Hard-to-heal ulcers are resource intensive due to the fact that they are difficult to treat and especially vulnerable to bacterial invasion. The bacterial culture contaminating these wounds often consist of several different bacterial organisms that originate from endogenous sources. Necrotic material in ischemic ulcers provide nutrition which support bacterial reproduction, increasing the risk of infection. Determining causative pathogen in infected ulcers proves to be difficult when culturing swab samples, however Staphylococcus aureus and hemolytic streptococci generally act as primary pathogens.    The aim of the study was to investigate if the detection rate increased for S. aureus and hemolytic streptococci when culturing swab samples from ulcers on Columbia CNA; a media selective for gram-positive bacteria.

The purpose of this paper was to investigate how the Child mental Health Service, BUP Ektorp, textually constructs its demarcation, by studying case records from the first evaluations of the patients. The main questions were: In what way are the competitors and their problems represented in the texts, how is the solution justified and explained, and how do these factors relate to each other? The method being used is discourse analysis, influenced by Mörkenstam. The main conclusions are that the demarcation consists of a number of onceptions about the child, the parents, and the therapist. The conceptions, together with the way the problem is being described, justifies the proposed solution, proclaiming termination of the case..

Background: Every year about 4600 nurses are examined in Sweden. The work as a nurse is responsible and she is often working under time pressure. Aim: To describe nurse?s understandings about her professional role during her first year after the examination. Method: Systematic literature review, where 10 scientific articles were examined.

Background: The HIV-pandemic is a global concern. Everyday about 6000 adolescents become infected with HIV. The HIV-prevalence in Zambia among adolescents, between 15-24 years, were 3,8% for men and 12,7% for women in year 2005. Aim: The aim of this study was to explore adolescents` knowledge, attitudes and beliefs about HIV/AIDS in Livingstone in Zambia. Method: The sample consisted of 67 adolescents, 33 males and 34 females in age 15-24 years.

Background: Palliative care is something that all people should have the right to be allowed to, to be able to enjoy the qualities of life, even when someone has been afflicted with illness that cannot be cured. How do the nurses in municipal home-care deal with and prepare themselves to perform a righteous task? Aim: The aim of this study is to illuminate nurses, comprehensions of palliative care within municipal home-care. Method: The method is a questionnaire to nurses. Results: The results did comply to law and regulations.

When nursing human patients during hospitalization, the nurse is the one responsible. The nursing is controlled by different models of nursing and careplans, shaped by every patient?s individual needs. This is to guarantee the quality of the care. The veterinary nurse is not ultimately responsible for patient care.

Aim: To describe the lived experience of women with polycystic ovary syndrome (PCOS). Method: Eight scientific articles of appropriate quality were found, analyzed, condensed and synthesized. Different experiences by women with PCOS were found and ordered into themes. The findings were then anchored in associated literature and discussed. Results: Four different themes were found: Feeling different; Disturbing symptoms; Searching for answers; Care treatment.

Background: The women who were called in for further examinations after a breast screening had all their examinations and test during one day. This organization has been conducted since 1993 in this clinic, but has not previously been evaluated. Aim: The aim of this study was to investigate the patients? experiences of the organization, in a radiologic breastcancer clinic, where all the examinations and the test-results were given at the same day. Method: An empirical quantitative study was performed.

Syftet med denna systematiska litteraturstudie var att undersöka hur patienter upplever sitt venösa bensår och dess omvårdnadsåtgärder. Litteraturstudien grundades på metod av Forsberg & Wengström (2003). Tio vetenskapliga kvalitativa artiklar inkluderades i litteraturstudien. Resultatet visade på att patienters upplevelser av venösa bensår hade en negativ inverkan på livet. Hos patienterna fanns en ständig oro och rädsla för eventuella komplikationer, yttre våld mot såret samt känslor av hopplöshet gällande sårläkningen.

