Background: Patients with cervical spinal cord injuries are often dependent on a mechanical ventilator due to the damage on the innervation to breathing musculature. During rehabilitation they have to be trained to regain own breathing. This unweaning process may give respiratory complications, which are main causes to morbidity and death. These respiratory complications are traditionally treated in an intensive care unit (ICU), which means that the patients have to return back to these emergency units.Aim: To investigate number, length and causes of returns to intensive care units and the length of the weaning process. Further, to compare if a multidisciplinary approach to the weaning process may reduce ICU returns and to shorten the weaning process.

The loss of such great wetlands, which has arose in Sweden the last decades, has created a situation that threats both the function and the biological diversity within the wetlands. Many ecological niches can be found in the wetlands and it is one of the habitats where most different species exist. In the 17th Century people started to ditch damp environments, such as bogs, to create a productive cultivated ground. Further ditches were made when the forestry gave large economical profits. The wetlands were impoverished from both groundwater and nourishment, and this led to a great loss of species.In a corporation with WWF and Skogsstyrelsen in Arvika, the University of Karlstad has participated in the Laskerudproject, a hydrological restoration-project in a forest landscape.

Every year 300 children in Sweden are diagnosed with cancer, but through research and successful clinical work 70 % of the children survive their cancer. Aim: To illuminate nursing care of children with cancer. Method: The study was carried out as a general literature study through systematic review and analyse of 18 scientific articles. Result: The analysis resulted in five themes: Support, play as a psychological assistance, alternatives to alleviation of pain, nutrition and relieving symptoms of fatigue.Conclusion: It is important that the nurse has knowledge about the children and their family?s experiences when dealing with a cancer illness to provide the children with adequate care.

1. Reaction on burial depth and nitrogen availability and placement in competition with a crop In this trial it was investigated how couch grass (Elymus repens) changes its ability to compete in stands of wheat and barley with different burial depth and different amounts and placement of nitrogen. More knowledge in this area can be valuable in the attempt to decrease the use of herbicides and still keep the weeds under control. The trial was carried out in the summer of 2004 as an outdoor pot experiment. The pots contained 15 litres of soil with a surface of 0,06 m2.

The purpose of this study is to examine how some early year pupils define homework, how much homework they get and also how these pupils perceive that they are affected by the homework. The study is qualitative where ten pupils participated in a semi structured interview. The study will show that these pupils are given homework once a week. The homework is mostly math and reading. The study will continue to show that the pupils believe that homework is important for their learning and also that homework often is boring and that it competes with recreational activities such as friends, sports and rest.

In Sweden there are 354 000 private individuals owning forest. Of these forest owners there are at least two thirds that are self-employed, which means that about 215 000 forest owners conduct some kind of work in their own forest. Those numbers do not refer to firewood production, but every year 7.3 million piled cubic meters of firewood are used for heating Swedish households. This implies that many households are also producing firewood. The objective of this study was to assess and analyse the small-scale firewood production in the Umeå-region in terms of persons engaged in the work, equipment used, produced volumes and share of forest-owning households involved in these activities. According to results from a questionnaire, the average firewood producing person is a man between 40-60 years old.

Background:  Heart failure is a multidimensional phenomenon with high mortality. Heart failure is treated with angiotensin converting enzyme (ACE) - inhibitors or angiotensin receptor blockers (ARBs) that counteract neurohormonal stimuli that occur in heart failure, as well as providing vessel dilatation, which reduces symptoms and the need for hospitalization and increases survival. Despite this, only about 50% of heart failure patients survive 6 years after diagnosis with drug therapy, and as heart failure is increasing globally, due to improved care and treatment and increasing life expectancy of the population, there is a great need for new drugs such as LCZ696 that acts by dual inhibition of the renin - angiotensin - aldosterone system and neprilysin inhibition.Objective: The aim of this literature study was to evaluate the efficacy of current treatment and possible future treatments on mortality and morbidity in heart failure patients.Results: The examined articles show that treatment with ACE inhibitors in patients with symptomatic heart failure reduces the risk of total mortality by 16% over 3.5 years, reduces all-cause mortality or hospitalization due to heart failure with NNT (number needed to treat) = 10.4 over 3.5 years and increases median survival by 9.2 months over 12.1 years in patients with asymptomatic heart failure. Treatments with high-dose ACE inhibitors reduce mortality and hospitalization because of cardiovascular causes and hospitalizations from any cause by NNT = 30 over 3 years. Beta-blockers reduce sudden death and total mortality and cardiac death or non - fatal myocardial infarction with NNT = 38 and NNT = 23, respectively, over 12 months.

