?Studies have shown that patients receiving mechanical ventilation in an intensive care unit (ICU), who are entirely dependent on the nursing staff, often experience frustration due to a temporary loss of the voice source. Limited communication is an important factor contributing to patient discomfort. Nursing staff also report communication as frustrating and difficult.The aim of the present study is to introduce a neck-type electrolarynx as a communication aid in an ICU, to study the nursing staff experiences of communication with tracheotomized patients receiving mechanical ventilation, and to examine the patient´s experiences regarding communicative abilities. Communication between a ventilator treated, tracheotomized patient and members of the nursing staff was recorded and analyzed according to principles of Conversation Analysis (CA).The results show that several members of the nursing staff experience difficulties communicating with tracheotomized patients receiving mechanical ventilation.

In 1996 a hunting test for British gun dogs was started in Sweden, based on a similar one al-ready in place in Norway. The aim of the new test was to describe the hunting ability of the dog and to use the results as a basis for selection. However, up to now, no genetic study of these data has been done. Therefore the aim of this study was to estimate genetic parameters for the traits measured in the hunting test and to investigate whether the traits can summarized into fewer overall measures. Data from trails of British gundogs between 1996 and 2005 in Sweden were used to estimate genetic parameters and environmental effects in hunting performance. British gundogs consist of five different breeds: Pointer, English setter (ES), Gordon setter (GS), Irish red setter (Irl S) and Irish red and white setter.

The purpose of this study is to examine how risk is perceived by the urban architect's in the region Dalarna, as well as how this is reflected in their everyday work with risk and decision- making according to urban planning. The ambition is also to show how their risk awareness could be improved. The study is written in cooperation with Länsstyrelsen Dalarna as a part of their regional long-term goal to improve the region's proactive risk' and crisis management. The study is based upon 12 semi-structured interviews with local urban architects conducted during the summer and autumn 2007. The result shows that some architects are motivated for working with risk and think that risk awareness should be integrated in their everyday work, while others are not motivated and think that risk is more of a passing trend.

The population over 65 years of age is increasing and health in elderly has been a subject of research for decades but voice function and vocal health has not been prioritized. The purpose of this study is to obtain reference value for the Swedish version of Voice Handicap Index (RHI) and the Throat Scale among people over 65 years of age and assess voice function and vocal health for this age group. The questions were as followed:1) What is the reference value of RHI for people over 65 years of age? 2) What is the reference value of the Throat Scale for people over 65 years of age? 3) Is there a correlation between a self-rated VA-scale on the perceived degree of voice problems, and the self-rated RHI-/Throat Scale result? 4) Does age, gender or previous profession matter for the self-perceived voice?In total 100 individuals participated in the study, 50 women and 50 men, between 65 and 92 years old. The reference value of RHI for people over 65 years of age was 13,4 points and the reference value for the Throat Scale was 7,7 points.

Breast cancer is the most common tumor disease among women in Sweden. About 7000persons, having a median age of 65, are diagnosed each year with this disease. Withmammography screening, breast cancer can be detected in an early stage which improves theoverall survival (OS). 20-30 % of the breast cancer tumors are overexpressing humanepidermal growth factor receptor 2 (HER2), which is a protein that stimulates cell proliferation.Trastuzumab (Herceptin®) is a humanised monoclonal antibody that targets the HER2-proteinand prevent the signals for cell proliferation.Trastuzumab has earlier been used for treatment of metastatic breast cancer. In the year of 2007trastuzumab was approved for adjuvant treatment of patients who has been medicated withsurgery and/or radiation.The aim of this study was to investigate the effects of adjuvant treatment with trastuzumab inHER2-positive breast cancer patients.

Tumour development occurs to a large extent because of dysregulation of the cell cycle. Of particular importance are defects occurring in the G1 phase. The reason why G1 is critical is because of the influence of several signals (external signals as well as cyclins and cdks) on this stage. The G1 phase can be divided into two parts, G1pm and G1ps. Each part has its ?own? restriction point which needs to be passed in order to progress to S phase.

The thick shelled river mussel (Unio crassus) has a fragmented distribution in southern Sweden. It is a threatened and protected species. In both the Swedish red list and the IUCN Red List of Threatened Species Unio crassus is classified as Endangered (EN). Causes for this classification are for instance differentiated bottom substrate and deterioration in water quality. In this study, habitat preferences of Unio crassus were investigated to assist in future restoration work.

