Objective: The objective was to examine the incidence of constipation, and the preventive measures taken in relation with postoperative pain treatment with opioids at two orthopaedic surgery wards.Methods: The participants were patients that had undergone surgery in the back, hip or thigh. They were selected through systematic selection and a total of 46 electronic health records were examined. The factors investigated and tested for correlation with constipation were the usage of laxatives, daily fluid-intake and early mobilisation.Results: Totally, 26.1 % of the patients became constipated, and laxatives were prescribed to 65.2 % of the patients. Doctors prescribed 53.3 % of the laxatives, nurses 33.3 % and for the remaining 13.3 % it was uncertain who had written the prescription. Usage of laxatives seemed to cause constipation (p=0,025), whereas there was no correlation between constipation and early mobilization.

In Sweden over 10.000 patients annually, mostly children, undergo tonsillar surgery. The most common surgical method is total removal of the tonsil, tonsillectomy (TE). During the last decade partial tonsil resection, tonsillotomy (TT), has been reintroduced and is associated with lower primary morbidity and less postoperative pain. The aim of the present study was to evaluate if and to what extent 4-5 year old children?s voice function are affected by tonsillar hypertrophy compared to controls and to study the effects of the two surgical techniques on vocal function.

During the years 2005-2007 several cases of abnormal bleeding were seen after surgery in Bengal cats on veterinary clinics and animal hospitals in Sweden. In this study we have examined if the observed bleedings are due to an inherited defect of the coagulation cascade. Ten Bengal cats were tested for activated partial thromboplastin time (P-APT-time) and one-stage protrombin time (P-PK), and nine of these cats were tested for fibrinogen quantity (P-fibrinogen). Four of the tested cats had shown signs of an abnormal bleeding after surgery, and five of the cats were genetically related to these cats. One cat had a small bleeding wound at the internal base of the right auricle.

Background: Postoperative infections are a serious patient safety problem and affects about 3 % of all patients undergoing surgery. The consequences are prolonged hospital stays, high social costs, increased use of antibiotics and impaired quality of life for the patient. It has been shown that postoperative infections may be caused by contamination already in the operating room. Today we know that there is growth of microorganisms on the instrument table´s top, but there is a research gap about the instrument table's edges.Aim: To examine if the sterile drape on the instrument table´s edges are sterile after finished surgery.Method: Contact plates are printed on strategically selected areas on the sterile drapes top and edges. In the pilot study, a total of 51 cultures were taken at the end of three operations which lasted over three hours.Results: Growth on the top surface and the edges of the sterile drape were detected.

Mitt syfte med detta arbete var att nå kunskap hur en skola på Nya Zeeland arbetar med läs- och skrivsvårigheter. För att besvara syftet använde jag mig av frågeställningarna: Hur uppmärksammar pedagogerna att en elev har läs- och skrivsvårigheter? Vilka metoder använder pedagogerna när de arbetar med läs- och skrivsvårigheter? Jag ville också veta vad pedagogerna hade för tankegångar när det kom till ett programmet Reading Recovery, som används på många skolor på Nya Zeeland. Min studie gjordes på en skola på Nya Zeeland. För att besvara mina frågeställningar valde jag att intervjua pedagoger, samt observera lektioner då de arbetade med läs- och skrivsvårigheter.

Background: Borderline personality disorder is a psychiatric diagnosis that one to two percent of the population and at least every fourth patient that have received treatment at a psychiatric clinic has been diagnosed with. BPD is most common in women between teenage and early adulthood. Purpose: The aim of this literature study was to emphasize the nursing care of patients diagnosed with BPD within different perspectives. Method: A literature study was conducted to get a deeper understanding for the nursing care of patients with BPD. The search for pertinent articles, answering to the aim of the study, was done in different databases.

An energy study has been performed on two blocks in an area called Gävle Strand. The buildings are owned by a tenant-owner?s association called brf Carolina and were built by the company Skanska 2008. The builder as well as brf Carolina are pussled by the fact that electricity use is higher than expected while heating is less. Skanska is also very interested in finding out how much heat recovery from stale exhaust air through a geo-thermal heat pump is contributing to the general heating requirement and energy balance in four out of the ten buildings located on the properties.To find possible answers to the higher electricity use a literature survey on user behaviour was conducted.

Sweden?s health care is continuously subjected to economical cutbacks, which results in enormous workloads. To prevent problems that arise in these situations, it is of great importance to take measures to increase the efficiency of the working process. This goal can be obtained by increasing our knowledge of the body, under both normal and sickly conditions. That is, by sharing knowledge of the various medical service units within Stockholm?s county council and thus elaborates diagnostics.

