Velopharyngeal insufficiency may affect resonance, articulation and thus how speech is perceived by other listeners. Velopharyngeal insufficiency is frequently found in the cleft palate population due to structural abnormalities of the palate. The pharyngeal flap is the most commonly used operation designed to improve velopharyngeal function. The aim of the present study was to compare speech before and after pharyngeal flap surgery by perceptual evaluation regarding nasality, articulation and deviant speech. The study includes preoperative and postoperative speech samples of 28 patients who underwent pharyngeal flap surgery at the University Hospital in Linköping between 2002 and 2007.

Introduction: Diabetes type 1 is a common chronic disease in children and adolescents. The disease affect, not only the child, but also the parents in their everyday life. The specialist diabetic nurse has a huge responsibility in supporting the parents to feel confident in managing the child?s diabetes.Aims of the study: To investigate how parents of children with diabetes type 1 perceive the care given from the specialist diabetic nurse and what wishes they have concerning the care they receive.Design and methods: Searches for studies in electronic databases were conducted between January 2013 and march 2013. A literature review containing 16 studies was compiled.

Background:Incoming medical alarm is a common routine for emergency nurses. Working in these situations may represent a major burden on the individual nurse. Purpose: To investigate emergency room nurses' experiences in receiving medical alerts focused on education, safety, security, skills and experience, and andherence to guidelines. The purpose was also to investigate whether there were any differences in action between the emergency room nurses who had worked longer or shorter period than two years with this.Method:The design was quantitative, comparative and descriptive. Surveys were distributed to 30 nurses who worked in the emergency room at a Swedish hospital.

Basal cell carcinoma (BCC) is the most common non-melanoma skin cancer. It can be divided in different subtypes. The most common type is superficial and is most frequently occurring on the trunk and on the face. In severe cases it can be difficult to differentiate basal cell carcinoma from other skin tumors, therefore a skin biopsy is conclusive diagnostic method. In terms of treatment, curettage is a common non-surgical treatment of basal cell carcinoma.

Background: Intimate relationship violence is physical, psychological or sexual violence that a person is exposed to in a relationship. There is a strong correlation between intimate relationship violence and mental health problems. A psychiatric ward at a hospital in Sweden, is working with a new routine. According to this routine every new patient should be asked about intmate relationship violence as a part of the admission interview.Objective: The objective of this study was to study how the healthcare personnel is working with the routine, and also to study response rate, interventions and how the work has developed over time.Method: A quantitative study with a retrospective and descriptive studydesign. One hundred and two medical records were reviewed.

The purpose of this thesis is to collect knowledge of techniques and materials for planning roofgardens. Gardens built on top of buildings is not a new phenomenon, already in the beginning of the century architects were experimenting with roofgardens. During the Modern Era roofgardens appeared as a part of the design and worked well together with flat roofs and the ideas of light, air and greenery. Today the most common kind of roofgarden is on a ground-level joist that hides parking or other underground functions. The most important difference between planning a roofgarden and a garden on the ground is the limitation of the load of the roofgarden. Plants, paving-material and equipment must be chosen with this in mind. A light and thin layer of soil demands plants with small needs for water and nutrition.

This thesis examines the environmental benefits resulting from the choice of environmental certification scheme, with focus on energy. This was carried out by studying the measures that were implemented as a result of the certification of Sweco's three largest office buildings in Stockholm, Gothenburg and Malmö. The office property in Stockholm has been certified with the Swedish Environmental Building, Gothenburg with the British BREEAM and Malmö with the U.S system LEED.The results from the study indicate that an environmental certification can reduce the energy consumption by up to 59 percent and the water consumption by 20 to 66 percent. However; the interviews, literature study and simulations in MATLAB indicate that the size and scope of these environmental benefits depend on several identified factors: the type of building and its conditions, system selection, grade level, the choice of indicators, the ambition of those involved and when in time the certification process begins. The comparison between Environmental Building, LEED and BREEAM showed that Environmental Building for the office property in Stockholm gave the largest environmental benefit in terms of reduced energy consumption thanks to several large measures.

