Sedan oktober 2011 sköter Sjukvårdens Larmcentral, SvLC, utalarmeringen av akuta sjukdomsfall som inkommer vid 112-samtal. Samtidigt infördes ett nytt medicinskt beslutsstöd för de sjuksköterskor som tar emot de akuta samtalen. Då orsaken till buksmärta är komplext och svårt att identifiera hos patienterna valdes just detta tillstånd för granskning.Syfte: Att undersöka om det medicinska beslutsstödet för sjuksköterskorna på SvLC i Uppsala län är en tillförlitlig hjälp i identifieringen av patienter med akuta buksmärtor, samt att undersöka om det fanns ålder-eller könsskillnader.Metod: En empirisk kvantitativ studie med en retrospektiv journalgranskning. Sammanlagt 151 patienter som ringt ambulans på grund av buksmärta och som av larmcentralen prioriterats som livshotande (prioritet 1) eller brådskande (prioritet 2) har granskats.Resultat: SvLC´s initiala bedömningar stämde väl överens med de prehospitala bedömningar sjuksköterskan i ambulans gjorde. Hos prio1-gruppen hade 48 % diagnostiserats buksmärta UNS, det vill säga buksmärta utan närmare specifikation, och hos prio 2-gruppen var det 40 % som fått samma diagnos.

Web Services har vuxit i popularitet de senast åren. Användningen av inbyggda systemökar också ständigt, och möjligheten att göra inbyggda system tillgängliga via Web Services öppnar nya möjligheter.Detta arbete visar på möjligheter och problem med standardiserade textbaserade protokoll för kommunikation i inbyggda system med små resurser. XML-RPC och SOAP studeras ur detta perspektiv. SOAP befinns vara mer komplext att implementera stöd för än XMLRPC i den begränsade testmiljön, som har 32kB internminne. XML-RPC visar sig ge fördelar över proprietära protokoll främst när det gäller underhållbarhet och återanvändbarhet..

The purpose of this study was to analyze and develop a workflow for assessing and representing the value of ecosystems to professionals involved in municipal planning. A thorough literature review was conducted and supplemented by interviews and observations. Frameworks for ecosystem service assessments were analyzed and combined with methods in urban planning in order to assess social and ecological conditions. A workflow was set up and methods were evaluated by applying them to a case study in the area Åstråket in Uppsala. Experience from the case study was compiled in order to improve the workflow.Complex assessments were identified and simplified for the method to be useful for practitioners.

The ever-changing modern health care environment places high demands on leadership skills. The purpose of this study was to describe the causes that effect leadership within the health care services carried out in a municipality. Data was collected by interviewing four health care managers, three registered nurses, eight enrolled nurses and one auxiliary nurse. A qualitative approach based on a content analysis method was conducted in the analysis of the interviews. Latent content deals with relationship aspects and interpretation of deeper underlying meaning of text.

Arbetsuppgifterna på ett fartyg kan innefatta hård fysisk påfrestning samt arbete i mörker, påhög höjd och i slutna utrymmen vilket betyder att sjöfolk måste vara lämpliga för tjänstgöringen.De nationella reglerna för medicinsk lämplighet för sjöfolk skiljer sig trots att deninternationella standarden är densamma för alla. Syftet med denna rapport är att åskådliggöraskillnaderna mellan regelverken om läkarintyg för sjöfolk i de skandinaviska länderna ochundersöka historien bakom de svenska föreskrifterna.Vår slutsats är att det skulle gagna Sverige att återinföra Sjömansläkare, som troligtvis är merkompetenta än en icke specialiserad läkare vad gäller tjänstbarhetsbedömning för sjömän.Systemet med sjömansläkare är fortfarande i bruk och fungerar väl i både Danmark ochNorge.Slutligen sammanfattas rapporten av författarnas egna reflektioner kring ämnet i relation tillresultatet. Förslag till vidare forskning återfinns i slutet..

ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.

Anafylaxi är en akut, oförutsedd, allergisk reaktion som kan uppkomma när som helst. Alla sjuksköterskor skall ha kunskap om anafylaxi, samt beredskap att ta hand om denna reaktion på ett korrekt sätt. I bakgrunden beskrivs den immunologiska mekanismen vid anafylaxi och allergi, symtom och behandling, samt det omvårdnadsvetenskapliga perspektivet. Syftet med denna litteraturöversikt var att identifiera och beskriva bidragande orsaker som ligger bakom osäkerheten kring anafylaxi och därmed ge en ökad kunskap om anafylaxi i sjuksköterskans professionella omhändertagande. Metoden som vi har använt oss av har varit litteraturstudie och sökning har skett via databaserna Pubmed, Cinahl och Scopus.

