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.

SammanfattningMykotoxiner är sekundära metaboliter som kan bildas av vissa mögelsvampar. Idisslare har generellt ett högre skydd mot mykotoxiner än vad enkelmagade djur har då våmmens mikroorganismer kan fungera som ett extra skydd mot mykotoxikos. Trichotecenerna deoxynivalenol och T-2 toxin bryts ner till de-epoxymetaboliter i våmmen genom att dess toxiska epoxyring spjälkas bort. Deoxynivalenol metaboliseras helt eller delvis av våmmens mikroorganismer, medan T-2 toxinets nedbrytningskapacitet inte är lika hög. Aflatoxin B1 har en låg nedbrytbarhet, och inga metaboliter har kunnat detekteras i våmmen.

When beef calves are weaned abruptly at 5 to 6 months of age this triggers a strong stress reaction, since the animals have not yet untied the bonds to their mothers or stopped suckling. This is displayed as extensive vocalization and restlessness. Attempts to diminish the negative effects of weaning on sucking calves have been showing varying results. The study presented here emanates from the observation that when calves are weaned without human interference they are only prevented from suckling, but are still allowed to have social contacts with their mothers. The hypothesis was that calves weaned in two steps would be calmer, gain more weight, and be healthier than animals that were abruptly weaned. To investigate this, 15 calves where weaned in two stages (Group 2), by fitting the calves with nose tags that prevented them from suckling during 5 days prior to the separation of the cows and calves.

This thesis represents my individual final research in Societal Risk Management. The aim of the study is to research whether the method called Responsible Beverage Serving has had the desired effect of diminished alcohol-related violence in Karlstad City, after its implementation into the ordinary operational agenda for Karlstad district in the county of Wermland. According to the method, the alcohol-related damages as well as alcohol-related violence in a society can be reduced by refusing to serve minors and clients who are excessively intoxicated.In order to be able to reach the aim of the thesis, the subsequent questions must be answered;Has excessive drinking reduced in the bars and clubs in Karlstad City?Has it become more difficult for minors to be served alcohol in the bars and clubs in Karlstad City?Has the police reported amount of assaults outdoors diminished regarding the alcohol-related violence in Karlstad City?This research is an intervention study and uses a quasi-experimental design. The intervention itself is the method called Responsible Beverage Serving.

Wireless communication is becoming more common, a relatively new technology within the area is Bluetooth Low Energy. It?s been developed to be energy efficient and in regard to compatibility. Alongside the growth of wireless technology, scientists and companies are looking for new areas of use. One of these is localization, which means to determine the position of a moving device with the use of stationary devices, an example of this would be GPS.This report means to evaluate indoor localization using Bluetooth Low Energy and was made for Combitech AB in Jönköping.

Dental implants that are integrated into the jaw bones are widely used to replace lost teeth in human beings. Tooth-loss is often related to loss of the surrounding alveolar bone. This can make implant placement difficult and a bone substituting material may be required. The standard method is to use a bone graft harvested from the patient which requires additional surgery than that needed for implant placement. Limitations in the amount of bone that can be harvested also pose a problem.

In the production of pulp, paper and cardboard, a large amount of water is used daily. The water has to be purified in the internal purifying plant before it reaches the receiving body of water. In the biological purifying stage at the Stora Enso Skoghall mill, an aerated basin is used where the microorganisms, using oxygen, oxidize the organic material to carbon dioxide. The air is pumped from the bottom of the basin and the oxygen can then be transported from the air bubbles to the water through diffusion. The problem with aeration of waste water from the forest industry is that wood residues, such as fatty acids, are making the transport of oxygen in water more difficult.

A problem in the field of district heating is the oil burners needed to provide power when a peak load occurs. One possible way of reducing the needed amount of oil is to reduce the power demand for space heating in the district-heating substations when the need for district heating water exceeds a certain limit. This can be done by use of a locally working controller function.In this Thesis the options concerning load priority are evaluated. To evaluate the potential for using controller functions concerning peak load priority an experiment was brought out in a chosen district-heating substation. The impact on the indoor thermal comfort during a heat reduction was also taken into account.

