Introduction: Every year about 450 women in Sweden are diagnosed with cervical cancer, almost 200 die and thousands undergo surgery because of cell changes in the cervix. A HPV infection can lead to cervical cancer and therefor costs for the society. The implementation of a vaccination program against HPV is a way to avoid these costs. Aim: The study aimed to calculate the economic impact of the HPV- vaccination program for children in Sweden through a cost-benefit analysis. Method: In this analysis, status quo was compared with non-administration of the HPV-vaccine for the selected cohort of ten-years-old girls in Sweden.

Den psykiska ohälsans utbredning är omfattande och är idag ett folkhälsoproblem i Sverige. Många människor söker vård för psykisk ohälsa genom telefonrådgivning. Syftet med denna studie har varit att undersöka och beskriva sjuksköterskors erfarenheter av att bemöta patienter med psykisk ohälsa i arbetet med sjukvårdsrådgivning. För att genomföra denna studie valdes en kvalitativ metod. Sju sjuksköterskor som arbetar med telefonrådgivning intervjuades.

Den psykiska ohälsans utbredning är omfattande och är idag ett folkhälsoproblem i Sverige. Många människor söker vård för psykisk ohälsa genom telefonrådgivning. Syftet med denna studie har varit att undersöka och beskriva sjuksköterskors erfarenheter av att bemöta patienter med psykisk ohälsa i arbetet med sjukvårdsrådgivning. För att genomföra denna studie valdes en kvalitativ metod. Sju sjuksköterskor som arbetar med telefonrådgivning intervjuades.

This study had two different aims. The main aim was to investigate the dynamics and impact of African swine fever (ASF) on a farm in Uganda during a recent outbreak through a case study. The second aim was to estimate the presence of two important differential diagnoses of ASF: Classical swine fever (CSF) and Porcine Reproduction and Respiratory syndrome (PRRS).The field and laboratory based case study of the farm level dynamics of ASF virus during a recent outbreak (October-December 2010) on a farm in the district of Mityana, Uganda, was conducted, using interviews, ELISA and RT-PCR. The financial impact on the farm was also estimated. The impact of the outbreak was profound.

Studiens syfte var att undersöka hur klassificeringsverktyget NANDA International fungerade för att identifiera och belysa panoramat av omvårdnadsdiagnoser, på en neurokirurgisk och en thoraxkirurgisk vårdavdelning. NANDA International är ett evidensbaserat och standardiserat diagnosverktyg för omvårdnad. 40 patienter studerades jämnt fördelade på respektive vårdavdelning. Datainsamlingen följde sjuksköterskans gängse arbetsmetodik med patientbedömning enligt VIPS-modellen. Utifrån delmomenten dokumentationsgranskning, observation/bedömning och samtal, identifierades omvårdnadsdiagnoser.

På beställning av GE Healthcare AB har en sammanställning gjorts över interaktionen mellan metalljoner och kelatorer samt metalljoner och proteiner vid immobiliserad metalljonsaffinitetskromatografi (IMAC). Kelatorer är kemiska föreningar som kan användas för att binda metalljoner. Denna sammanställning kan användas som en vägledning för optimering av IMAC.Det är ett vedertaget faktum att bindningsstyrkan mellan metalljoner och proteiner, bland annat, beror på hur många bindningsställen på metalljonen som finns kvar för proteiner att binda till. Desto fler bindningsställen kelatorn upptar på metalljonen, desto svagare blir interaktionen med proteinet. Denna sammanställning är begränsad till ett antal metalljoner, som till exempel Cu2+, Ni2+, Co2+, Zn2+ och Fe3+, och kelatorerna ?Iminodiacetic acid? (IDA), ?tris(2-aminoethyl)amine? (TREN), ?1,4,7-triazacyclononane? (tacn), ?tris(carboxymethyl)ethylenediamine? (TED) och ?nitrilotriacetic acid? (NTA).Några intressanta skillnader i bindningsstyrkan mellan ett antal intermediära metalljoner, kopplade till en kelator, och proteiner har framkommit i denna studie.

Syfte: Studien syftar till att undersöka internationaliseringsprocessen hos svenska sjukvårds-och omsorgsföretag som tillhandahåller sjukvårdstjänster. Dessutom kommer studien att undersöka svårigheter, möjligheter och framtidsutsikter i samband med sjukvårds-och omsorgsföretagens internationalisering.Metod: Denna studie har genomförts genom tillämpningen av en kvalitativ metod och en deduktiv ansats. Informationen hämtad från studiens primärdata och sekundärdata har varit grunden för undersökningens analys och slutsats.Slutsats: Företagens internationaliseringsprocess har sett olika ut beroende på företagens struktur och hur de arbetar med sjukvård och omsorg vilket lett till olika val av strategi. Svårigheterna har varit i form av skillnader i lagar, regler, kultur och olika sjukvårdssystem som finns i olika länder. Den största möjligheten från en internationalisering har varit förvärv av ny kunskap och kunskapsutbytet mellan länder.

