ABSTRACTAbout 17% of all deliveries in Akademiska Sjukhuset end with caesarean section. The purpose of the survey was to study parental pairs experience to undergo a caesarean section and experience of information about surgery. The aim was also to see if there were differences between those undergoing a planned or an emergency caesarean section, as well as differences between the birthing women and their partners. 100 couples participated in the study and answered a questionnaire 1-3 days after they had undergone surgery. The result showed that the vast majority of parental pairs were satisfied with the information they received before the caesarean section.

Heart failure is a condition where the heart is incapable of providing adequate blood supply to different organs in the body. The underlying causes of heart failure is some kind of disorder in the heart function, and require careful diagnostics. The basic symptoms that arise from heart failure is difficulty in breathing, that aggravate when lying down, and fatigue. The patients? symptoms and impaired quality of life can be in different stages depending on the severity of the heart failure.

 Background: Earlier studies show that 30-92 % of ACL reconstructed return to their pre-injury physical activity. It is not clear why some people do not return.Purpose: The purpose of this study was to investigate the return rate to pre-injury sport among ACL reconstructed men. Another purpose was to characterize those patients who return and those who do not.Metod: A Web-based questionnaire with questions about returning to physical activity was sent out during the spring of 2012 to 93 men who had undergone an ACL reconstruction 6-40 months earlier and who, after 6-40 months after surgery, were evaluated with validated strength tests and self-assessment outcome measures.Results: At 12 months after surgery 56 % of the subjects had returned to their pre-injury sport. If the criteria were set higher ?back to the same- or a higher level? 14 % had returned.

Sleep has a recreating, health promotive and regenerative function. Research shows that intensive care patients suffer from sleep deprivation and bad sleep quality with considerable negative consequences.The aim of the report was to examine how much nocturnal sleep patients without ventilator treatment get and to observe factors that may influence sleep.Methods: An observation chart was used to collect data. The staff?s observation of the patients? night sleep and estimated nocturnal noise- and light levels in the patients? rooms were documented. The patients? answers to questions about pain and possible causes for their awakenings were noted.

The purpose of this study is to investigate whether intensive teaching of reading strategies at an individual level can affect reading comprehension for students in second grade. A quantitative method with quasi-experimental design is used. All students in the experimental class trained on reading comprehension strategies at their particular level five times each. Before and after training a reading comprehension test was made. The reference class did the same test.

I dagens samhälle drabbas ett större antal individer av en hjärtinfarkt varje år. Bland de vanligaste komplikationer som kan uppstå efter en hjärtinfarkt är depression som kan leda till återinsjuknande eller för tidig död. Syftet med denna litteraturstudie var att studera vilka effekter rehabiliteringsprogram har på patienten efter insjuknande i hjärtinfarkt samt se om de minskar graden av depression. Metoden var en systematisk litteraturstudie som utgick från åtta kvantitativa artiklar som kvalitetsbedömdes enligt Goodmans sju steg. Den teoretiska referensramen som användes utgick från Carnevalis modell Dagligt Liv ? Funktionellt hälsotillstånd.

ABSTRACTBackground: People with colorectal cancer undergoing rectum amputation get a permanent colostomy, which affects the social life. It may be valuable for health care what these people experience living with colostomy in order to provide the greatest possible support. Objective: The aim of this study is to describe how people who received a colostomy experience their daily lives and the support they have received from the health services.Method: Qualitative interview study with six people, with a descriptive phenomenological approach.Results: The analysis of the interviews about how it's like to live with a colostomy resulted in three themes: 1) Living with a colostomy gives an uncertainty that affect the social life, 2) Physical and psychological impact of getting a colostomy and 3) Support for health care and relatives.Conclusion: Subjects had a positive attitude towards life, which contributed to that they could adjust to living with a colostomy and feel a meaningfulness of life. The study shows that all the interviewed people overall were satisfied with the information provided by the healthcare personnel. It was good with both oral and written information and very appreciated with repeated information. One aspect that could be improved was the information given aboute the closure of anus during surgery and the following complications.

Bakgrund: Enhanced Recovery After Surgery, ERAS, är ett vårdprogram som omfattarett antal interventioner som syftar till att förbättra patientens postoperativaåterhämtning. God perioperativ kommunikation är viktig för utfallet av ett struktureratvårdprogram och för att försvara patientens intressen fyller anestesisjuksköterskan enviktig funktion. Tidigare forskning om ERAS ur anestesisjuksköterskans perspektivsaknas.Syfte: Syftet med studien är att undersöka anestesisjuksköterskans uppfattning omomvårdnaden av patienten i samband med kolorektal kirurgi då ERAS-konceptettillämpas.Metod: Blandad inbäddad design används. För att testa studiens design genomförs enpilotstudie omfattande 20 semistrukturerade enkäter. Data analyseras med hjälp avSPSS och kvalitativ manifest innehållsanalys.Resultat: Respondenternas uppfattning om den anestesiologiska omvårdnaden vidtillämpning av ERAS kunde delas upp i fem områden: osäkerhet om information,omvårdnadsåtgärder, bristande kommunikation, standardiserat arbetssätt och avvikelsefrån ERAS.Diskussion: Det råder stor osäkerhet kring vilken information patienten fått preoperativtoch kommunikationen inom vårdteamet kan förbättras.