The reason why I choose the subject ?Warts on teats of Dairy Cows? was because the herd I work with has big problems with skin-complaint on teats and udder. So I found it interesting to try to find the reason why the cows look like they do and even to find a way to relieve the trouble. The examine work included both a literature research, an experimental test, concerning a comparison of different teat sprays and also an inquiry-research about the occurrence of warts in practical herds in order to collect as much facts as possible. Three companies, selling different types of teat disinfectants, were willing to sponsor the teat dipping experiment. The aim of the experiment was to see if any special disinfectant had more pronounced healing effects on teat warts. The date for the experiment was 18th December 2004 to 22nd January 2005, which was going to be 5 weeks.The experiment was carried out in the herd of Ola and Eskil Carlsson in Fjärlöv, Hässleholm. The three compared teat spray chemicals were; Nova Viri Sun, Nardosept, and BlockadeTM. These chemicals were compared to one control group, which teats were treated with the ordinary chemical normally used in the herd, i.e.

Uppsatsens syfte är att undersöka vad barn i en skola i ett mångkulturellt samhälle behöver för att de ska klara av att argumentera. För att komma fram till mitt resultat har jag använt mig av observationer och kvalitativa intervjuer. Jag har även genomfört en pilotstudie där jag har haft tillgång till provtexten som låg till grund för den argumenterande övningen vid det nationella provet i svenska våren 2009 samt elevernas texter. Undersökningsgruppen har bestått av tre pedagoger och 7 elever som alla har deltagit vid de nationella proven i svenska våren 2009. De teoretiker som jag har ansett vara relevanta för detta arbete är Lev Vygotskij och Célestin Freinet.

ABSTRACTStatistics show that breastfeeding prevalence for Sweden has fallen since the mid 90´s. Studies show that breastfeeding offers health benefits to both mother and child and that the mothers' belief and confidence in their ability to breastfeed is a key factor to having a positive breastfeeding outcome. In 2010, Amningshjälpen in collaboration with Sensus studieförbund, started a nursing course, for mothers-to-be, who wished to breastfeed their babies and its aim was to prepare them for a successful and enjoyable experience.Objective: To examine whether a preparatory breastfeeding course can affect mothers' confidence in their ability to breastfeed and if that ability can affect the breastfeeding outcome when the child reaches four months. A further aim is to investigate the experience of  perceived problems surrounding breastfeeding and what affect these might have on the mothers' confidence in breastfeeding when the child reaches four months.Design/Methods: A quantitative approach with prospective experimental design was used to evaluate the study. The questionnaire Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) was used three times to measure women's trust in lactation.

When performing studies that test the reactions of horses in different situations, important information may be available about the horse?s reactivity level. With information from these tests, accidents and dangerous situations may be prevented. When the behaviours from tests are compared with race performance it may be possible to evaluate if some behaviours are more desirable at the race track than others. The aim of this study was to see if behavioural responses correlated with physiological parameters (heart rate, cortisol), the trainer?s opinions and actual race performance.

The objectives of this experimental study were to investigate if a strategic method to supply loose housed sows with large quantities of straw 2 days before expected farrowing and if the sow?s body condition had any effect on the occurrence of shoulder lesions 5 weeks after farrowing. Data came from a study conducted on four commercial piglet-producing farms in southwest Sweden between March and December 2009. At each farm one batch of sows was followed during two consecutive lactations. The sows were randomly assigned to two different treatment groups and the sows that remained in the batch during the second lactation switched treatment group.

Diskriminering leder till en samhällsekonomisk ineffektivitet och tar sig uttryck både på individ- och samhällsnivå. Tidigare forskning har kartlagt och påvisat förekomst av etnisk diskriminering och könsdiskriminering på flera marknader i Sverige, men det har inte kunnat klargöras om diskrimineringen är statistisk eller preferensbaserad. Med kunskap om diskrimineringens karaktär kan beslutsfattare skapa effektivare policyinstrument för att motverka den diskriminering som visats förekomma i det svenska samhället. Ett problem på forskningsområdet är att det saknas empiriska metoder för att kunna särskilja diskrimineringen mellan olika förklaringsmodeller.Syftet med studien är att genomföra ett vinjettexperiment för att kunna särskilja den statistiska och preferensbaserade diskrimineringsteorin för diskrimineringsgrunderna kön och etnicitet. Studien syftar till att undersöka diskrimineringen i en svensk kontext i sammanhang som involverar tillit och generositet.

Today dairy farmers in Sweden are obligated to have lights turned on during night time in addition to the mandatory daylight inlet. This presents a cost for the production but many argue that it can be economically beneficial, especially in loose housing of dairy cows. In loose housing and even more so in herds with automatic milking, well functioning cow traffic during all hours of the day is crucial to optimise production. In order to keep the cow traffic flowing, lights may be an important management tool. It is also perceived among farmers with tied up stall that night light decreases the incidents of cows accidental stepping on their own or neighbours udders.