the most common form of heating is a radiator system complemented with a ventilation system. A ceiling heating system with combined heating and ventilation can replace the two separated systems. The benefit with a ceiling heating solution is that it saves space since the radiator system is no longer needed.

The poultry red mite, Dermanyssus gallinae, is a common problem in poultry facilities, causing great Discomfort for the hens and effecting the production economically. Few efficient acaricides are available and there is a need for new control methods since resistance has become a problem in some cases. The aim of this study was to evaluate the efficiency of the new liquid silica control agent Ectopar, on the poultry red mite. An initial in vitro test of Ectopar and its two components individually was performed, where live mites were sealed in together with filter paper impregnated with one of the three solutions prepared. The survival of the mites was thereafter recorded repeatedly during a period of 120 hours and compared to a control. For the field study, two poultry farms with different housing systems were used, one with furnished cages (farm 1) and one with a single tier floor system (farm 2).

Aim: On the basis of the Swedish 2012 National Patient Survey and its open answers, study how patients experienced the quality of care during hospitalization in a surgical divisionMethod: In this study, 306 patients' responses was compiled and analyzed by qualitative content analysis and reported descriptively in running text.Results: The way patients were treated by staff was experienced by respondents mainly as positive. The staffs? courteous and sympathetic attitudes were appreciated. The food that was served was described as substandard, distasteful and dull. The cleanliness of the hospital departments were reported to be inadequate, particularly in washrooms.

Abstract? Background: ?Breast?cancer is the?most?common cancer for?women,?with?over 8000?of?cancer?cases?per?year.?Surgery?is the?most?common form?of?treatment. Basis?of?illness?and?the?loss?of?a?breast?can?be a?big?trauma for the?individual?and?affect?many?aspects.?Aim: The?aim?of?this?study?was?to?investigate?health-related?quality?of?life?and?psychosocial?situation and the?need?for support and?care?for?women?who?undergone?a?mastectomy?with?or?without?reconstruction.?Method: The?study?design?was?a?descriptive?study?with?qualitative?approach.?The?selection?was?strategically?consisting?of?the?eight?women?from?five?cities?which?had?undergone?mastectomy?with?or?without?reconstruction. The?interviews?were?semi-structured?individual?that?analyzed?using? content?analysis.?Results:All?of?the?women?felt?that?the?body?changed?after?the?mastectomy.? Feelings?of?insecurity?and?Discomfort?were?common.?Among?those?who?underwent?reconstruction?were?all?dissatisfied?with?the?results.

The trotting in Sweden has a good reputation in an international view, both in the perspective of success and how the sport is managed with focus on security, animal protection and animal welfare. A large number of equipment details are fitted on the horses during training and competition. The Swedish law of prevention of cruelty to animals regulate training and competition with racehorses, and propose to protect horses from unnecessary suffering. The equipment permitted in races is regulated in Tävlingsreglementet (The Regulation of Competititon) and in the regulations of equipment, that the Nordic Regulation Committee and Nordic Animal Welfare Committee have worked out. Due to training and competition the equipment must even meet the Swedish law of prevention of cruelty to animals. However, the behaviour or the senses of the horses is often affected by the equipment due to the way the equipment corrects, modifies, restrains or reduces the behaviour of the horse, which may cause the horse stress or Discomfort.

Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Can peppermint oil relieve the symptoms of IBS?A systematic reviewAuthor: Caroline Månsson and Linn RamströmSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 23, 2013___________________________________________________________________________Background: An estimated 7-10% of the world population suffers from Irritable BowelSyndrome (IBS), a disease that greatly affects the daily life and the quality of life of the afflicted.The total annual health care cost of IBS is around 1280 billion Swedish crowns. IBS ischaracterized by abdominal pain/Discomfort in combination with diarrhoea, constipation, or acombination of these. The etiology is unknown but it is believed that there are several factors thatcome into play. The disease cannot be cured, but there are ways to alleviate the symptomsthrough a variety of medicinal preparations and dietary treatment.