ObjectiveThe objective of this study was to investigate the clinical application to use ASSR in anesthetized childrenDesignOne main ambition of the investigation was to compare hearing threshold using ABR with estimated hearing threshold using ASSR. Another aim was to examine if the duration of an ASSR measurement could be reduced by only using the frequencies 1, 2 and 4 kHz and exclude the frequency 0.5 kHz. This is a retrospective study using electrophysiological measurement from a database.ResultResults showed a high correlation between hearing threshold using ABR and estimated thresholds using ASSR, with the frequency 0.5 kHz showing a slightly lower correlation. Result also showed that the test duration was increased when using all test frequencies in ASSR-measurement compared to when 0.5kHz was excluded. ConclusionThe study showed a high correlation when comparing hearing threshold using ABR and ASSR.

The main purpose of this study is to find out what kind of help social service in one selected municipality in Sweden can provide for children who have witnessed or been victims of domestic violence. Using focus group interview this study investigate how the social workers meet the needs of these children. The bases for our analysis are the Organization Theory and the Attachment Theory, as well as previous research. Important results are that the social services are dependent on notifications in order to do their work and that the most common interventions are foster care, emergency foster care and/or family therapy. The difficulties that social workers perceive their work are unjustified families and heavy workloads.

Denna uppsats är en kvalitativ studie om svensklärares attityder och förhållningssätt till hur skönlitteratur används i undervisningen och om det görs några tolkningar av de lästa verken samt hur dessa tolkningar tar sig uttryck. Området som undersöks är i vilken utsträckning lärarna låter sina elever göra subjektiva tolkningar av de litterära texterna som de möter och om det är läsarens egen upplevelse och den estetiska känsligheten som eftersträvas i klassrummet eller om skönlitterära verk har andra värden som känns viktigare för yrkesverksamma lärare.Vad som också utreds är om lärarna på något sätt är influerade av reader-response-kritiken och om de anser att reader-response-kritiken har påverkat skolvärlden under 1900-talet.Undersökningen ger först och främst en bild av sex svensklärares inställningar och attityder gentemot användningen av skönlitteratur på gymnasiet. Dessutom redogör uppsatsen för olika teorier om reader-response-kritiken och estetisk känslighet vad det gäller tillägnandet av skönlitteratur och vilken bild kursplaner samt läromedel ger av hur läsning av skönlitteratur kan se ut i dagens gymnasieskola..

SUMMARY The purpose of this study was to explore how nurses in the emergency department experience and cope with stress in their workplace. The study had a qualitative, descriptive approach and was based on nine individual, semi-structured interviews. They were then processed using content analysis. The content analysis of interviews resulted in two categories, "the nurse's experience of stress," "the nurses coping with stress." Together, the categories highlighted how nurses experienced stress during and after their shifts. The study showed clearly that all nurses experienced and coped with stress in their daily work activities..The authors noticed that stressful time for the nurses were repeated at each session and were similar in character.

The number of persons with problems of abuse or addiction seeking care has increased during the last years in Sweden. Recent international studies show stigmatizing attitudes among nursing staff, which affect the treatment and care negatively. The purpose of this study was to describe experiences among nursing staff of treating persons with problems of abuse or addiction at an emergency department. The participants were six nurses and one assistant nurse who worked at an emergency department. The interviews were analyzed through qualitative content analysis.

Triage, which means "to sort", determine the priority of the patients need of care. The aim of the present study was to describe nurses? perception of triage at a pediatric emergency department. A questionnaire with open- and closed-ended questions were distributed to all 25 nurses that worked at a pediatric emergency department. The answer frequency was 48 % (n=12).

Vården ska ges på den nivå som bäst är anpassad efter patientens individuella tillstånd. Patient väljer ibland att vända sig till akutsjukvården då vårdbehovet egentligen inte är akut utan bättre kan behandlas inom primärvården. Tidigare forskning påvisar att patienter föredrar att söka sig till akutsjukvården framför primärvården då den är mer lättillgänglig samt att den uppfattas som bättre. Att det är flera personer som är inblandade i beslutet att kontakta larmcentralen samt att det är ett svårt beslut framkommer också i tidigare studier. Syftet med föreliggande studie är att beskriva patientens beslut att ringa larmcentral i stället för att ta kontakt med primärvården.

