Swedish studies have shown that more people than expected have problems with leg ulcers and that the yearly cost for treatment per patient is approximately 26 500kr. Since the elderly population is on the rise, there is a need to highlight this growing problem, to make sure that proper assessment tools are used and to improve the standard of care given to patients with leg ulcers. The aim was to show what a difference the nurse can make to patients with leg ulcers. With all types of wounds it is imperative to establish if there is any underlying reasons since certain illnesses can cause more wounds or delay the healing process. The doctor is responsible for making the diagnosis and to prescribe the correct treatment whereas the nurse?s responsibility is for the nursing care and its documentation.

Bakgrund: Vårdrelaterade infektioner utgör ett betydande hot för alla patienter inom somatisk vård och förknippas med stora ekonomiska kostnader. Den huvudsakliga orsaken är bristande handhygienrutiner och problemet skulle kunna elimineras med högre följsamhet. Syfte: Syftet med denna litteraturöversikt var att belysa faktorer som påverkar sjuksköterskors följsamhet till basala hygienrutiner inom somatisk vård. Metod: En litteraturöversikt där artiklar med kvalitativ och kvantitativ inriktning som uppfyllde förutbestämda krav utvaldes för analys. Tolv artiklar selekterades fram.

This thesis investigates the regulation of hybrid work environments by focusing on the implementation of rules by both management and employees. It examines the methods used to measure compliance and the consequences of non-compliance within organizations. The study also explores how flexibility in work arrangements and the balance between work and personal life affect employee well-being and productivity. Furthermore, it highlights the critical role of self-leadership in navigating the complexities of hybrid work, emphasizing how effective self-management can enhance organizational efficiency and employee satisfaction. We have adopted a qualitative research approach and interviewed employees, managers, and HR personnel with experience in hybrid work. The different perspectives are expected to provide insights into this area by including all levels within an organization It is evident that organizations that have clearly established rules and guidelines regarding hybrid work have achieved the best desired results.

Sammanfattning Bakgrund: Att följa de basala hygienrutinerna är den viktigaste åtgärden för att förhindra uppkomst av vårdrelaterade infektioner (VRI). Vårdpersonal måste arbeta för att förbättra och upprätthålla följsamheten för att minska risken att sprida VRI eftersom det ger onödigt lidande för patienten. Det leder till förlängda vårdtider, ökade samhällskostnader samt bidrar till en förhöjd mortalitet.Syftet: Syftet med studien var att undersöka om och hur väl de basala hygienrutinerna följs vid Akademiska sjukhuset i Uppsala. För att undersöka om det fanns någon skillnad mellan avdelningarna valdes en avdelning som deltagit i projektet ?vårdrelaterade infektioner ska stoppas- VRISS? på sjukhuset samt en avdelning som valt att avstå deltagande.Metod: En kvantitativ jämförande observationsstudie valdes som metod där vårdpersonal observerades utifrån en mall angående de basala hygienrutinerna.

During the last years, meticillin resistant Staphylococcus pseudintermedius (MRSP) have caused an increasing number of infections in Swedish dogs. MRSP is resistant against a majority of the antimicrobials available for dogs in Sweden, making it difficult to treat the infection. Our knowledge of the bacterium is limited, making it hard to handle infected dogs in a proper way. The aim of this study was to investigate for how long time dogs, who have an infection caused by MRSP, become carriers of the bacterium. Other factors like treatment with antimicrobials, the correlation between clinical symptoms and carriage, common diagnoses and institutionalization where also looked upon.

Feline asthma is a condition very similar to the respiratory disease affecting humans. It is causing, among other things, a constriction of the bronchial airways, an increase of mucus production and damage to, or erosion of, the epithelial membrane. The symptoms occur intermittently and do, in most cases, evolve during a long period of time. The aim of this essay was to investigate whether there are any nursing routines for feline patients with asthma in animal clinics and animal hospitals in Sweden, and if so, to compare similarities and differences. A literary study of research material also led to a suggestion of how to form a nursing routine for this type of patient.

The resting area is the most important place in the barn for the dairy cow, sometimes called the heart of the free stall system. Inadequate design of the lying area, and lack of or poor quality of bedding materials may reduce the hygiene of the stall. Poor management regarding the cleanliness of the resting area may lead to poor animal hygiene and increased bacterial growth. This in turn will lead to increased risk for environmental mastitis as well as impairing milk quality through contamination with spores. In this literature study the most commonly used bedding materials; straw, sawdust, wood shavings, clean sand, recycled sand, peat and recycled manure solids, are compared to one another with regards to their ability to resist bacterial growth. Effects of adding hydrated lime to bedding materials have also been studied. Most bacteria need humidity and prefer a quite high water activity to be able to grow.

Introduktion: Vårdrelaterade infektioner (VRI) utgör ett omfattande problem. Omkring en tredjedel av alla VRI anges möjliga att förhindra och lösningen består i hygienrutiner. Undersökningar visade att följsamheten till dessa var långtifrån tillfredsställande. Syftet med denna litteraturstudie var att klargöra några tänkbara smittvägar och identifiera faktorer som påverkar sjuksköterskans följsamhet till hygienrutiner samt se effekter av försök att öka följsamheten. Metod: Resultaten baseras på 17 vetenskapliga artiklar.

