There's a good adherence to the vaccination of children, about 98% of all two year olds are vaccinated. Despite this, there are cases of whooping cough and measles in Sweden. The purpose of the study was to describe what motivates parents to not vaccinate and reflections and attiudes about vaccinations. The study had a descriptive design with qualitative approach. Eight parents who had chosen not to follow the National Board of Health?s vaccination program or whom had decided to completely abandon, participated in the study.

Syfte: Syftet med denna studie är att beskriva patienters inställning till sin antipsykotiska medicinering och orsaker till varför läkemedelsordinationer inte följs.Metod: Enkätstudie med kvalitativ innehållsanalys.Resultat: Två teman och 13 kategorier framkom för att beskriva patienters inställning till läkemedlet. Dessa teman är Läkemedel som hjälp och Läkemedel som belastning. Antalet kategorier under temat läkemedel som hjälp är nio stycken och antalet kategorier under temat läkemedel som belastning är fyra. För att beskriva varför ordinationer inte följts framkom fyra kategorier.Slutsats: Huvudresultaten i denna studie är de två teman som framkom, Läkemedel som hjälp och Läkemedel som belastning. Deltagarna i denna studie uppgav både positiva och negativa attityder till sin antipsykotiska medicin.

Syfte: Att beskriva följsamheten av handhygien hos hälso- och sjukvårdspersonal och hur följsamheten av handhygien hos sjuksköterskor kan ökas. Metod: Litteraturstudie med beskrivande design. Data samlades in från databaserna PubMed och Cinahl. Resultatet baserades på 12 artiklar. Resultat: Den generella följsamheten av handhygien hos hälso- och sjukvårdspersonal var låg men sjuksköterskor tenderade att ha en något högre följsamhet än övrig personal.

The aim of this essay is to analyze the relationship between the title and the music in a selec-tion of piano pieces by Torsten Petre. Based on the work list, a categorization of the piano titles has been made and the categories have been named ?emotions, moods and minds?, ?na-ture?, ?mankind?, ?dances and similar titles?, ?supernatural beings, fairy creatures and popu-lar belief?, ?foreign countries and foreign culture?, ?nationalism and tradition?, ?artifacts?, and ?miscellaneous?. Two pieces from the category ?emotions, moods and minds? Skizzer för piano, third series Op.

Chronic illness is associated with conditions that may result in psychological ill-health in the adolescence. Consequently there is a need for development of preventive psychosocial support interventions for this target group. The objective was to develop, implement, and evaluate the effect of supportive intervention group program for teenagers suffering from chronic illness - aiming at increasing quality of life and supporting mental and physical health. Method: Six different intervention groups were conducted between 2007 and 2011, age 13?17.

This study is about care managers, who process in the care of the elderly, regarding to needs, rules, regulations, guidelines and their freedom of space. The purpose with this study is to understand how the care managers process out of the basis from the needs of the elderly, the municipal guidelines in relation to the caremanagers freedom of space.The study has a qualitative approach and is based on semistructured interviews with five different care managers.To analyze our interview material we have use the street-level bureaucrat theory by Lipsky and Johansson and the theoretical idea empowerment. Before we started our research about care managers we had an understanding in that the organization had an influence in the judgment of the needs of the elderly. Now we have an understanding in that the relative to the elderly is the one who wants to affect the care manager during the judgment of needs in what effort to make. Our study indicates that it exist insecurity regarding to the municipal guidelines, which was surprising. We thought that the guideline was something positive and a help full tool for the care managers.The result in our research points out that the guidelines makes insecurity instead of comfort.Our study shows that the care managers are contradictory regarding to their freedom of space. In the other hand they consider that their freedom of space is positive, but on the other hand when the municipal guidelines don´t work, they become worried and insecure.It´s the none working municipal guidelines who gives the care managers a huge freedom of space. Which leads to that the care managers is afraid of doing misjudgments. Our result don´t distinguish from other studies made in this subject area. .

The global climate-change means increasing mean-temperature and higher precipitation in Sweden, which leads to shorter periods of frozen ground in the forest. At the same time the harvesting machines are getting bigger and more powerful. The forest industry aim at an even wood flow, and the ground damage has to be as low as possible. The two biggest causes for ground-damage is the bearing capacity of the forest ground and the ground-pressure of the harvesting machines. The aim of this study was to find out some rules for the machine choice considering ground pressure, when harvesting on ground with low bearing capacity.A field study, using a Valmet 890.3 forwarder, was carried out where different ground pressures and their effect on the ground were tested on two different types of ground.Additionally, an inventory of damaged harvesting grounds was made.

