Introduktion. Under sjuksköterskeutbildningen fokuseras bland annat på sjuksköterskors omvårdande funktion och omvårdnadsansvar. I praktiken varierar det hur patientcentrerat sjuksköterskor arbetar och vilket ansvar som faktiskt tas för att individanpassa vården. Primary nursing är en organiseringsmodell och ett arbetssätt som bygger på att individanpassa vården vilket är en av sjuksköterskors viktigaste funktion för en holistisk omvårdnad.Syfte. Syftet med denna litteraturstudie var att belysa hur sjuksköterskor uppfattar primary nursing utifrån begreppen självständighet, ansvar, auktoritet, beslutanderätt och kontinuitet.Bakgrund.

Pyometra (chronic purulent uterine inflammation) is a common disease in middle-aged and older intact bitches. The disease most frequently occurs in metoestrus and previous research studies have shown that both hormones and bacteria are involved in the development of the disease. Analysis of the blood levels of prostaglandin metabolite 15-keto-13,14-dihydro-PGF2? (PG-metabolite) has previously been shown to be clinically useful in the differentiation of canine uterine diseases such as pyometra and mucometra. The PG-metabolite concentration has also been correlated to severity in pyometra as determined by Hospitalisation length. The purpose of the present study was to investigate if blood levels of PG-metabolite can differentiate uterine diseases such as pyometra from other diseases in female dogs.

Syftet med den här uppsatsen har varit att undersöka hur personer som är hemlösa och missbrukar blir behandlade i sjukvården. Hur tycker de att de har blivit bemötta och har de fått den hjälp de har efterfrågat? Utifrån detta resultat har jag tittat på vilka förutsättningar vården har att utveckla en bra behandling och bemötande.Jag har intervjuat 25 hemlösa personer med kvalitativ metod. Den innebär att alla har fått samma frågor så att svaren går att jämföra. Samtidigt har det funnits utrymme för egna reflektioner och berättelser.

Hearing is considered to be the most important sense for the communication between people. Several studies have shown that hearing loss can lead to deterioration in quality of life, reduced social activities, feelings of alienation and hence the increasing incidence of depression symptoms.An early audiological rehabilitation is a prerequisite for proper communication among people with hearing loss. Knowledge has been shown to be of great importance and structured learning and individually targeted approach can be expected to facilitate the audiological rehabilitation.The purpose of this study was to examine the effect of an educational effort for people with hearing loss where the effort was made in the distance within the audiological rehabilitation and was followed-up by professional phone support, through a randomized controlled study.The study group consisted of 69 hearing aid users who were randomized by an independent person into two groups, an intervention group and a control group. The intervention group (n = 33) had access to the book "When the sounds are weaker - on hearing and hearing aids". The group received weekly topic-based information related to the different chapters of the book, in five rounds.

The aim of this study was to describe how body language of humans affects the domestic dog (Canis familiaris) and how it can be implanted in the stressed situation that occur at an animal Hospital. The subject is brought to notice because the author has experienced that dogs can get more stressed when a stressed and nervous owner is attending. Humans affect each other through posture, facial expression, voice and movement, and are often driven by their emotions, which can differentiate the verbal communication from the non-verbal communication. This occurs both consciously and unconsciously. Every human uses body language but not everyone knows how it is used or how to understand it.

Background: Myocardial infarction is the most common individual disease among people in the west world. In Sweden there are over 50 000 women and men who get myocardial infarction every year and about 40 % of them dies. Exercise training is one part of cardiac rehabilitation and since 1980 Sweden use the guidelines from that time. Aim: The aim was to review exercise-training modalities in cardiac rehabilitation after myocardial infarction and the physiologic- and psychological effects. Method: Facts were obtained by searching through the database PubMed for articles published from 1994 and ten years forward.

Important issues for the local authorities are what to do with the sludge produced insewagetreatment plants. The tax for landfill leads to higher costs with 250 SEK/ton. On the 31December 2004 it will be forbidden to landfill sludge.In Sweden the yearly production of sludge is 240 000 tons, counted as DS. The phosphorouscontent is 3 % in sludge. The total yearly production of sludge gives 6000 tons of phosphorous.

Background: The number of older people is increasing in Sweden. The elderly patient often requires a more complex type of care, than younger patients. The concept of frailty is often used to describe individuals who have a high biological age and a decreased physiologic reserve which could be associated with acute illness and an increased vulnerability. Emergency medical care today is not suitable for elderly patients and adaptions for these elderly patients and the demands this places on the health care is necessary. Mölndal Hospital emergency department has around 42 000 visitors per year, many of the clients have a high age.

The partly autobiographical book Valley of Issa, written by Czeslaw Milosz describes (among other things) the childhood of a boy, Tomasz who is the main character, and his interactions with his relatives. In this essay I will claim that these characters possess startlingly obvious autistic traits, and in relation with this I raise and discuss another question: Does the author Milosz himself express autistic traits? My essay could hardly constitute a complete analysis with definite answers, (the bachelor format of the essay and the fact that Milosz is dead limits more extensive investigations) and I do not mean to claim that Milosz was a sick person, even though I may suspect it. Let this essay be an eye-opener and a visionary foundation for new approaches to Milosz authorship. The value of it lies in its approach.