Background: For an individual a surgery may involve strains and risks. Many patients experience a loss of its own identity and often an inability to control the situation while going through a surgical operation. Fear of pain or to not wake up from the anesthetic or that the surgery will fail are worrying factors that some people experiences. Purpose: The purpose was to describe patients? perceptions of preoperative information in connection to elective surgeries.

This study examines what effect swimming has on the rehabilitation, compared with only resting after a cranial cruciate ligament surgery. It consists of a literature study, an inquiry study and a visit to a rehabilitation centre. The inquiry study shows that ten weeks after a cranial cruciate ligament repair, the lameness has disappeared in a greater number of dogs among those that undergo swimming as physiotherapy compared with those that do not swim. Literature shows that swimming has a positive effect on the result after surgery. The thigh circumference increases faster, the limb function improves more and the range of motion gets larger. Dogs should therefore be recommended swimming as rehabilitation after surgery for a rupture of the cranial cruciate ligament..

The milk production per cow has increased considerably during the last 50 years and due to the breeding for higher milk production also brings decreased reproduction efficiency. In a Swedish study 1996 it was shown that on average only half of all estruses were detected. Every time a farmer fails to detect oestrus it costs the farmer about 1200 Swedish crones and the need of means of detecting oestrus is therofore large. With this study we wanted to investigate if heart rate respectively crystallisation of vaginal mucus (arborisation) could be useful means of detecting oestrus. We monitored two oestrus cycles in four heifers.

This retrospective study aimed to examine differences at age fivebetween twenty-six internationally adopted and twenty-six Swedish-bornchildren with cleft lip and palate regarding age of surgery, speech andintervention. Correlation between age of surgery and speechvariables andgender differences was examined. Blind assessment of audio recordedsentence repetition or naming of words was performed by two speechpathologists. Soft palate was closed significantly later for the study groupthan the control group. Age at closure of hard palate did not differ.

ABSTRACT The purpose of this medical record research was to study 30 patients with chronic subdural hematoma on a neurosurgical clinic, mapping documented nutritional status, preoperative fasting and hydration and energy supply before surgery. In addition peroperative administration of fluid and vasoactive drugs, as well as postoperative complications and length of hospital stay were studied. The mean age of the patients was 71 years. Nutritional status was evaluated in 12 patients, out of these seven were judged to be at risk for under nutrition. Fifteen patients had surgery day 1 (total fasting time on average m 11 h), eleven had surgery day 2(29 h), three had surgery day 3 (35 h).

Children are a group of patients that require special knowledge from the anesthesia staff, both general and specific. Theoretical knowledge and practical experience is necessary to adequately care for the child as it anatomically, physiologically and mentally may differ from adult patients.A growing problem in the pediatric population is overweight and obesity. From a stagnation in the early 2000s the prevalence of overweight and obesity among children in the world are again increasing.The purpose of this study was to examine peri-operative care of overweight and obese children.Systematic searches were done in PubMed, CINAHL and Scopus. After the quality audit according to SBU, twelve articles were included for analysis.Results suggest that overweight and obese children have a higher risk of respiratory peri-operative complications. The risk of hospital admission after outpatient surgery was also greater in this group as well as higher costs for health care.Overweight and obese children are complex subjects with more frequent peri-operative risk factors than normal-weight children.

Denna studie är en analys av romanen Heart of Darkness (1902) och novellen An outpost ofprogress (1898) av Joseph Conrad (1857-1924) i syfte att undersöka berättelsernashuvudsakliga tematik ur en postkolonial infallsvinkel samt vad Conrads avsikt tycks ha varitmed porträtteringen av elfenbensagenten Kurtz. För att genomföra denna analys har jag gjorten närläsning av Heart of Darkness samt An outpost of progress och samtidigt tolkathändelseförloppen.Tolkningarna är delvis mina egna samt delvis baserat på tidigare forskning. Efter att hagenomfört dessa närläsningar är min slutsats att Conrads huvudsakliga avsikt var att skildaden mänskliga moralens förfall genom den ondskefulla girigheten. Det är denna girighet somhan definierar som det mörka i en människas hjärta. Genom framställningen av Kurtz visarhan exempel på detta samt hur farlig en skicklig retoriker kan vara..