Introduction: Balance between the essential nutritive substances is important for aperson to maintain health. The surgical patient can be stricken with conditions, whichhave a negative impact on this balance and can lead to malnutrition. Working as a nurseit is important to identify patients that are malnourished or is in the risk zone ofmalnourishment since 30 % of all patients in hospitals are malnourished.Aim: The aim of this study was to examine the compliance to the guidelines fornutritional assessment and parenteral nutrition on a surgical ward. Also whether thenutritional treatment/-support was reported to the next caregivers if the patient wasmalnourished or was in the risk zone of malnourishment at the time of discharge.Method: 80 patients enrolled on the ward in the beginning of year 2011 were included.Audit of patient records was made according to the hospital guidelines for nutrition andparenteral nutrition and followed a study specific protocol.Results: The examination of the case records showed that the guidelines for nutritionwere partly complied with. Nutritional treatment/-support was reported to the nextcaregivers when needed.

En god handhygien är en av de viktigaste faktorerna för att förebygga vårdrelaterade infektioner som senare kan orsaka onödigt lidande hos patienten. För patienten innebär detta försenat tillfrisknande och en förlängd vårdtid. Drygt 10 % av patienterna på Sveriges sjukhus drabbas av vårdrelaterade infektioner och kostnaderna för samhället uppskattades bli 3,7 miljarder kronor under år 2009. Flera studier har tidigare belyst hur viktigt det är med en god handhygien i omvårdnadsarbetet och vilka faktorer som påverkar hygienrutinerna. Syftet blev därför att undersöka sjuksköterskors följsamhet av hygienrutiner vid handtvätt, handdesinfektion samt hur väl användandet av handskar i olika vård- och omvårdnadssituationer efterföljs.

Senior citizens require a healthy oral cavity and healthy teeth in order to eat, speak and preserve their well-being. With age we know that the incidence and prevalence of diseases and symptoms originating from the oral cavity are more common compared to younger age groups. Senior citizens are the fastest growing population on earth, thus the need of healthcare providers with knowledge and skills in oral healthcare are in great demand.  The purpose of this thesis is to identify oral healthcare interventions and educational interventions which have been shown to improve oral health of residents over 65 years of age.  A literature review was conducted in which 15 scientific articles were scrutinized. Databases used were PubMed, Cinahl and Scopus. The results imply that good oral healthcare not only improve the oral health of senior citizens, but also prevents the occurrence of other diseases such as pneumonia and  improve the overall quality of life.

The aim of this thesis is to examine the historical use of "poison cabinets", or restricted shelves, in Swedish libraries. Drawing upon the theories of Mary Douglas and Michel Foucault, it also seeks to sketch a cultural and ideological context of the practice; with the emphasis on social or mental hygiene, and disciplinary aspects. Through qualitative interviews as well as digitalized recordings of librarians active during the first half of the 20th century, actual examples of poison cabinets are presented. A closer examination is conducted of past collections at Lund University Library, and two large public libraries situated in Växjö and Sigtuna. The essay also investigates views on library censorship, controversial literature, and other related subjects reflected in th elibrary press during the period 1916-1979.

Verksamhetsutövare inom livsmedelsbranschen har ett ansvarar för att den mat som producerats är säker. År 2009 gjordes ändringar i den svenska livsmedelslagen där bland annat kraven försvann på att verksamhetsutövare måste ha skriftliga rutiner och dokumentation (Lindblad, Westöö, Lindqvist, Hjertqvist & Andersson, 2009). Oavsett om verksamhetsutövarna har skriftliga rutiner och dokumentation eller inte måste de kunna bevisa att de har tillräcklig kunskap för att arbeta med livsmedelshantering. Genom ett fungerande system för egenkontroll, alltså en egen kontroll av verksamheten, skapas säkra livsmedel och risken för matförgiftning minskar (Israelsson, 2006). Syftet med denna studie är att undersöka verksamhetsutövarna inom livsmedelsbranschens uppfattning om egenkontroll.

Purpose: The purpose of this study is to present an overview of the Swedish listed companies and their compliance with the Code and its normative rules for independent decision-making. Methodology: The authors have read and delved into the Swedish Code of Corporate Governance. The authors have chosen to study the enforcement of the code based on independent bracing guidelines. The study was conducted through a combined quantitative and qualitative approach. The study is based on primary data collected in the form of companies' corporate governance reports, which have been supplemented by structured interviews.Frame of reference: Swedish ownership structure and concentrated ownership, self regulation and normative guidelines, institutional theory and earlier research on this topic.Empirical foundations: A comparison of the selected companies has been based on the independence rules of the Swedish Code of Corporate Governance. A specific company has been presented with the company's application of the code, interviews have also been done with this company to increase the understanding of the empirical basis further.Conclusions: There are several flaws with the code and how it is applied today.

In article 1.2 c) EC regulation 852/2004 it says that the regulation is not applicable to producers who directly supply small quantities of primary products to the final consumer or to the local retailers who in their turn directly supply the final consumer. An almost identical regulation can be found in article 1.3 c) EC regulation 853/2004. The supply by a primary producer of small quantities of primary products, of animal origin or not, are consequently excepted from these two hygiene regulations. In article 1.3 EC regulation 852/2004 and article 1.4 EC regulation 853/2004 it says that the member states are to establish national rules in their national legislation as to the regulation of exception for small quantities. The aim of this study was to investigate the handling of small quantities of primary products distributed locally in Sweden but also the handling of these products in other countries.