The aim of the study was to understand limitations and possibilities to the discretion of managers in order to fulfill wishes of users. The study is based on six interviews, three with managers and three with staff in common homes for mentally disabled people. The study took place in a municipality in Sweden in the spring of 2010. We used an interview guide with specific themes and questions. The theoretical framework was based on organizational theories as well as theories about management and discretion.

Aortic insufficiency is a very common valve problem in horses and most often affects older individuals, but nevertheless existent within younger ones. The root cause for aortic insufficiency can be varied, for example; endocarditis, ventricular septum defect or congenital valve disease but the most common are progressive valve degeneration or elite competition. Depending on the root cause, different changes can be observed on the aorta valves, but they do all have the same effect, the valves do not seal properly and blood leaks backwards. Many horses can, even with this deficiency, perform highly without any visible impacts and there is therefore no need to treat those subjects. Most often the symptoms arise at a later stage in life and they are, more often than none, put down for other reasons. In the occurrence of the clinical symptoms showing, treatment guideline is to inhibit these symptoms since the valve degeneration is presently irreversible.

Vaccination as a part of the preventative public health project has for many years been one of the important tasks of the children's health care. The vaccination program has been adjusted to current research and the health situation in the country. Having their children vaccinated is not something obvious for all parents, though. Especially the vaccination against measles, whooping cough and German measles have been questioned. The purpose of this literature study was to investigate the reasons for the resistance to vaccinate and to illuminate the security creating advice of the nurse at the public health centre.

The population of asylum seekers puts new challenges on the Swedish health care since their difficulties are complex; having both atraumatic background and a continuing worry about the asylum process.This study aims at investigating how health care professionals working with asylum seekers are affected emotionally using the theoretical concepts of empathy, compassion fatigue and compassion satisfaction. Nine qualitative interviews with health care professionals were conducted and the material was analyse dusing thematic analysis. Results were deductively found in thematerial, using the asylum process itself along with the concepts of empathy, compassion fatigue and compassion satisfaction as themes. Previous findings regarding empathy and its relations to compassion fatigue and compassion satisfaction were confirmed. This was furhter developed in this study through its focus on health care professionals working with asylum seekers..

The health care is an important part of the welfare services in Sweden. Therefore it is of large interest that it is well performing. A part of this is related to how the health care is organized. This essay examines how the Swedish health care has been organized between 1960 and 1990 and what organizational changes that have been made to the health care. It shows that the Swedish health care has un-dergone many organizational changes the last decades.

ABSTRACTAim: The aim of this study is to chart the experiences of Swedish general psychiatric care on a Swedish University hospital from a relative?s point of view. The study focus on how they are meet, satisfaction with and participation in the care. The study is done as an improvement project.Methods: The study was conducted by performing semi-structured interviews with eight close relatives to patients on a general psychiatric ward. The interviews lasted for 20-40 minutes.Results: The result shows that relatives are satisfied with the way they are meet by the staff on the ward, that they appreciate staff that are open, down to earth and are inviting to form a good relationship.

Outsourcing in IS/IT offers organizations the possibility to use external resources, maximize flexibility and focus on core business, this prompts many organizations today to be less keen on developing IS/IT-services in-house. Sourcing IS/IT is however a complex activity in itself thus requiring competencies in many areas of expertise and lots of organizations has experienced the challenge of managing the necessary competencies to ensure successful Information Technology Outsourcing (ITO). A literature review in the field of outsourcing revealed the lack of a comprehensive competency management framework with the ability to guide competency resource planning in ITO projects. In order to highlight the problem area, an extensive and thorough literature review and an empirical case study which investigated the skills and assets in ITO projects at ten major Swedish organizations was conducted. The study found that it is possible for organizations through structured analysis of their intellectual capital, using the competency framework developed within the study, to plan sourcing processes and prepare the necessary changes to ensure the ITO projects can be implemented with the desired effect..