Syfte: Syftet med litteraturstudien var att undersöka vilka faktorer som påverkar sjuksköterskans arbetsrelaterade stress samt att ta reda på vilka konsekvenser detta kan leda till. Metod: Examensarbetet utfördes som en litteraturstudie med 14 vetenskapliga artiklar. Datainsamling gjordes i databaserna PubMed och CINAHL. Huvudresultat: De faktorer som tydligast framkom genom artiklarnas resultat handlade om sjuksköterskornas psykiska och fysiska arbetsmiljö, vilket innefattar bland annat skiftarbete, relationer till arbetsgruppen, att bli utsatt för olika typer av hälso- och säkerhetsrisker samt att bemöta död och döende. Det framkom dessutom att besparingar och omstruktureringar var en av de mest frekvent nämnda stressfaktorerna för sjuksköterskor, liksom arbetsbelastning, krav och förväntningar.

BackgroundWorld Alliance for Patient Safety, launched by the WHO, has created a Surgical Safety Checklist. It was first published in 2008 and has been translated and modified in Sweden by Landstingens Ömsesidiga Försäkringsbolag, LÖF. The use of the WHO Surgical Safety Checklist has been shown to reduce the number of complications and deaths related to surgery.AimThe aim of this study is to describe the Theatre Nurse?s participation in in the use of a modified version of the WHO Surgical Safety Checklist intraoperatively in two Theatres in a hospital in the centre of Sweden.MethodThis study has a quantitative descriptive approach. A direct observational study was carried out in two Theatres and the participants were asked a few complementary questions after the observations.

Abstract. Risk assessment for future violence is an important part of today's forensic psychiatry, and including dynamic risk factors in risk assessment is important because it has been shown that risk can change over time. However, previous research has suggested that perpetrators of homicide are different than perpetrators of other violent crimes. The aim of this study was to describe and analyze risk assessments of future violence for forensic psychiatric patients convicted for homicide (n = 45) and forensic psychiatric patients convicted for assault (n = 91). To do this, differences within the groups and between the groups were analyzed.

How do you build cities that are exciting and nice to live in? What factors in the physical environment is it that make you feel comfortable in some of the places in the city, but in other places not comfortable at all? Why do some cities have a rich public life in their public realm, while the public realm in other cities is abandoned and empty? How do you plan environments that support people?s physical and mental health? These are questions that I put to myself, and that people who are interested in or working with physical planning should ask themselves. That is why I have been studying an authority on the subject, the Danish Professor Jan Gehl, who has been researching and working with peoplefriendly public realms for 50 years. He is best known for his book Life between buildings that has been a text-book in the education of architects for more than 30 years, and to have initiated Copenhagens most famous pedestrian street, Strøget, to show his theory of how people will use the public realm, if it?s only got the right qualities.

Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

Background:Incoming medical alarm is a common routine for emergency nurses. Working in these situations may represent a major burden on the individual nurse. Purpose: To investigate emergency room nurses' experiences in receiving medical alerts focused on education, safety, security, skills and experience, and andherence to guidelines. The purpose was also to investigate whether there were any differences in action between the emergency room nurses who had worked longer or shorter period than two years with this.Method:The design was quantitative, comparative and descriptive. Surveys were distributed to 30 nurses who worked in the emergency room at a Swedish hospital.

This thesis includes an energy survey of the Herrgården pre-school, which has a modern heating- and ventilation system, and a comparison with Östers pre-school which has an older system. An energy survey of Östers pre-school has already been done by a group of three students and all the calculations and values have been collected from that survey. As of today, both pre-schools are heated thru district heating. It will be much easier to make smart and feasible energy-saving-measures by first conducting the energy survey.Herrgården pre-school in Gävle houses 81 children, therteen teachers, one cleaner and one cook. It was finished in the middle of 2009 and the staff has been very pleased with the in-door climate.

ABSTRACTMultiple sclerosis (MS) is the leading cause of adult disability inSweden. Hematopoietic stem cell transplantation (HSCT) can be used as a treatment option for patients with MS where the disease has an aggressive course. The treatment is preceded by high-dose chemotherapy which lowers the patient's immune system. It is therefore of interest to study infectious complications associated with HSCT in this patient.Aim: The purpose of this study was to identify infection problems in this population associated with HSCT, and to study differences in infectious complications between this group and patients diagnosed with lymphoma who have undergone the same treatment.Method: The study was a retrospective descriptive study with quantitative data. A medical record review was conducted.