Incompatibility between donors and recipients can cause fatal hemolytic transfusion reactions (HTR), kidney damage and death and immunization of the recipient. Antigens on the surface of erythrocytes in the ABO blood group system and regular natural antibodies against these in the patient?s plasma must be considered. An individual always has a corresponding antibody of IgM in their plasma. Irregular antibodies acquired by transfusion or pregnancy and active in body temperature also cause the HTR incompatibility.

ABSTRACTProblems with high turnover in nursing has escalated during the last years both nationally and internationally. according to previous research job satisfaction and quality of care was connected to specific features of the hospital work environement. It was also recommended by Coomber & Barriball (2007) to analyze job satisfaction at ward level with qualitative interviews to get a deeper and more extended insight in which specific features are of importance.The aim of this study was to investigate and describe the experiance of job satisfaction in relation to quality of care from nurses perspective. This study was carried out at an orthopaedic ward with primary nursing as organizational context of care.Two focus group interviews were conducted, they comprised nine nurses with at least two years experiance of primary nursing. A qualitative content analysis with inductive approach was used in order to develop more detailed insights of potential factors influencing work satisfaction at ward level.

The aim of this study was to compare the effect between the drugs rituximab and infliximab in rheumatoid arthritis (RA). RA is an autoimmune disease that affects the peripheral joints and is associated with exacerbations. Various immune reactions in the body cause inflammation of the joints which further results in cartilage and bone damage. The diagnosis is made by the classification system "The 2010 American College of Rheumatology (ACR) / European league against rheumatism (EULAR) classification criteria for rheumatoid arthritis", which is an update of the older system called "The 1987 American College of Rheumatology classification criteria for RA". Approximately 0.5-1% of the population is developing the disease, but it varies slightly between different parts of the world.

AbstractAim: The aim of this study was to describe cancer patients? experiences of quality of life and wellbeing in relation to yoga practice.Method: A descriptive qualitative study with semi structured interviews was carried out during the fall of 2009 at the University of Uppsala. Informants in the study were cancer patients who were participating in the yoga/psychotherapy group at the clinic of oncology at the Akademiska hospital in Uppsala.Result: Five out of six informants experienced that their quality of life and their wellbeing improved by practicing yoga. One informant had mixed feelings which were not due to the yoga practicing, but to the place where it was practiced. For her this place was associated with illness.

The purpose of the literature review was to examine barriers and facilitators to life style changes experienced by patients with coronary heart disease. This knowledge could be of use to the nurse in her role as a support to the patient in the process of life style change. The result from this study shows that family support, knowledege about the disease and motivation are important factors when changing life style behaviors..

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.

Diabetes mellitus is characterised by persistent hyperglycemia in all species. Fructosamine is a glycated protein reflecting blood glucose concentration during the preceding weeks. It has become a valuable analysis to differentiate persistent hyperglycemia from transient stress induced hyperglycemia in cats. It is also used to evaluate current therapy in diabetic patients. Although fructosamine is a well accepted analysis, it is sometimes regarded with scepticism.

The aim of this study was to review six professionals supporters work to support adolescents in grief, and if this support is the kind of support adolescents actually need. These professional supporters are two hospital social workers, two hospice social workers and two support group leaders. The questions included in the work are; How does the professional support look like for adolescents aged 12-18, who has lost a parent in cancer? Are the adolescents getting the support they need from these professionals? The study is based on qualitative interviews based on interview guides, which where then analyzed thematically and linked to previous research and grief theory. The result indicate that adolescents may need different forms of support when their parent is dying or has died.

The purpose of this thesis is to analyze the writings of Hayashi Ichiz?, a Christian from southern Japan who on the 30th of May 1945 died while carrying out a kamikaze attack against Allied ships outside Okinawa. Hayashi?s writings, most notably his diary and some of the letters he sent to his mother, have been published posthumously by his sister in a volume called Hi nari tate nari. In this thesis, I conduct an in-depth analysis of these writings in an attempt to understand for what Hayashi died.In the two parts of the thesis, divided by two major themes in Hayashi?s writings ? faith/family and nation/emperor, I discuss his thoughts around these issues.