The results from 13 interviews and one opinion poll answered by resident physicians were interpreted as stories about identity as primary material for this thesis. The resident physicians stress the importance of considering whether their work primarily concerns curing people from diseases or if the process of working with sick people also includes how to handle the pressure of work, either by adapting to it or changing it, and the search for balance between work and private life. Residents separate themselves from older physicians by saying that younger physicians accentuate empathy to a greater extent while older physicians emphasise a high work load. Identity seems to effect how the residents perceive and relate to their work, themselves as residents and different types of patients..

SAMMANFATTNING Tidigare studier har handlat om jämförelse av patienternas erfarenheterfrån olika undersökningar av tjocktarmen som kolografi, koloskopi och DT -kolografi. Denna studiehar lyft upp patientens erfarenheter från DT -kolografi som berodde på bemötande från personalenvid DT -kolografi och på patientens erfarenheter från tidigare undersökningar. Syfte med studienvar att beskriva hur patienten upplevde DT-kolografi. Materialet hade erhållits från intervjuer medsjutton patienter och analyserats med hjälp av kvalitativ innehållsanalys. Resultatet visade attpatienternas upplevelse av undersökningen berodde på både bemötande från röntgensjuksköterskanvid DT-kolografi och på patienternas egna erfarenheter från tidigare undersökningar och på derasförväntningar..

Haemonchus contortus is the most important bloodsucking gastrointestinal nematode in small ruminants worldwide. It is often controlled by anthelmintics. Even though other methods to control are available, the most efficient way to treat an animal with clinically manifested haemonchosis is to use one of the available broad spectrum anthelmintics: benzimidazoles (BZ), macrocyclic lactones (ML) or imidothiazoles-tetrahydropyromidines or the narrow spectrum drugs salisylanilides or nitrophenols. Anthelmintic resistance (AR) against all groups of anthelmintics in nematode parasites has been reported from many countries, and even multiple AR has been observed. In this study I have investigated the resistance levels to all major classes of broad spectrum anthelmintics in a naturally infected flock of sheep of Red Maasai sheep (RM), Dorper sheep (D) and their offsprings on a research farm in Kenya.

Landlocked Tajikistan is situated in Central Asia and is not only the smallest republic of Central Asia, but it is also one of the most mountainous with some of Central Asia?s highest peaks. Tajikistan is currently and historically the most financially disadvantaged country within Soviet Union/Russian territories. Agriculture is the main occupation for more than half of the country?s population. Unfortunately, however, only 7% of Tajikistan is arable land and the agriculture productivity is low.

