Bakgrund och syfte: Intresset för enteral administrering av probiotika i förebyggandet av infektioner och diarré har på senare tid ökat. Nosokomiala infektioner och diarré är ett stort problem hos intensivvårdpatienter.  Syftet med denna studie var att undersöka hur enteral probiotika påverkar sjukdomsförloppet hos intensivvårdspatienter, med avseende på mortalitet, infektioner totalt, ventilatorassocierad pneumoni (VAP) och diarré.Metod: En systematisk litteraturstudie med sökning i Pubmed och Cinahl genomfördes med följande Meshtermer; probiotics, lactobacillus, critical illness och intensive care unit. Därefter genomfördes en metaanalys av randomiserade kontrollerade studier, utförda på vuxna intensivvårdspatienter, där man jämfört patienter som erhållit probiotika med patienter som fått placebo eller annan behandling.Resultat: Totalt 15 studier med sammanlagt 1293 patienter inkluderades. Ingen signifikans med avseenden på mortalitet, infektioner totalt, VAP och diarré kunde utläsas i metaanalysen.

Reindeer husbandry and Forestry are both area related industries and will in big extent use the same lands. Conflicts often arise because of that the industries have different interests. Many of the activities done by the forestry influences the reindeer husbandry in an undesirable way, simultaneously as the reindeer husbandry activities can have negative consequences for the forestry. One such forestry activity is fertilization. It was during the 1960´s forest fertilization began to be practiced and the reason was that the increase in growth that the fertilization gave could be able to cover for the future shortage in wood many feared. During the 1970´s when the fertilizing activities were most intensive about 200 000 ha was fertilized annually.

Myanmar?s entry in Association of South Eastern Asian Nations (ASEAN) in 1997 brought about several economic and social changes. One important change is tariff reduction through the Common Effective Preferential Tariff (CEPT-scheme), which increased Myanmar?s export to countries outside the ASEAN. The increase in exports facilitated trade creation and investment creation for Myanmar.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Background: Motivation is a subject that is on everyone's lips in today's knowledge-intensive firms. What is motivation and what are we motivated by? We will, through three case studies, be grappling with the notion to clarify how managers and employees' perception of the concept is different, or possibly similar. Furthermore, the thesis examines whether the theory and practice of motivation are consistent with each other. Purpose: The purpose of our study is to seek understanding of what management within an organization believes are motivating their staff as well as how the staff perceive themselves be motivated by. We ask ourselves if organizations is up to date with the development of what motivates people.

Literature and studies exist on how to create services in the best interest of the client or how these services have an impact on individuals. They are however mainly from a social work professional stand point and rarely from how clients would develop and create the services that can imply a life change for them. Especially when working with children under 18 years old issues of agency and age that can result in the disregard of the Convention on the Right of the Child (UNCRC). The target group of this study is therefore youth between the ages of 15 to 17 years old in three cities across Sweden to allow them to voice their opinion and experience of being in treatment. Resulting from that is the aim of this study ? to investigate how an intensive treatment method like Multisystemic Therapy is described from a client?s point of view.

Uppsatsen handlar om hur små barn kommunicerar i leken, där fokus är på barn upp till tre år, de barn som ännu inte har ett fungerande verbalt språk. I litteraturdelen beskrivs forskning om små barn som kommunicerar på olika sätt. Studien är gjord på två förskolor där videoobservation använts som metod. Valda observationer har därefter analyserats utifrån frågeställningen. Slutresultatet visar att små barn använder sig av olika sorters kommunikation för att kunna göra sig förstådda.

Law firms are defined as knowledge-intensive companies. Due to the dependency regarding the resource of knowledge among the firms employees and to the fact that they often are categorised as a type of professional service firm. The purpose of this study is to investigate the different types of profitsharingsystems as a form of reward with focus on the theoretical differences and effects of the True Partnershipmodel and the Stockholmmodel. In addition to these models we will look into the Human Resource processes of; recruiting, integration, retaining and development of employees. The main purpose of the study is to examine the theoretical level on how the profitsharingsystems effect different Human Resource processes and through the knowledge of these connections using this as an analogy when to analyse other law-firms and knowledge?intensive company?s.