Sexual dysfunctions concerning women with multiple sclerosis (MS) are common. Since the disease preferably affects young individuals when establishment of family occurs, the result of these problems have a great impact on the individual and her family. The purpose of this literature review is to throw light upon these problems and respond the questions if the nurse may be the right person to give sexual counselling and in which way this may be done. The theoretical framework was Antonovsky´s concept "sense of coherence". The result is presented in four themes: bodily aspects, social aspects, information/counselling, and practical implications for nurses.

I chose to do this work because I believe that today?s industrial designprofessionals lack in their task of creating aesthetic experiences and aestheticdiversity.With my work, I want to question why the majority of today?s technical, massproducedeveryday products have such a similar design expression, andwhy alternatives are so few. Most of all, I take a critical attitude to today?sstereotypical industrial design aesthetics that I would describe as technical,masculine, and unnecessarily complex.I have designed a number of products that show alternative aesthetics in thissegment and as such I have chosen the vacuum cleaner. The idea is that mydesign will serve as an eye opener and demonstrate that there are alternativesto today?s homogeneous market.The result is three vacuum cleaners claiming three alternatives to currentofferings.

A design methodology to mitigate timing problems due to long wire delays is proposed. The timing problems are taking care of at architecture level instead of layout level in this design method so that no change is needed when the whole design goes to backend design. Hence design iterations are avoided by using this design methodology. The proposed design method is based on STARI architecture, and a novel initialization mechanism is proposed in this paper. Low frequency global clock is used to synchronize the communication and PLLs are used to provide high frequency working clocks.

Information is one of the organization's essential resources, and as such it needs strategic management. The authors use the information audit, which was developed by Orna 1999 and Henczel 2000 as a tool to evaluate how well an organization's information activities connect to its mission, goals, and objectives, to evaluate the municipal politicians' information support in Härryda municipality. The decision situations met by politicians often are complex; they are ambiguous and unstructured, with a high level of uncertainty. Human information sources meet needs arising in this kind of decision situations best. Since most of the politicians work full-time besides being politicians, Härryda municipality has to substitute the human sources by textual ones composed of highly summarized information.

Background: Multiple myeloma is a malignant incurable cancer disease associated with severe chronic pain. The nurse has several important roles in the management of patients with multiple myeloma. This study focuses on nurse´s roles including the caring of pain relief.Aim: The aim of this study was to elucidate the nurse?s role in giving care to patients with multiple myeloma and associated chronic pain.Method: This literature study was based on scientific articles.Results: The nurse is in a key position to facilitate ongoing adequate pain and psychosocial assessment of patients with multiple myeloma. The study presents ways of relieving pain and suffering via different ways of caring management.

Fibromyalgia is a chronic pain disorder. It affects muscles and connective tissue. It's a very complex disorder that has no adequate treatment or cure. The research has progressed but there are still some questions to be answered. Quality of life for these patients is decreased and leads to suffering.

 Bakgrund: I Sverige finns det cirka 160 000 personer som är drabbade av någon form av demenssjukdom och av dessa lider ca 60 % av Alzheimers sjukdom. Cirka en halv miljon svenskar beräknas vara anhöriga till någon som drabbats av Alzheimers sjukdom. Alzheimers kallas ibland för de anhörigas sjukdom, eftersom livssituationen förändras både för den drabbade och för de anhöriga. Syfte: Att beskriva anhörigas upplevelser av att vårda personer med Alzheimers sjukdom. Metod: Studien utfördes som en allmän litteraturstudie.

The Stradella system on an accordeon is a complicated construction. It has readymade con-nected chords, these are major, minor, seventh and diminished seventh. To reach other vari-ants of chords you have to combine chord/bass buttons. Which advantages and disadvantages do the use of combined chords/bass buttons mean? How is the pedagogic work affected by using the combined chords/bass buttons? I have interviewed four musicians/teachers to learn about this technique.