Thisbachelorthesisdealswithhealthcare.Whichisacurrentandurgentsubject.ItconcernsspecificallySkaraborg´sHospital,oneoutoffourhospitalgroupswithintheVästragötaland´sRegion.ThishospitalgroupinturnconsistsofthehospitalsinFalköping,inLidköping,inMariestadandinSkövde.Skaraborg´sHospitalisafterarecentreorganizationofanextensivedegree,dividedintofourdifferentmainareas(divisions)withatotalofapproximately4200employees.Thefourmainareas(divisions)are(1)Surgery(K),(2)MedicineandPsychiatry(M),(3)ResearchandEducationalDevelopment(FoUU),and(4)StabincludingHumanRelations(HR)andEconomy.TherearetodaysomespecificdifficultiestoinadequatewaysmonitorandunderstandthedifferentactivitieswithinSkaraborg´sHospital.Suchrelationshipsnaturallycreatesobstaclesforexampletocarryoutorganizationalandoccupationalwork.Onesuchexampleisthelackofopportunitytolinkmainareas(i.e.divisions),sub-­?divisionsandorganizationalunitswiththesurfacesandpremisesthattheseusestoday.Theaimofthebachelorthesisis(fortheseandotherreasons)toconnectthedifferentorganizationalunits,etc.withinSkaraborg´sHospitaltothesurfacesandpremisesthattheyuse,andtothusmakeitpossibletodescribethemainareas(divisions),sub-­?divisionsandorganizationalunitswithmoreaccurateandpracticaldenotations,sothattheycanbeunderstoodbybusinessrepresentatives(patients)andemployees.DuetothefactthatSkaraborg´sHospitalisalargeandcomplexorganization,Ihaveenclosedthethesisbyprimarilystudyonlyonemedicalsubdivision,whichisM.3andconsistsofseventeenorganizationalunitsprovidingcarebymeansofmainlythreemedicalspecialties,namelycardiology,skininfectionandrenalmedicin.SubdivisionofM.3waschosenforthisentireactivityislocatedinthesamelocality,whichisinSkövde.Butalsoduetothefactthatthiswasoneofthemorecomplexorganizationalunitscontributedtothischoice.Thebachelorthesiscontainssevenappendices,inwhichthethesisso-­?calledmethodstepsaredetailedfurther,whichalsoincludestheappropriatesub-­?results.Therebyaretheresultscomprisedintheseappendixes.Observe,thatsomeofwhatarepresentedarecontributionsfromotherauthors,i.e.resultsfromaprogressiveresearchprojectwithinSkaraborg?sHospital.Theseappendicesarecalled(1)?Skaraborg´sHospitalashortdescription?,(2)?TheworkwiththefourExceldocuments?,(3)?BuildingswithinSkövdehospitalillustratedwithcurrentbuildingdrawingsfromVästfastigheter,incombinationwithadevelopedschemetoshowsuchbuildings?,(4)?ResultsfromthephysicalinventoriesofthesurfacesandpremiseswithinthesubdivisionM.3?,(5)?Suggestionsformoreaccurateandpracticaldenotationsonareas(divisions),sub-­?divisionandorganisationalunits?,(6)?ExampleofasurveyproposedtobesenttounitmanagerswithinthesubdivisionM.3toensuretheresultsofthephysicalinventory?and(7)?Commentsonsomeresultsobtainedfromasemi-­?structuredinterviewwithoneofthemanagers(i.e.adoctorresponsibleforsomeoftheactivitieswhithinResearchandEducationalDevelopmentFoUU).ThethesisisbasedonanumberofExcel-­?documentsobtainedfromSkaraborg´sHospitalanddrawingsofthepremisesobtainedfromVästfastigheter.ItisalsobasedonavarietyoffieldtripswhereIhavebeenabletovisitandtherebycarryoutthephysicalinventoriesofthesurfacesandpremisesoftheselectedorganizationalunitsandinterviewsofanumberofkeyemployees.Thetheoreticalframeworkforthisthesisispartlybasedonorganizationandorganizationalmanagement,organizationalcultureandworkofchangewithinanorganizationandtheworkingenvironmentandsafetyresponsibilities.Thethesisisalsobasedontheoriesandstudiesthathavebeendoneonhealthcareorganizationsandhealthcaremanagement.ThethesisworkhashelpedtoidentifyallsurfacesandpremisesthatorganizationalunitswithinthesubdivisionM.3exploits,andtoprovidesuggestionsformoreaccurateandfunctionaldenotationsfortheseorganizationalunits.ThisthesisalsoprovidesabetterfoundationforvariousongoingandfutureinitiativestoimproveefficienciesaswellasworkandworkconditionswithinSkaraborg´sHospital.Anexampleoftheresultstherebygained,isthatthemethodusedtoidentifyboththesurfacesandpremisessubdivisionM.3uses,whichcanbeusedforalloftheothersubdivisionsandorganizationalunitsthanthosethathavebeenstudiedinthisthesisframes..

This study presents a survey of the seroprevalence of Toxoplasma gondii and Neospora spp. in equids in three municipalities in Pará, a Brazilian state with the Amazonian rainforest and the Amazon River as dominating features. Toxoplasma gondii and Neospora spp. are two closely related parasitic protozoans not separated as different genera until 1988. Neospora spp.