Service Design is a relatively new, unexplored and exciting phenomenon that through an interdisciplinary work methodology designs services. A discussion has been going on for a long time regarding whether there is a difference between products and services. Services are often classified as immaterial, heterogeneous, non-storable and inseparable in relation to products. A question that arises is if something specific characterises the work methodology used regarding service design. The aim with this paper is thus to explain the work methodology when working with service design.

Service Design is a relatively new, unexplored and exciting phenomenon that through an interdisciplinary work methodology designs services. A discussion has been going on for a long time regarding whether there is a difference between products and services. Services are often classified as immaterial, heterogeneous, non-storable and inseparable in relation to products. A question that arises is if something specific characterises the work methodology used regarding service design. The aim with this paper is thus to explain the work methodology when working with service design.

The purpose of this study was to examine domestic adoptions in Sweden, and also compare the Swedish adoption system to the Canadian adoption system. I wanted to find out why there are so few domestic adoptions in Sweden, and how it has changed over the years. I also wanted to know why there is such a large difference between Sweden and Canada regarding adoptions.I interviewed five social workers to find out what attitudes the social services have regarding adoptions. My other questions were how the childs best interest is considered when a parent wants to place a child in an adoptivefamily, and which parents decide to place their child instead of keeping it.I found that the social services are reluctant to place children in adoptivefamilies because their main goal is to keep biological families intact. In Canada the social services goal is to provide the child with a safe and stable home.There is no longer any stigma surrounding single mothers and well developed welfaresystems enable most to keep their children.

The EU Services Directive has caused an intense debate across Europe. Its purpose is to remove obstacles to trade and to open up the public sector to increased competition. The Swedish labour movement has been deeply involved in the policy process, and union leaders have proclaimed the compromise reached in the European Parliament in April 2006 as a success.In the paper two major aspects have been considered: the meaning of the Swedish model and the process of Europeanization. The Swedish model previously allowed for a strong labour movement, through a social democratic hegemony, but the EU membership has implied new conditions for union influence. The paper examines how this change has affected the strategic choices of the Swedish labour movement, and how it has been manifested in the union's work with the Services Directive.

The purpose of this study is to use a qualitative approach to get an understanding of what is expected of social workers targeted towards women managers in social services. Nine social workers were interviewed. The empirical data was then analyzed on the basis of gender theory. Respondents did not see their supervisor as a manager but more as a social worker with special tasks. Our empirical data indicates that there is a strong belief that men and women possess different properties.

Att maximera sjukhusens och räddningstjänstens täckning av befolkningen är en viktig säkerhetsfråga som diskuteras inom bland annat hälsovårdsplaneringen. Geografiska informationssystem (GIS) kan användas som ett hjälpmedel för att analysera och presentera andelen befolkning som är utanför sjukvårdens täckningsområden och även visa variationer på täckningsområdena när anläggningar slås ihop eller läggs ned. Syftet med arbetet är att presentera en ny, vektorbaserad nätverksanalys i GIS-miljö för att undersöka hur täckningsområdena för räddningstjänsten i Uppsala kommun påverkas.För att utföra nätverksanalysen användes data från Nationella Vägdatabasen (NVDB) över Uppsala kommun. Attributen som användes från NVDB innehöll information om framförallt hastighetsbegränsningar, väghierarki, tid, restriktioner och gatunamn. Täckningsområdena beräknades med ArcGIS och tilläggsprogrammet Network Analyst och resulterade i en översiktlig karta med räddningstjänstens insatstider och även enskilda insatskartor.

Despite the fast growing development of IP-telephony services, only a small number of people in Sweden use them. Of the total amount of fixed telephony subscriptions, maximally five percent are based on IP-technology. Through an exploratory study, the main purpose with this thesis is to identify factors that influence the use of IP-telephony on the consumer market, and the factors? internal relationships. The thesis also has two sub-purposes: firstly, chart the supply of IP-telephony services and secondly, discuss what IP-telephony services that are requested by today?s customers in the future.

Despite the fast growing development of IP-telephony services, only a small number of people in Sweden use them. Of the total amount of fixed telephony subscriptions, maximally five percent are based on IP-technology. Through an exploratory study, the main purpose with this thesis is to identify factors that influence the use of IP-telephony on the consumer market, and the factors? internal relationships. The thesis also has two sub-purposes: firstly, chart the supply of IP-telephony services and secondly, discuss what IP-telephony services that are requested by today?s customers in the future.