Inom intensivvård bedrivs omvårdnad i en högteknologisk miljö. Flera av patienterna är i behov av andningshjälp i form av ventilatorbehandling vilket medför att patienten är sederad och har en endotrachealtub i trachea. Patienten kan inte själv utföra sin munvård och blir därför beroende av intensivvårdsjuksköterskans hjälp. Syftet med studien var att belysa intensivvårdssjuksköterskans erfarenhet av munvård av intuberade intensivvårdspatienter. Studien utfördes med en fokusgruppsintervju och analyserades med en kvalitativ innehållsanalys.

Syftet med denna litteraturstudie är att belysa omvårdnaden för familjer till barn med hjärtfel ur ett familjeperspektiv. Vården av hjärtsjuka barn och ungdomar kräver en kunskap om dessa sjukdomar inte enbart hos sjukvårdspersonal inom den högspecialiserade barnkardiologin utan inom ett flertal andra specialiteter. Studien omfattar sjuksköterskans omvårdnad av familjer, förberedelser för hemgång, samarbetet mellan olika yrkeskategorier, familjens reaktioner vid denna krissituation och de bearbetningsmodeller som finns till förfogande för att underlätta bearbetningsprocessen. Vidare forskning inom detta område är nödvändig. The purpose of this study is to illuminate the care of families to children with heartdisease from a familyperspective.

Current research shows that the number of door openings during surgery is unjustifiably high. It is the operating room nurses task to ensure a hygienic and aseptic environment throughout the surgery with the goal of minimizing the risk of healthcare associated infection. The study aims to investigate whether the operating room nurse is attentive to the number of door openings during surgery and if the operating room nurse is attentive to the reasons behind the door openings. A pilot study with nine observations was carried out on two smaller hospitals in the region of Västra Götaland. The results showed a significant underestimation of the rated door openings compared with the actual ones.

Because of among other things the globalization and a focus on core competencies knowledge has become very important for the companies of today, especially for research-intensive companies. The problem is that the companies become more sensitive to how knowledge is created and spread, that is, how organizational knowledge is created. Especially sensitive are companies who are small, young and research-intensive. The purpose with this thesis is to explore how organizational knowledge is created in small, young and research intensive companies.The theory is based on a five-phase model of organizational knowledge creation and four modes of knowledge conversion described by Nonaka and Takeuchi (1995). These concepts constitute the foundation of the analytical model used in the thesis.The study is carried out by qualitative, highly structured interviews with low standardization.

Live-weight at different ages for Swedish Holsteins (SLB) and for the Swedish Red and White Breed (SRB), and the correlation to heart girth and height at withers. The aim of this investigation was to study the live-weight changes and mature weight for the Swedish Red and White Breed (SRB) and for Swedish Holsteins (SLB), and to estimate the correlations between body weight and body measurements such as heart girth and height at withers, respectively. The material used was from one of the experimental dairy herds (Jälla) of the Swedish University of Agricultural Science. It included recordings on 293 dairy cows with information from 7142 weight occasions and recordings on 275 dairy cows with information of 557 heart girth measurements and 560 measurements of height at withers. The registrations were done during 1993-2002. There was a large variation in live weight between cows in different ages and lactation stages.

Abstract Background Todays guidelines for advanced CPR emphasize chest compressions with good quality and early defibrillation. Prehospital CPR performed by ambulance crew, an automated external defibrillator (AED) is used. The AED analyzes the heart rhythm and the performer is following the advice to chock the heart or not, given by the AED. During on-going CPR there are sequences when no chest compression is performed known as hands-off time. Hands-off time includes the time for the AED to analyze the heart rhythm and the time when advice is given to the crew.

Myxomatous mitral valve disease is a common disease in older dogs of small- to medium-size breeds. The mitral valve, and less commonly the tricuspid valve may be affected which causes them to leak blood from the ventricle to the atrium of the heart during systole. With increasing severity of mitral valve leakage the forward stroke volume ejected into the aorta decreases, which may lead to an increase in blood pressure in the pulmonary vein resulting in pulmonary edema. A decrease in cardiac output may lead to a decrease in blood pressure, but the body may respond in order to normalize the blood pressure. Franzén showed in 2007 that the systolic blood pressure was increased in dogs with severe mitral insufficiency.