This is a qualitative study which purpose is to examine the experiences of the recovery process after a treatment for eating disorders.                                                         The questions we have decided to examine are; how did the women adapt to a healthier life after treatment, what are the women's perceived experiences of the aspects related to identity and identity work, and what external social influence was seen as important for their adjustment process to a healthier life?Methods: We have used computer-supported and semi-structured interviews. There were a total of nine women who took part in the study.                                                                                                                    Results: Majority of these women have been recovered from their eating disorders, but some still have major or minor problems. They found it rather difficult to adjust their life's without an eating disorder.Conclusions: Increased self-awarness led to greater control over the eating disorder. The women could begin to confer the new features that they identified with.

During football games neuromuscular fatigue occuring following eccentric movements such as sprint, jump and run that occur during games. To avoid injury, overtraining and performance decreases, it is important to know when players are recovered. The aim of the pilotstudy was to investigate physiological changes that occur during football matches and if they affect the recovery pattern after several games in professional football players. The method was divided into two sub-studies in which 12 professional footballers, in substudy 1 performed counter movement jump (CMJ) and drop jump (DJ) from 40 cm and fill out a recovery form for muscle soreness 36 hours before, 12-16 and 60-64 hours after 11 different competetive games. Blood samples were taken on the players in connection with one match to examine the activity of muscle enzyme creatine kinase (CK) and lactate dehydrogenase (LDH) of the players.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Coconut water and recovery/water-electrolyte balance after physicalexcercise ? A systematic overviewAuthor: Irene Eriksson and Alexandra ÖquistSupervisor: Henriette PhilipsonExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 09, 2014Background: During physical exercise, it is common with dehydration, which affectsperformance negatively. To restore the fluid balance it is optimal to drink fluids containingsalt and carbohydrates. In theory, coconut water should be a good recovery drink because oftheir nutrient content.Objective: To evaluate the scientific evidence available, to investigate whether coconut wateris better than water or sports drinks for rehydration after physical exercise.Search strategy: PubMed, Scopus and Cochrane Library have been used in the literarysearch. Keywords used were recovery, fluid balance, fluid therapy, water-electrolyte balance,rehydration, dehydration, hydration, exercise, physical activity, resistance training, activity,sports, training, coconut water in varying combinations, in order to cover as wide area aspossible.

An energy study has been performed on two blocks in an area called Gävle Strand. The buildings are owned by a tenant-owner?s association called brf Carolina and were built by the company Skanska 2008. The builder as well as brf Carolina are pussled by the fact that electricity use is higher than expected while heating is less. Skanska is also very interested in finding out how much heat recovery from stale exhaust air through a geo-thermal heat pump is contributing to the general heating requirement and energy balance in four out of the ten buildings located on the properties.To find possible answers to the higher electricity use a literature survey on user behaviour was conducted.

AbstractThe aim of this study was to describe the anesthesia nurses experiences of pediatric anesthesia in two surgical wards, a general surgery department and a day surgery surgical department at two hospitals in central Sweden. The study had a descriptive design with a qualitative approach, in which ten anesthetic nurses with more or less experience in children's anesthesia participated. Data were collected using semi-structured interview questions and were analyzed using qualitative content analysis. The results were reported based on a theme, three sub themes and nine categories. The theme When skills, tactfulness and interpersonal skills come to a head, with three sub themes Being prepared and ready, Interacts and open for participation   and Emotional tension.

Syftet med undersökningen är att arbeta fram en modell för hur företag bör arbeta innan, under och efter en kris för att bevara sitt varumärke. Studien baseras på en kvalitativ undersökning där primärdata insamlats via intervjuer med sex experter inom området kriskommunikation. Ett abduktivt tillvägagångssätt har används då fokus växlat mellan empiri och teori, men där största fokus legat på empirin. Teorin har insamlats via litteraturstudie där vetenskapliga artiklar hämtats från olika databaser, såsom google scholar och ABI/inform. Slutsatsen genererar i ett verktyg i form av en modell som ger riktlinjer på hur företag kan arbeta innan en kris för att förebygga och förbereda. Den visar även på hur företag arbetar under en kris för att minimera skadan av den samt hur de på bästa sätt kan återhämta sig från den.

Konkurrensen mellan hotellen idag ökar kraftigt. Hotellen måste fokusera på att verkligen göra gästerna nöjda för att de ska kunna konkurrera på marknaden. Oavsett hur bra service hotellen har så har det visat sig att misstag i servicen är oundvikliga, vilket ställer höga krav på hotellen att reparera sig från dessa misstag. För att hålla gäster nöjda krävs en god "service recovery", att vända missnöjda gäster till att bli nöjda. Receptionisterna är de personer som möter flest klagomål eftersom de interagerar med gästerna kontinuerligt.