Caring for children at hospital with palliative care needs arouses different reactions in nurses and depends on what prior knowledge and experience nurses have. To besides shift focus from to care children palliative to care curative is further a strain and an emotional changeover. The aim of this study was to illuminate nurse?sperceptions about caring for children at hospital with palliative care needs, and how they shift focus of care between children with palliative care needs and children with curative care needs. The study has a qualitative approach and data were collected with interviews from two focus groups.

Syftet med denna uppsats är att undersöka arten av och betydelsen av patientarbetet på Säters hospital mellan perioden 1912-1942.Det använda källmaterialet är årsberättelser, ekonomiska översikter, utgående skrivelser, skrivelser från Medicinalstyrelsen, protokoll och bilagor samt personalrullar från perioden mellan 1912-1942. Utifrån detta material så har arbetets omfattning sammanställs och även har innehållet av arbetet undersökts. Arbetets omfattning och innehåll har undersökts ur ett könsperspektiv. Betydelsen av arbetet har undersökts utifrån två perspektiv, det terapeutiska samt den ekonomiska betydelsen. När det gäller den ekonomiska betydelsen har man utgått från den enskilda patienten men även hospitalet.

Introduktion/Bakgrund För att förhindra spridning av vårdrelaterade infektioner är det viktigt med en hög nivå av följsamhet till hygienrutiner hos hälso- och sjukvårdspersonal. Det finns bara en begränsad mängd forskning på ämnet utförd i Vietnam. Vårdrelaterade infektioner är både kostsamt för samhället och skapar ett stort lidande för de drabbade patienterna.SyfteSyftet är att initiera ett förbättringsarbete inom ämnet vårdhygien genom att observera hälso- och sjukvårdspersonalens följsamhet till hygienrutiner på två avdelningar på National Hospital of Pediatrics i Hanoi, Vietnam. Ett övergripande mål är att observationerna leder till att ämnet uppmärksammas av personalen som då kan bli mer medvetna om deras följsamhet till riktlinjernaMetodStudien genomfördes på två sjukhusavdelningar med hjälp av en kvantitativ observationsmetod. Personalens följsamhet till hygienrutiner noterades på ett observationsblad.

The purpose of this thesis is to investigate if vacuum insulation panels are a competitive alternative to traditional insulation.Vacuum insulation has been used as insulation in buildings in Germany and Switzerland for a few years. In Sweden the high-performance insulation material is mainly used in refrigerators, freezers and vacuum thermoses. The development is proceeding well and vacuum insulation is becoming more common in the construction industry. Since it is a relatively unexplored material on the market there are many flaws and problems with the material.The questions we have chosen to answer in this report include an increased knowledge of vacuum insulation, various problems that may arise when handling/installation and the pros and cons of vacuum insulation compared to standard traditional insulation.The methods we have chosen to use in this report is a literature study, interviews with various suppliers and manufactures and calculations to show the differences between traditional and vacuum insulation. Vacuum insulation is 5-10 times better insulation than standard traditional mineral wool insulation, mainly at the beginning of its lifetime.Vacuum insulation panels (VIP) have a service life of approximately 50 years, whereas traditional insulation has a service life of approximately 100 years.

There has been an increasing interest for ranking of Swedish health care and a lot of emphasis has been placed on the creation of indicators in order to rank hospital units. However, essays on to what extent the choice of statistical method affects the final result of the ranking of health care units have not been given the same attention. For this particular reason, the main objective of this essay has been to investigate whether the choice of statistical model has a significant impact or not on the final result, by using five different, more or less common, statistical approaches: bar charts (with and without confidence intervals), control charts, logistic regression, multi-level analysis using shrunken residuals. The analyzed material in the essay comprises 24119 patients that all have been prescribed some form of the lipid-reducing medicine statin. According to directives given by Region Skåne, doctors are encouraged to prescribe a particular type of statin medicine, namely Simvastatin, which has been proved to be equally effective, but significantly cheaper than other statin medicines.

In today?s society climate change has grown to one of the largest global issues. To reduce emissions of greenhouse gases, large changes of the energy system are required. An increasingly popular solution is investments in local production of renewable energy resources like wind, solar or geothermal power. The following report examines the possibility for implementing a solar power plant on the new hospital Nya Karolinska Solna. Two different technologies for extraction of solar energy has been studied, solar thermal collectors  to meet the need of heating and solar cells to satisfy the need for electricity linked to operating the hospital building.

The Swedish Government has set a target to reduce energy consumption through energy efficiency within the construction and real estate sector. The purpose of the study is to examine how energy efficiency within this sector could affect the district heating volume in the future, on basis of Vattenfalls district heating system in Uppsala.An Excel model has been created to study how energy effficiency measures affects district heating demand in buildings by 2045, based on technical and economicalconditions. Furthermore, an interview study has been conducted to examine incentives for district heating customers to invest in energy efficiency measures.Result of the Excel model shows that the district heating volume of Vattenfall in 2045 is expected to 931 GWh, which corresponds to a volume decrease of 10,6 %. Based on the study?s theoretical framework only 15 %, 1 024 GWh, of the technical-economical potential is assumed to be implemented.