Today, youth crime is a topic that recurs daily in the news and politics; the subject arouses motions both within the professional community and among private individuals. The purpose of this study was to shed light on how social workers reason and work with young people aged 15 and above who are in criminal environments. We also shed light on how motivation can contribute to young people accepting the voluntary interventions that social workers have available. The study helps draw attention to the potential challenges that social services face when motivational work is insufficient, and the concern is not sufficiently high to warrant the use of coercive interventions. Our empirical material was collected using semi-structured interviews with social workers who have a degree of Bachelor's degree in Social Work, whose work is to carry out investigations of young people who, due to their own behavior, may be in need of support or protection from social services.

The dairy cow?s ability to resume estrus after calving and to conceive is affected by their metabolic status after calving. For high yielding cows there is a high risk that the feed intake will not be sufficient to cope with the increased energy demands after calving, and the cow will end up in a state of negative energy balance. Energy balance can be measured in various ways, for example by body condition score or by plasma concentration of several metabolic hormones and metabolites. After calving, endocrine pathways stimulate tissue mobilization; insulin signaling is blocked, the concentration of insulin-like growth factor-1(IGF-1) and leptin decreases, and the concentration of growth hormone (GH) increases.

Syftet med denna uppsats var att fastställa om och hur arbetsuppgifternas komplexitetsgrad påverkar vad de anställda motiveras utav. Vidare undersöktes vilka preferenser de anställda med arbetsuppgifter av olika komplexitetsgrad hade gällande icke-monetära belöningar. Det studerades även till vilken grad cheferna var medvetna om deras anställdas preferenser. Utifrån det teoretiska perspektivet ska de anställda med komplexa arbetsuppgifter motiveras utav inre faktorer såsom beröm, utveckling och ökad självständighet. Anställda med icke-komplexa arbetsuppgifter ska då påverkas utav yttre faktorer som lön och spontana materiella belöningar.

The trend in the transport sector is moving towards eco-friendly, fast and convenient transportation,this results in higher demands on railway transports. To meet the demand and quality requirements,the Swedish railway network will have to expand. The cheapest way is to expand little by little butwhat impact do these small steps actually have on the capacity?This thesis examines the interactions of different improvement for the capacity on a single-trackrailway. Through simulations in the software tool RailSys this report studies what effect block signals,extra meeting stations and rebuilding existing two track passing loops to three track loops have onthe capacity.

It's not a secret that most companies strive to get such a high economic return as possible. To successfully engage in a profitable enterprise, there are many elements that come into play. An important element is the motivation of the employees and their work performance. Work motivation is a key factor for the employees to improve their performance and therefore determinant for the successes of the company.This work is a case study in the production at Fresenius Kabi, Uppsala. The work is based on an employee survey that they fill out once a year and the aim is to develop a deeper understanding for these questions and how the employees see on leadership, communication and goal-setting as motivators and how these factors works in the company today.To get this deeper understanding I have used a qualitative approach.

Background:In Sweden and Northern Europe, cardiovascular disease mortality rates are high. The clinical picture in the Western world is dominated by lifestyle diseases in which individual behavior and attitudes have a significant impact on the health effect. In the society cardiovascular disease is seen as an illness factor and contribution to disability. Conditions for a good life are not only good health also factors such as intimate relationships and meaningful work which affect the person's quality of life.Aim:Lifestyle changes and quality of life for patients, regarding cardiovascular disease.Method:A literature review was made. Eight articles, quantitative and qualitative were analyzed.

PurposeThe purpose of this thesis is to provide a deeper understanding of how e-commercecompanies within the fashion industry are working with lead times and illustrate andanalyse differences and similarities between companies.Research question- In which ways are e-commerce companies within the fashion industry working withshort lead times?MethodologyThis thesis is based on a qualitative research method in order to achieve a greaterunderstanding of the chosen topic, of how the chosen companies are operating and toprovide room to our own interpretations and reflections. Interviews through telephonewere used to gather the empirical data from six different e-commerce companies withinthe fashion industry.ConclusionsAfter completing the theoretical and empirical analysis it can be concluded that leadtimes are considered essential for all of the participating companies but there is adifference in which way they look at, and how they work with lead times. Somecompanies stressed that short lead times are an important aspect of competition andclaimed that this is something they are constantly working with. For others the balanceand matching of supply and demand was the most important factor rather than toachieve short lead times.

Eriksson. C. (2010). How can mental top form be reached? Sport psychology consultants approach to mental training.