InledningEn välsmakande och hygieniskt säker mat är viktig för patientens medicinska behandling och välbefinnande. Det ligger i sakens natur att man som patient ofta är svag eller nedsatt och därmed extra känslig för infektioner. Livsmedelshygien är på ett sjukhus en fråga om patientsäkerhet med temperaturen som den enskilt viktigaste faktorn. Brickdukning har som system för att distribuera maten inom ett sjukhus många fördelar men en nackdel är svårigheten att upprätthålla rätt temperatur. Mätningar på det studerade sjukhuset visade stora variationer och betydande avvikelser från tillåtna temperaturer, varför ett förbättringsprojekt genomfördes för att förbättra och stabilisera temperaturerna.SyfteFörbättringsarbetet studerades med syfte att beskriva de fenomen som den involverade personalen upplevt vara betydelsefulla för förbättringsarbetets resultat och hur patienternas upplevelse av maten förändrades under tiden för förbättringsarbetet.

Innovationer är grunden för hållbar tillväxt och i en ökande konkurrens är det alltmer viktigt för företag att skapa innovativa produkter. Innovationsprocessen definieras som den organisatoriska processen som omvandlar en idé till en innovation. Startpunkten för innovationsprocessen kan betecknas med termen fuzzy front end och på grund av att fuzzy front end är början på innovationsprocessen är fasen avgörande för innovationernas inriktning. Fuzzy front end definieras som idégenerering, produktdefinition och projektutvärdering. Syftet med denna uppsats är att undersöka och ge rekommendationer till hur en effektiv fuzzy front end kan organiseras.

Introduktion: Barn skall enligt Nordisk förening för sjuka barns behov (NOBAB) inte vårdas bland vuxna. I realiteten vårdas cirka 30 % av barn på enheter där vuxna vårdas. Syftet med denna pilotstudie är att jämföra om barns uppfattning av delaktighet och bemötande skiljer sig vid vård på en barnkirurgisk vårdavdelning respektive på en kirurgisk vårdavdelning där både barn och vuxna vårdas. Metod: Pilotstudien har en deduktiv kvantitativ ansats. Studien vänder sig till barn i åldern 5-12 år som har genomgått ett ingrepp/operation på respektive vårdavdelning.

SUMMARYThis work consists of a review of the medical records of 142 horses that visited the Equine dermatology clinic, at the University Animal Hospital, UDS, at Ultuna, Uppsala, Sweden, between January 2007 and June 2010. The study answers certain main questions like clinical signs responsible for the visit, the most common diagnoses, their diagnostic procedures, treatment modalities and finally, the outcome of treatment.Among 50 diagnoses, four were predominant followed by additional 46 diagnoses, each presenting by few or, in many cases, only one horse. The most common dermatological problem diagnosed was Equine Sarcoid representing 18,3 % of the cases (26/142), which probably reflects the initiation of a Sarcoid treatment-trial in 2007, that resulted in an accumulation of sarcoid horses in the clinic .The second most common diagnosis was Atopy 12 % (17/142) followed by Allergy with skin affection 9,2 % (13/142) and Acute superficial pyodermia 4,9 % (7/142). If the horses were divided into diagnostic groups, the majority (34,5 %) belonged to HA5 group, (Immunological skin diseases), followed by group HA4, (Infectious and inflammatory conditions of the skin) (22,5 %) and HA6, (Neoplasia) (21,8 %). Traumatic skin injuries represented only 2,1 % of the cases, compared to 80 % of horses in the Agria insurance statistics for veterinary care.The most common clinical sign and reasons for veterinary consultation was pruritus (35,9 %), suspected sarcoids (17,6 %), alopecia (12,7 %), nodules (12 %), seborrea, scaling and crusts (9,2 %) and excoriations (5,6 %), respectively, followed by a scattered number of more uncommon symtoms.The diagnostic methods most frequently applied were cytology and biopsy, used in 41,5 % and 36,6 % of the cases, respectively.

Att barn kan vara oroliga vid sjukhusvistelse har framkommit i flertalet studier. Oro kan påverka smärta och tvärtom. Minnen av smärta kan skapa oro. För att bedöma barns oro finns ett par instrument. Ett av dessa är State Trait Anxiety Inventory for Children (STAIC-S), en enkät med 20 påståenden, där barnen får fylla i hur de känner sig.

Background: The Swedish population is aging [1] and malnutrition is a common problem among elderly people [2]. A method called food registration is used to monitor the patients? nutritional intake, with the purpose of reducing the risk of patients deteriorating in nutritional status during Hospitalisation. However, the current method is not satisfactory and many food registration lists are incomplete. [3-6] Thus, patients do not receive a qualitative nutritional care since the assessment of the patients? nutritional status is based on incomplete documentation.Purpose: The purpose of this master thesis is to increase the quality in the nutrition monitoring process in the geriatric units B72 and B74 at Karolinska University Hospital in Huddinge, Sweden.