The main purpose of this study was to study the heredity of osteochondrosis (OC) in fetlock-, hock- or stifle joints within the Swedish half-bred population, using data from the regional animal hospital in Helsingborg. A large number of horses with clinical symptoms, for example lameness, are radiographed every year at the regional animal hospital in Helsingborg. In addition, many clinically healthy horses are radiographed in order to be sold (inspection radiographed / export radiographed). This study is based on electronically stored data from horses in both of these groups of patients that underwent joint radiography at the regional hospital in Helsingborg during the years 1992-1999. The first file (inspection file) contained 1035 observations from 983 horses that had their fetlock-, hock - or stifle joints radiographed for inspection or export. The other file (clinical file) contained 6121 observations from 3800 horses that were radiographed due to clinical symptoms in the fetlock-, stifle or hock joints.

Injuries of the superficial digital flexor tendon are common in racehorses with many reports on different treatment regimes. However there are few studies in riding horses. The purpose of this study was to document the result of conservative treatment of injuries on the superficial digital flexor tendon in riding horses and to find factors that may be important to the outcome. Hospital records from 1999 to 2003 of 17 non-racehorses at ATGs Animal Hospital in Skara with the diagnosis tendonitis of the superficial digital flexor tendon were reviewed. Follow-up information on treatment, convalescence and final outcome was collected.

The purpose of this master's degree thesis was to develop an understanding of how hospital management, in the case studied, worked to achieve changes in an organization influenced by differing professional cultures. To gain insight into the conditions that may have contributed to nurses and physicians developing appropriate attitudes and behaviours, which may have affected the organization's ability to achieve the Swedish Quality Award 2012. A qualitative single case study was conducted at Karlskoga Hospital, with focus groups as well as individual depth interviews. The results of the case study showed the following conditions provided nurses and physicians the potential to develop appropriate attitudes and behaviours, which may have influenced the hospitals ability to achieve the Swedish Quality Award:  Responsibility and influence over the development processes.Participation in management teams and quality development groups as well as individual fields of responsibility.Training programs that have given insights and skills in quality management related to clinical practice.Nurses and physicians as key individuals gave legitimacy to development process, and served as management advisors.Collaboration between all kind of employees and responsibilities.Committed management.    .

Abstract Background: Families with sick children are expressing the needs of accommodation near the hospital, in order to be close to their children and be together as a family.Aim: To investigate how parents experienced the hospitality and the environment at the Ronald McDonald House (RMH) in Uppsala and how they feel their children have experienced the stay.Method: Descriptive qualitative interview study. Five parents who lived with their family at RMH between 2013- 2014 have been interviewed with a semi-structured approach. A qualitative content analysis with an inductive approach according to Graneheim and Lundman (2003) was conducted on a manifest level.Results: RMH made the families? situation easier. RMH met their needs of a homelike environment where they could be themselves; be together and maintain everyday routines.

Is it possible that by planning in a more sustainable way when building a new area, we can improve our environment?Most environmental problems are created in cities and therefore they should hold the solution. Through a more ecological urban planning a better foundation for sustainable housing could be created.This report follows the process in coming up with a proposal for a master plan for an area in Odense, Denmark. By going through principles for sustainable urban planning made by different organizations and persons and from these extract main principles, a background is founded to continue the proposal from.Denmark works a lot on expanding their green areas, maintain the existing ones and recreate what?s being destroyed as cities expand.

The dialysis ward at Karolinska University Hospital is a highly pressurized work environment filled with critical treatment situations where patient?s lives can be constantly in danger. Staff have to deal with a myriad of alarms and error codes in response to their patients varying ailments. The workforce at the dialysis ward lack controlled environment training, sufficient to address all of the potential treatment scenarios, with no risk of jeopardizing the patient?s condition.The purpose of this essay is to design and test the efficacy of using an IT based device for dialysis education at Karolinska University Hospital.The main topics this essay intends to address are:? Identification of user scenarios and training fields.? Prioritization of key training areas.? Utilization of IT in effective staff training.? Design of a conceptual prototype.The process focuses on the user and their needs.

Suspensory ligament injuries are a common cause of lameness among sport horses. These injuries are expensive due to slow healing, extensive convalescence and high risk of recurrence. The prognosis has been reported to be everything from good to guarded depending on the size of the lesion and the location within the suspensory ligament. The purpose of this study was to determine how different factors such as age, use, and location of the lesion are associated with the final outcome after a suspensory ligament injury. Material: Hospital records of 27 horses treated for suspensory ligament injuries at SLU equine hospital in Skara, Sweden, between January 2002 and July 2003 were examined retrospectively.

This is a Minor Field Study (MFS) which is a scholarship financed by the Swedish International Development Cooperation Agency (Sida). The study was held in 2007 in Yogyakarta, Indonesia and is based upon retrospective qualitative interviews with five Bachelor nurses who experienced the disaster work during the earthquake 27th of May, 2006. The aim of the study is to explore the experiences, feelings and thoughts of Bachelor nurses who were involved in this natural disaster. The interview, transcription and analyse work were made one year after the earthquake were a qualitative content analysis method was used. Two group interviews were held at the University of Gadjah Mada.