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 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.

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.

A part of the midwife?s profession is to promote and support breastfeeding. The objective of this study was to describe the perception of the level of support and advice regarding breast-feeding given to women who have received postnatal care at maternity wards, and to present the opinions of the aforementioned women on how this support could be improved.Method: Women who have given birth at Uppsala University Hospital were routinely asked to fill in internet-based questionnaires regarding their views on the care that they have received. In this study, our data consists of the feedback from four questions in these questionnaires regarding breast-feeding. The answers to the closed questions were presented with descriptive statistics and the comments on two open questions have been analysed with content analysis.Results: Out of 622 women who were cared for at the Hospital?s maternity ward after giving birth, 83% stated that they were very satisfied or satisfied with the information and support they received about breast-feeding, and 78% expressed the same views regarding the delivery ward.

A part of the midwife?s profession is to promote and support breastfeeding. The objective of this study was to describe the perception of the level of support and advice regarding breast-feeding given to women who have received postnatal care at maternity wards, and to present the opinions of the aforementioned women on how this support could be improved.Method: Women who have given birth at Uppsala University Hospital were routinely asked to fill in internet-based questionnaires regarding their views on the care that they have received. In this study, our data consists of the feedback from four questions in these questionnaires regarding breast-feeding. The answers to the closed questions were presented with descriptive statistics and the comments on two open questions have been analysed with content analysis.Results: Out of 622 women who were cared for at the Hospital?s maternity ward after giving birth, 83% stated that they were very satisfied or satisfied with the information and support they received about breast-feeding, and 78% expressed the same views regarding the delivery ward.

Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer Hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university Hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..

Within the ambulance care in Uppsala County a vacuum splint is used to immobilize fractures on extremities. The research available on which method of immobilizing to prefer during pre-Hospital treatment is limited. The purpose of this pilot study was to examine the perceptions of the ambulance personal in Uppsala County on the issue of usability of SAM-splint and vacuum splint when immobilizing extremities. The project was also aimed at researching if SAM-splint could be seen as an alternative or a complement to vacuum splint, and to get an apprehension on any evident differences in patients? perceived pain when treated with the two different approaches. A descriptive comparative study was carried out. All patients, regardless of age and sex, with the need of immobilizing supposed fractures, were included.  Patients with suspected femur fracture, collum fracture, or where pre-Hospital care was not possible or in question, was excluded.

Syftet med uppsatsen är att undersöka vilka pedagogiska perspektiv som var rådande och vilka metoder som användes för fostran av sinnessjuka patienter på Hospitalen under senare hälften av 1800-talet, med fokus på Uppsala Hospital. Frågorna som ställs är hur Hospitalet fungerade som fostrande institution och vilka pedagogiska tankar överläkaren N. G Kjellberg uttryckte samt vilken pedagogisk funktion arbetet på Hospitalet hade och hur den intellektuella undervisningen bedrevs.Källmaterialet består av stadgor, Sveriges officiella statistik, patientjournaler samt artiklar författade av N. G Kjellberg och en historisk hermeneutisk metod används. Foucaults teorier om makt och disciplinering utgör den teoretiska utgångspunkten men utan att uppsatsens tolkningsbas är ensidigt disciplineringsteoretiskt.Resultaten visar på att Hospitalets inneboende struktur och ordning hade stor betydelse för fostran av de sinnessjuka.

Aim: The aim of this study was to examine nurses experiences of asking patients aboutintimate partner violence and what the nurses believed could be of help or hindrance whenasking the question.Method: The study design was qualitative. Nine nurses from four different divisions wasinterviewed. The participants worked at a Swedish university Hospital with an action plan fortaking care of violated women. Data were collected through semi-structured interviews usingan interview guide. The results were analyzed using qualitative content analysis.Main result: The question about intimate partner violence raises a variety of feelings amongnurses, for example anger and empathy.