The high incidence of cranial cruciate ligament injury in dogs results in both suffering and significant costs due to treatment and care of affected dogs. Today there are several different technics for surgical treatment in dogs with ruptured cranial cruciate ligament. At University Animal Hospital (UDS), SLU, in Uppsala two fundamentally different methods; TPLO (Tibial Plateau Leveling Osteotomy) and external fixation with suture material are practiced. The aim of this study was to estimate if the different surgery technics result in any difference regarding the function of the dog in a long term perspective. Since motion and function are very affected by arthritis, was the purpose also to determine if there are any differences in developing arthritis between dogs surgical treated with external fixation respectively with TPLO. Development of arthritis is common after surgery or traumatic injuries in a joint, such as cruciate ligament rupture. Unfortunately was the number of dogs in the study to small to achieve two comparable groups.

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?.

Syftet med studien var att beskriva hur närstående till intensivvårdspatienter upplevde en intensivvårdsavdelning (IVA) med fokus på delaktighet och omvårdnad. I studien intervjuades fem närstående. Intervjuerna analyserades med hjälp av en förenklad variant av meningskodning och tre kategorier som beskrev de närståendes upplevelser av IVA utvecklades. Kategorierna benämndes: "Första intrycket av IVA", Att leva med osäkerhet" och "Att vara delaktig". De närstående upplevde ett inre kaos när deras anhörig vårdades på IVA och använde sig av olika copingstrategier.

IntroductionSuccessful training is a key for athletes to make progress in their development. Training must not just involve overload, but also must prevent the combination of excessive overload plus inadequate recovery. Athletes can experience short-term performance decrement without severe psychological or lasting other negative symptoms. Too much hard exercise or too little sleep can cause overtraining, a condition in which the subject can prevent to be away from the sport for several weeks or months. Previous studies have detected that it is important to avoid overtraining.

With increased milkproduction in our dairy cattle, comes a risk for a reduced fertility. Studies performed on animals and humans have shown that it is possible to manipulate the oestrous cycle through exposure to pheromones. This means that pheromones could potentionally be used to make reproduction more efficient. To evaluate the bioactivity of the substances in question, there is need for a bioassay. In insects, pheromones can induce a changed cardiac activity.

BackgroundHeart failure is an increasing chronic disease in the western world due to an aging population and a changed lifestyle. The basic treatment is pharmacological with substantial lifestyle changes. Much is known about physical exercise in middle aged and younger patients but in the patients over the age of 65, little is known. AimThe aim of this study was to investigate the effects of physical exercise on patients aged over 65 with congestive heart failure. MethodA systematic review was undertaken in the databases Cinahl and PubMed.

The aim of this study was to investigate the leaving care services provided to youth leaving residential care in Sweden. Through the use of qualitative research interviews residential care workers perception of what practical and emotional needs youth leaving care have, and whether current aftercare services meet these needs, were examined. The study further sought to compare the swedish and english leaving care services. The main findings of the study were that the residential care workers interviewed expressed that they had a good working relationship with the local social services and that they through the residential care services were able to provide some degree of aftercare. They further identified loneliness as the most prominent emotional need of youth had after leaving care.

Rett syndrome is a congenital neurological syndrome, which in the classic phenotype only affects girls. The symptoms include lack of speech, stereotypic movements of hands, dyspraxia and mental retardation, and these symptoms lead to communicative impairments. The purpose of this study was to examine whether the intervention method Intensive Imitation affected interaction/communication and initiative in a girl with Rett syndrome. The design of the study was a Single Subject Experimental Design with a three-week long intervention period where the girl participated daily in 30- minute sessions of Intensive Imitation together with the test conductor. Interaction, communication and initiatives were observed and analyzed before (Baseline A), during and after (Baseline B) the intervention period.