In this essay I describe the development of my prose work entitled Jorden a?r platt (Earth is flat). In the text we encounter a woman whose 40-year-old brother is diagnosed with lung cancer. The brother has been living a hectic life of drug addiction. The relationship between brother and sister is characterized by ironic distance, but also a lot of love.

This essay has its background in the work I?ve been conducting organizing and cataloging two personal archives concerning the life and work of two vicars, Johan Axel Björkman and P.A. Björkman. The time span of the papers stretches from 1823 to 1982.The main problems I?ve been confronted with during this work have to do with respecting provenance and original order.

Pomace is the solid remains (i.e. stems, pulp, seeds, and skins) after pressing for juice. The annual production of apple pomace is 593 000 ton worldwide. Its field of application depends on local conditions. In order to investigate the field of application of apple pomace in the Southern Sweden, six persons on companies with production of apple juice were interviewed.

The aim of this study was to analyse ninth graders self reported screen based activities, sedentary time and musculoskeletal symptoms and pain intensity. The other aim was to examine changes regarding musculoskeletal pain and inactivity between ninth graders from a cross sectional study in year 2004. To meet this aim, following questions were designed: How is the relationship between screen based activities, inactivity, musculoskeletal symptoms, pain intensity and differences between girls and boys? How have musculoskeletal symptoms and screen time changed since year 2004?Method: The method used for this study was a quantitative method. The research was carried out using a questionnaire that was answered by pupils from 11 schools from all over Sweden.

Understory vegetation and fungi are regarded as important ecological drivers of processes like productivity and nutrient cycling in boreal forests. Whilst those processes are linked to soil water content, relatively little is known about the sources of soil water for these forest components. During early autumn in boreal forests, temperature falls and large events of rain are frequent which may influence soil water availability. To better understand the autumn plant-soil-fungi water relationships in this ecosystem, I used stable isotopes techniques in this study to examine the water sources for ericaceous shrubs and fungi in a Scots pine forest following a large, early autumn rain event. I hypothesize that ericaceous shrubs of two functional groups (evergreen vs.

Fire has historically been of great ecological importance in the boreal forests of Sweden. The forest fire regime has, however, varied between different parts of the country. The objective of this thesis is therefore to investigate the fire history in Fulufjället National Park and, on this basis, give suggestions for future fire management. The reconstruction of fire history was done by cross-dating fire scars in samples taken from living and dead Scots pine (Pinus sylvestris). Local fire chronologies were established at 17 points in the forests in and around Fulufjället National Park by cross-dating fire scars on 54 samples. The oldest year-ring dated from year 968.

Abstract: The purpose of this study was to examine the process of overtraining syndrome as a part of development in sports and careers. It is based on theories about overtraining syndrome and athlete career transitions. The intention was to find patterns that illustrate critical factors in the athlete career for overtraining syndrome to occur, but also for preventing overtraining syndrome to emerge and for rehabilitation.The Informant was a 19 years old man who had completed his studies at a Swedish sports-?gymnasium?. Two semi structured interviews were made, the second as a following up interview.

The main purpose of this study was to examine the knowledge in biology by immigrant pupils. My investigation is based on the pupil and I have focused on positive and negative factors that affect their performance in biology.The study is based on marks in year 2006/2007, a survey and interviews made with four immigrant pupils at a compulsory school in Västra Götaland.The study indicates that the result in biology of immigrant pupils is lower compared to Swedish.Difficulties in language, the commitments by their parents and their surroundings are the main factors that affect their results negative..