Background: Dementia is an umbrella term for a group of diseases that affects the brain and causes cognitive impairment. Animal-assisted Therapy's goal is to meet patients' physical, psychological and social dimensions within the current health care field. To avoid problems like infections and allergy, robotic animals has been developed. The purpose of robotic animals is to induce relaxation and well-being of persons with cognitive impairment for example.Purpose: To compile scientific articles on which effects care dog and robotic animals have on mental and physical health in patients with dementia. Method: A literature review consisting of nine quantitative research articles.

Partille municipality is planning an extension of the building Forellen. Green environments in health care have been shown to improve the health of patients, especially in elderly care. This report addresses the possibility of using the leftover space in close connection to a dementia and short-term accommodation to a winter garden and a terrace. The report also analyzes the impact of these green spaces on the residents.The purpose is to find alternative answers on the issue through the study of nursing homes and green spaces, and that these may be useful for Partille municipality and inspiration for future projects. The goal is to get conclusions in to a report, drawings, and an oral presentation.The results show that the design of environments can affect human well-being and also be healing both mentally and physically.

The guinea pig is an important meat-producing animal in Peru as well as in several other South American countries. They are held in different kinds of systems, from the small backyard breeders with few animals to the large commercial farms with thousands of guinea pigs. One of the major issues at the farms is animals dying of unknown causes. Salmonellosis is often considered as a major cause, but samples for confirmation are rarely taken. It has been known for a long time that Clostridium difficile (C.

Bakground: Puerperal fever caused by group A Streptococcus is in a global context seen as a common cause of death in childbirth.Aim: To examine the consequences of group A streptococcus infections in women postpartum and to see what a nurse can do to stop the infection with adequate nursing interventions.Method: This is a review built on 15 articles. These articles were read in full and audited with a suitable template.Result: Women postpartum has 20 times higher risk to get group A stretococcus infection as compared to non pregnant. The consequences of Group A Streptococcus infection can lead to high fever, abscesses around the uterus, sepsis, acute respiratory distress syndrome (ARDS), hysterectomy and death. Patients who share room with infected patients carries an increased risk to be infected. Curtains between patient beds can be colonized by Group A Streptococcus.

Bakgrund: M?nskliga faktorer utg?r i m?nga fall grunden f?r misstag som sker inom h?griskorganisationer. Operationsavdelningen ?r en h?griskmilj? och d?r arbetar det interprofessionella operationsteamet. Operationssjuksk?terskan ?r en av professionerna i teamet och genom att anv?nda olika kommunikationsstrategier samt bidraga till en psykologisk trygghet inom teamet kan kvaliteten p? kommunikationen inom operationsteamet ?ka.

Distriktssköterskan är ofta den sista länken i vårdkedjan från den somatiska vården och hemsjukvården. En fungerande överrapportering från den slutna somatiska vården till hemsjukvården är av yttersta vikt för patientens trygghet och säkerhet och det är därför viktigt att innehållet i omvårdnadsepikrisernas uppfattas som relevant för den fortsatta vården. En omvårdnadsepikris skall innehålla en slutanteckning över de omvårdnadsåtgärder som genomförts på sjukhuset och en kort beskrivning över patientens aktuella omvårdnadsbehov. Syftet med studien var att beskriva distriktssköterskors uppfattning om omvårdnadsepikrisernas relevans och användbarhet i den fortsatta vården i hemmet av palliativa patienter samt att jämföra dessa med det faktiska innehållet i omvårdnadsepikriser skrivna av sjuksköterskor inom den slutna somatiska vården.Studien har genomförts med en innehållsanalys av 16 omvårdnadsepikriser insamlade från en kirurgiavdelning på ett större sjukhus i Göteborgsregionen samt semistrukturerade intervjuer med fem distriktssköterskor i Göteborgsregionen. Avslutningsvis jämfördes resultatet från de två datakällorna för att bedöma överensstämmelsen mellan dessa.