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.

This master thesis deals with the looting and destruction of the Iraqi cultural heritage in the wake of the U.S. invasion of Iraq in April 2003. My ambition is to analyse the narratives conveyed by journalists and intellectuals to see which truths that were established. Using discourse analysis methods, my aim is not to find an objective truth in the matter at hand, but rather to se which truths the writers put into view regarding the question of liability and the seriousness of the looting and destruction. This paper further discusses these truths from the perspectives of imperialism and of Edward Saids thoughts about Orientalism.

The aim of this study was to explore and increase understanding of how a team of colleagues at an upper-secondary school in Sweden works with students with special education needs. The team works with a group of students where the majority have experienced school failure in elementary school. The focus of the study has been to analyze a project that the school undertook 2013 to improve students? results and improve their chances to successfully graduate from their program. Data was collected from relevant documents and interviews with members of the project at hand.

The purpose with this essay is to examine if the Swedish government?s intentions regarding to the mental health care reform, have been fulfilled. We have classified the intentions into three categories, regulation, financing and responsibility for organizing the policy. The intentions have then been compared with the results of the reform.Our theoretical framework starts with a model, developed by Evert Vedung (1998). We use this model as a tool to examine the fulfillment of the mental health care reform.

Det här arbetet vill belysa vilka förväntningar användare (inom vården) har inför ett nytt informationssystem (IS) som ska implementeras och vilka faktorer som kan påverka och förändra dessa. För att lyckas med arbetets föresats genomfördes en semistrukturerad intervju av fyra aktiva sjuksköterskor inom Tibro kommuns hemsjukvård, där i december 2004 ett nytt datorbaserat IS (patientjournal) implementerats.Materialet från intervjuerna spelades in med bandspelare, transkriberades och tolkades med kvalitativ innehållsanalys. En granskning av resultatet gav bland annat följande slutsatser:Användare inom vården saknar ofta en formell datautbildning, men besitter ändå kunskap om det datorbaserade informationssystemet, kunskap som de förvärvat genom att ha arbetat med datorbaserade IS under många år. Kunskap och erfarenhet som användarna ofta får förlita sig på när ett nytt IS ska implementeras då tid och resurser saknas för en genomgripande utbildning.Användarnas förväntningar på ett nytt IS påverkas av faktorer, såsom erfarenheter från ett tidigare datorbaserat IS, saklig information och utbildning. Med saklig information menas information som både visar på för- och nackdelar..

Laminitis has crippled horses through times and many cures have been used to treat it. Since the mechanism of the disease is yet not fully understood, treatments are only ways to alleviate the pain and at best, slow down the pathological process enough to make time for improvement. This paper is a retrospective study of 71 horses treated by a protocol at Hästsjukhuset Strömsholm. The protocol implies three visits at zero, five and fifteen weeks. At each the horse is evaluated and treated by a veterinarian.

To be able to protect themselves from credit risk, the banks must constantly check the performance of  the companies they have lent money to. There are many mathematical models for predicting financial distress. These models use accounting-based ratios, which often are historical and not representative for the present situation. This study describes how the banks do in practice to find signals of insolvency in time and the variables they are observing for doing that.In addition to financial reports which the company sends in to the bank at least once a year, also the relationship between them and information from different information  agencies are of great importance to track  signals of insolvency. Poor profitability is the primary cause of insolvency.

In this thesis the aim is to explore the connection between International presence and Reconstruction of Postconflict states. The focus in this Analyse is the concept of CIMIC which is the institutional concept of Civil-Military Co-operation in International relations and a concept in Peacebuilding Theory. The cases, which are the empirical Material, is Afghanistan and Kosovo, two most-different cases.The theoretical framework is primarily consider the mechanisms successful for the Reconstruction process in general and within CIMIC in particular. This framework including both theories of State failure and International administered Territories as well as Models for Civil- Military Co-operation.The International presence in Postconflict Societies plays a big role, even thou it is very important that initiatives for rebuilding comes from the state within. The essence of CIMIC is the civil component and the military, operating in Peacebuilding and Reconstruction missions.