I have used a discourse analysis as a method and queertheori for the theoretical. In this paper I have analyzed how different wedding magazines write about partnerships, gender-neutral marriage and wedding between homosexuals. I have for some time been interested in the beliefs wedding magazines have about homosexuality and how newspapers maintain heteronormativity implicitly and explicitly. Bridal magazines are anxious to have the marriage as a design and standard when they write about partnership. When they write about the two different forms of marriage, they glorify the religious marriage and pay no attention to civil marriage.

 Studien berör barns initiativtagande till lek i förskolan. Inom det sociokulturella perspektivet använder barn kulturella redskap som hjälp för initiativ till lek. Studien har utgångspunkt från tidigare forskning som gjorts inom området. Studiens syfte är att undersöka hur barn i förskolan tar initiativ till lek. Studien baseras på barnobservationer och intervjuer med pedagoger och barn.

Begreppet mästarlära förekommer sällan i den pedagogiska debatten. Med den stundande gymnasiereformen har begreppet åter aktualiserats. Danspedagogik är inte heller ett hett ämne men sedan lpf94 infördes har det funnit som ämne inom gymnasieskolan. Observation och imitation är begrepp som återkommer inom både ämnesområdena. Finns det fler kopplingar mellan mästarlära och dansundervisning? Mästarlära är stark förknippat med utbildning inom hantverksyrkena.

Vårt undersökta problem är brytningen när en kvinna inträder i en mansdominerad organisation och vi har därför valt att studera svensk polis. Syftet är att studera vad som förändras, hur det förändras och de kausala mekanismerna bakom förändringen.Vi har utifrån ett kultur-, och genusperspektiv intervjuat poliser av båda könen för att få en inblick i hur de upplever förändringar inom organisationen som en följd av en ökad andel kvinnor.Studien visar att den manliga normen fortfarande är stark inom kåren, men även att ett mjukare förhållningssätt uppvärderats hos både manliga och kvinnliga poliser. De kausala mekanismerna bakom förändringen visade sig vara flera, men främst visade sig kvinnors blotta närvaro och imitation vara av stor betydelse..

Background: Patients with cervical spinal cord injuries are often dependent on a mechanical ventilator due to the damage on the innervation to breathing musculature. During rehabilitation they have to be trained to regain own breathing. This unweaning process may give respiratory complications, which are main causes to morbidity and death. These respiratory complications are traditionally treated in an intensive care unit (ICU), which means that the patients have to return back to these emergency units.Aim: To investigate number, length and causes of returns to intensive care units and the length of the weaning process. Further, to compare if a multidisciplinary approach to the weaning process may reduce ICU returns and to shorten the weaning process.

Bakgrund: Intensivvårdssjuksköterskor upplever intensivvårdsavdelningen som en stressfylld arbetsplats. Patienterna är svårt sjuka och akuta situationer kan hastigt uppstå. Miljön är högteknologisk och har stundvis ett högt tempo. Tidigare stressforskning har visat att en ökad stressnivå har en negativ inverkan på hälsan. Stresshantering utgår ifrån problemfokuserade ? eller känslofokuserade copingstrategier.Syfte: Att beskriva de faktorer som stressar intensivvårdssjuksköterskor, samt hur de upplever och hanterar denna stress.

This student report is a literature study about cardiac insufficiency in cats and it is written mainly for veterinary nurses. It is about cats with an underlying heart disease that has led to an incompensated heart failure.It presents a general basis on normal anatomy and physiology, and also how to make the diagnosis, therapy and intensive care.The student report is also about the role of the veterinary nurse during the process of the disease, how to help the veterinarian in the best way, how to handle anesthesia in cats with a heart disease, which factors that can have a significant matter in feeding, and what advices to give to a pet owner with a cat with a incompensated heart failure..