The aim of this study was to investigate the intraoperative surgical stress response in dogs undergoing ovariohysterectomy and to compare acepromazine and medetomidine as premedications. 15 dogs diagnosed with pyometra were used in this study. Blood pressure and heart rate were used as parameters to measure surgical stress response. The surgery was divided into four phases. Phase 0 was the period 10 minutes before the skin incision, phase 1 was skin incision and opening of abdomen, phase 2 was manipulation of uterine horns, ligation and transection of mesovarium and phase 3 was ligation of cervix, removal of organs and closing the abdomen. The results showed that phase 2 was the most intense phase of surgical stress, regardless of which premedication the dogs received. When acepromazine and medetomidine were compared the results showed that within phase 3, all dogs that were given medetomidine had higher blood pressure compared to dogs that were given acepromazine. The dogs that were given acepromazine had higher heart rate than the dogs that were given medetomidine in phase 0, phase 2 and phase 3. .

According to the health care law and the national care guarantee, all individuals with mental illness have the right to good health care that is knowledge based as well as to rehabilitation where and when they need it. They also should be able to choose and have control over who is performing the care, including the design of these efforts. The purpose of this study is to investigate patients' experiences of general psychiatric emergency care and the cooperation between outpatient care, inpatient care and the municipality. This study is a descriptive cross-sectional study, conducted with a quantitative and qualitative method. The study is performed in collaboration with Akademiska Sjukhuset and is part of a larger quality improvement project.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Safety, its a word not commonly associated with elderly people living alone. There is however a device that is supposed to bring safety, and enable elderly people to continue living in their present household - an emergency dialer. However these devices does not serve their own purpose in terms of design. Thepurpose of this study is to create an emergency dailer that everybody would want to put on their wrist or bedside table. The market for these devices have looked the same for the last twentyfive years, despite of society´s advancements in both design and technology.

Falls and fallinjuries are very common in peoples own homes in various institutions. Hospital inpatients often fall during daytime in connection with their visit to the toilet. Visual impairment such as cataract, glaucoma, macular degeneration and diabetic retinopathy can cause falls. The purpose of this study was to examine patient´s records where falls and fallinjuries were documented at an emergency clinic and to examine if they were registered to visual impairment. The records from 68 hospital inpatients from the age of 65 years and older who did fall during the year of 2004, were examined.

Electricity production from renewable energy resources such as wind energy and photovoltaics is variable. Integration of these intermittent resources into the electricity system leads to new challenges in how to manage imbalance between supply and demand on the grid.One way to meet these challenges is to develop so-called smart grid solutions. One idea, called demand response, is to adjust the amount or timing of energy consumption, e.g. by control of household appliances, to provide flexibility that could be used to balance the grid. In aggregate, when applied to many units across the system, large volumes of energy could be made available when needed and this grid flexibility can be used as a product on the electricity regulation market.Despite the potential benefits, the number of demand response bids is currently low.

During 2012, the employer of this essay carried out a telephone survey with 18000 participants and a web panel survey with 708 participants. Those who partook in the telephone survey were given a choice to join the web panel. The purpose of this work is to study the participants of the telephone survey and see if they reflect the Swedish population with regards to several socio-demographic factors. Also, we intend to investigate if the propensity to join the web panel differs for participants of the telephone survey with regards to various socio-demographic affiliations. It is also of interest to study if the response pattern is different for participants of the telephone survey that would like to join the web panel and those who reject.

Clustered Columnstore Indexes (CCI) and In-Memory Online Transaction Processing (OLTP) are two new techniques that were introduced with Microsoft?s new database management system SQL Server 2014.The thesis analyzes these two techniques, describes the theory behind them and also the background information that needs to be known to understand more of the new techniques. Performance tests of the new techniques have been performed to see how much faster response time we can get and less storage we need to use where the result is represented by performance diagrams and a compression diagram. This thesis is a cooperative work with a company called Trimma and the result is used as support to decide if these new techniques could be of advantage for the company.The test consists of five test queries with different purposes. The result is illustrated by diagrams that show the result and another diagram that shows how much the data gets compressed with the different techniques.