There are several competing views on how to best utilize air power. Following his quantitative study of air power, Robert Pape developed a theory which focuses on undermining the target state's military strategy. According to Pape it is possible to explain the outcome as a result of military vulnerability. This essay seeks to determine if Pape's theory can predict the outcome of Operation Unified Protector. By using a mixed methods approach on four hypotheses, it will be determined if the operation was a successful case of coercion, if NATO acted according to Pape's model and whether this achieved the desired effects or not. The results reveal that the theory could not successfully predict the outcome of the conflict.

SammanfattningBakgrund: Diabetes förekommer hos 3-4 procent av Sveriges befolkning. Uppkomsten av diabetes är ofta relaterad till livsstil. Hur människor upplever att få diagnosen påverkar synen på sjukdom och framtid. Människor som får sjukdomen är i behov av stöd från vårdpersonal. Syfte: Beskriva vuxnas upplevelser av stöd efter att ha fått diagnosen diabetes mellitus.

Background Anesthesia-related deaths are common in dogs, especially in the postoperative period, in compare to humans. This study aims to describe and elucidate the qualities of the postoperative care for dogs in Sweden. Method To investigate the postoperative care, a qualitative study was made by interviewing personnel in the animal health care sector. The primary information from the interviews was analyzed in a qualitative manor and a few distinguished qualities came forth. Results These qualities describe the postoperative care and include preventive activities, postoperative activities, monitoring and communication. A variation in regards to the results was seen between the interviewed.

Thoroughbred racehorses have suffered from exercise-induced haemorrhage for over 300 years. Almost all competing horses develop exercise-induced pulmonary haemorrhage (EIPH) at some point but most horses don?t suffer from reduced competing capacity due to the disease. The cause of the exercise-induced haemorrhage is unknown. The most believed theory today is that EIPH is induced by pulmonary stress failure caused by pressure over 100 mmHg in the pulmonary arteries during exercise.

This essay investigates the function of fictional space and thematics in Line Knutzon?s dramatic works.My main theoretical concept is thematic unity, factors that unite several plays by one author.I have found three major themes: the encounter, identity and childhood, which I study in five of Knutzon?s plays: The Splint In The Heart, The Latest Thing, First You?re Born, The Air Others Breathe and The Time Will Soon Come.I study three aspects of space: fictive space, where the play is set, the characters? inner space and exterior space, that which is outside fictive space: society. Fictive space is shown mainly via dialogue and context.It is evident that the themes, most clearly visible in the five chosen plays, are very important in Line Knutzon?s dramatic works. Most typical is the way she portrays childhood memories, in monologues showing that her characters exist in a ?hole?, in the void between childhood and adulthood.My investigation leads to the conclusion that Knutzon deals with existential matters: there is a kind of constant chaos, within her characters, expressed in actions and thoughts.

The aim of this study is to examine marriage as something both desirable and normal in three popular novels from the 1860s about marriage: Rosa Carlén?s Agnes Tell: en äktenskapshistoria (1860), Marie Sophie Schwartz?s Alma eller De moderna äktenskapen (1860) and Sara Pfeiffer?s Aurora Trampe (1867). Using a theoretical perspective from Michel Foucault and Judith Butler, I have analysed the novels as being producers of, and resistance against, norms.The good marriage is partly depicted as a utopian vision in the novels, which therefore functions as fantasies for the readers. But it is also depicted as a realistic possibility. Though difficult to achieve, the main characters reach the goal through individual improvement towards correct behaviour.The question for the main characters is not whether they are going to marry or not, but how to make their marriages good ones.

Abstract A central problem in all language teaching is to teach the correct use of prepositions. There are grammar rules, but also a lot of exceptions and idiomatic expressions that often have to be learnt by examples or by heart. A trick for learning might be to use a mnemonic method with songs and music to memorize a correct use of prepositions. The purpose of this study is to test a language teaching didactic exercise for knowledge of preposition in Spanish with songs and music. Grammatical aspects, rules and exceptions when studying prepositions in Spanish are presented.