Bakgrund: Hypertoni är en folksjukdom och är en starkt bidragande orsak till sjukdomar som stroke, hjärtsvikt, kranskärlssjukdom och arterioskleros. En effektiv läkemedelsbehandling mot hypertoni reducerar kraftigt insjuknande och död i dessa sjukdomar. Mer än 50 % av patienterna som behandlas för hypertension, slutar helt sin behandling inom ett år från att diagnos har ställs. Bland de som fortsätter sin behandling är det endast hälften som är följsamma det vill säga tar 80 % av sitt förskrivna antihypertensiva läkemedel. Syfte: Syftet med denna litteraturstudie var att undersöka vilka faktorer som påverkar följsamheten till medicinering hos patienter med diagnosen hypertension.

Train travel has increased in Sweden, and future increase of train transports putdemands on the already vastly exploited railroad net. The increased need of capacitycan be seen in the ongoing and planned expansions of the railway track. One part ofthe railroad infrastructure which is affected by an increase of travellers is the design ofthe station platform. Since the platform is the place where the traveller meets thetrain, dangerous situations can occur in this environment. A number of studies focuson single safety risks, albeit there is no research to show the full picture of safety inthe platform environment.This study aims to treat and put together a compilation of risks for the traveller in theplatform environment in the form of a checklist, which can be used as support inplanning and design of a safer platform environment for existing or planned platforms.The thesis has, through case studies of five ongoing projects within the NationalRailroad Administration (Banverket), interviews with train company personnel andinternational railroad administrators, identified and treated safety (and security) risksin the platform environment.The conclusion of the study is that the relations between the traveller, the physicalplatform environment and the project organisation are important to explore andexploit when designing effective safety measures.

In recent years, several problems in the field of assistive device have been lifted. To manage the development Beslutsstöd (Decision support) has emerged as a systematic working method. Beslutsstöd is designed as a guideline and serves as a tool for physical therapists and occupational therapists in the prescription process of assistive devices. Beslutsstöd thereby aims to improve the quality and effectiveness of the prescribing process of assistive device in the organization of the municipalities. An implementation evaluation about how the implementation of Beslutsstöd in the municipalities did proceed has not been done.

Background:In Sweden and Northern Europe, cardiovascular disease mortality rates are high. The clinical picture in the Western world is dominated by lifestyle diseases in which individual behavior and attitudes have a significant impact on the health effect. In the society cardiovascular disease is seen as an illness factor and contribution to disability. Conditions for a good life are not only good health also factors such as intimate relationships and meaningful work which affect the person's quality of life.Aim:Lifestyle changes and quality of life for patients, regarding cardiovascular disease.Method:A literature review was made. Eight articles, quantitative and qualitative were analyzed.

BakgrundGod va?rdhygien kan reducera antalet va?rdrelaterade infektioner med en tredjedel och med dagens kunskaper ga?r det med enkla medel att iaktta de fo?rha?llningsregler som a?r no?dva?ndiga fo?r att sa?kersta?lla en god va?rdhygien. A?nda? fo?ljs ofta inte hygienrutiner.SyfteAtt belysa vilka faktorer som underla?ttar att va?rdpersonal pa? va?rdavdelningar pa? sjukhus fo?ljer basala hygienrutiner.MetodStudiens design a?r en deskriptiv litteraturstudie. Denna metod valdes fo?r att utforska det aktuella kunskapsla?get inom omra?det.

This Paper examine how a municipality hire employees and in what way they use relevantlegislation in the recruitment process. The purpose of this paper is to clarify one specific municipality and their recruitment process, where the selection of the candidates is in focus of the process.The premiss is that municipalities can hire whoever they want, although some legislation needs to be considered. The principle of objectivity, the precedence and prohibition against discrimination are some restrictions municipalities must be aware of and not contravene.Further on candidates have an opportunity to require probation of the legality if they experience that mistakes have been made with the recuritment. However, only members of the municipality can emphasise this request.The municipalities job advertisements conformation and demands will be clarified in the paper. Job advertisements has a validity regarding disputes refering to discrimination because only the advertisement can justify employers procedure and choise.

Idag finns vetenskaplig evidens för att livsstilsförändringar kan sänka blodtrycket hos patienter med hypertoni. Rekommendationer vid behandling av hypertoni är i första hand hälsosamma livsstilsförändringar. Syftet var att belysa faktorer som påverkade patienters följsamhet till livsstilsförändringar vid hypertoni. Metoden som användes var en litteraturstudie. Databearbetning gjordes utifrån 15 vetenskapliga artiklar.

Background: Sphincter injury is serious complication in connection to vaginal childbirth. Desire to avoid vaginal birth again is seen in women who previously suffered from a sphincter injury.Objective: To identify and evaluate obstetric guidelines in Sweden regarding sphincter injury in relation to childbirthMethod: Content analysis with a combination of a deductive and inductive approach.Results: The most frequently occurring risk factors and prevention with help of perineal protection were described in the guidelines. The physician made diagnosis and repaired the sphincter injury at the theatre.  Complications such as coital pain and anal incontinence were described in the guidelines. Paracetamol and diclofenac was most common analgesic regimen given for pain.