Background: Poor perineal wound healing and infections after proctectomy surgery, affect a significant proportion of physical and psychological morbidities such as pain, leakage and abscesses. In its lengthening some of these symptoms will lead to extended periods of hospitalization. These kind of postoperative complications are also associated with delays in eventual chemotherapy treatment Aim: To describe the patients experiences of postoperative wound infection as well as communication and self-care support from the nurse specialist after proctectomy due to rectal cancer. Method: A qualitative content analysis was carried out from interviews. Results: Four main categories emerged; ?Coping with postoperative complications?, ?be independent?, ?feel safe?, and ?accept the situation?.

ABSTRACTThe discussions about energy use have increased year by year everywhere in the society, and so also in the healthcare sector. But what is actually energy use in a hospital facility, and what affects it?The typical way today to express the energy use is in kWh/m2. The problem with a key performance indicator that is expressed as energy use in relation to a specific area is that it does not take into account the activity in the building. Even though the activity to a very high extent affects the energy use.

Cultural relict plant species from the Nordic countries have been collected by the Nordic Genetic Resource Center (NordGen) for the purpose of conservation. To ensure high seed vitality in store, regular germination tests need to be conducted. It is important to get a correct viability status, but the knowledge of seed dormancy in the cultural relict plants is often poor. The objective of this study was to investigate how seed dormancy is affected by cold stratification. The study includes 31 accessions from 28 species with the purpose of establishing germination protocols.

The purpose of this thesis is to gain a holistic understanding of who are the consumers of fortified health food products; moreover to highlight what are the characteristics of the consumers who are likely to purchase these products. This thesis employed a quantitative strategy with an inductive and a grounded theory approach. The data was collected from a research company. Existing theories in the area of functional food were not possible to find. Considering that the area is new this seems plausible; however, previous studies provided insight for substantive framework.

The purpose of this essay was to study how school welfare officers cooperate with other school staff, regarding children in vulnerable positions, and how the school staff apply their obligation to report to the social services if they have concerns regarding children at risk, according to the law of social service, SoL.We have especially focused on questions concerning cooperation, both between the school staff, and between the school and the social services. We also wanted to identify some of the restraining factors and dilemmas that could come up during the process of reporting children at risk to the social services. The study was based on qualitative interviews with ten school welfare officers from the same municipality.Our conclusions of our study are that there exists a well-developed cooperation between several organizational levels, including the school welfare officers, other professions in the schools and the social services. There were though opinions among the school welfare officers that they wanted to increase their professional claims in relation to the school nurse, due to their larger competence in talking to children. Regarding the formal responsibility to report to the social services, a majority of the school welfare officers felt they had access to the support they needed from both their principal and the students healthcare-team, and that they were not left alone in the process..

Transdermal drug delivery, besides painfulinjections with syringes, has long been associatedwith small size particle pharmaceuticals, which candiffuse through the skin. This method of drugadministration has only been applicable on a smallnumber of drugs, where active molecules are smalland delivery time should or can be long.Other drug delivery options are oral administrationand injection with hypodermic needles (ordinaryhospital syringes). In oral administration thestomach and liver tend to dissolve the drug and theeffect becomes more difficult to anticipate, anddrug delivery rates difficult to control. Hypodermicneedles are used as a mean of drug injectiondirectly into the bloodstream. This method ispainful and risks infection due to tissue damageand skin penetration.One way to get a painless non-damaging techniquewith high delivery rate that still can delivery largemolecules is to manufacture an array of microscopichollow needles and equip them with a pumping unitthat delivers the correct amount of drugs.This thesis shows the technique and possibility ofmanufacture micromachined needles using low costtechniques of Ion Track Technology (radiation ofheavy ions creates porous materials), electrolessdeposition (non-current activated wet chemistrymethod of depositing metal) and electroplating.

Information technology is increasingly used in healthcare. New methods, such as apps and computer programs and Internet-based treatments are introduced to treat various medical diagnoses. Increased demand for help in mental illness means that it is necessary to develop alternative assessment and treatments to traditional treatments that may be offered by primary care and specialist psychiatry. Government and Local Authorities and Regions (SKL) have agreed to support, and treatment on the web is part of that development. The work is all about, and how Child and Adolescent Psychiatry ( Bup ) , use psychological e- services, and apps for the treatment of adolescents and the types of psychological e-treatments for adolescents are available in Sweden today.  Methods used are interviews and literature studies, where I examined the use of computerized psychological treatments in Västernorrland and Stockholm County Council.

This literature study describes the ways in which the spread of rabies can be prevented in India, what guidelines are set and also which methods have proved most effective. Every year rabies causes the death of around 20 000 people in India, which makes the prevalence in the country the highest in the world. The main source for human infection is bite wounds from infected dogs. People and animals can be vaccinated both prophylactic and post-exposure prophylactic (PEP), despite this the disease continues to claim high number of victims. The majority of those dying are young men and children from the poorer part of the population. Knowledge among the Indian population on rabies and its transmission routes, wound care and vaccinations is very limited.