Detta examensarbete har utforts i omradet skyddsventilation vidavdelningen for installationsteknik, Kungliga Tekniska Hogskolan.Examensarbetet omfattar 30 kurspoang och ar den avslutande delen icivilingenjorsutbildningen.Fragestallningar diskuteras om den inverkan kladsystem har for luftensrenhet i operationsrum under pagaende operation. Avsikten med arbetet aratt undersoka i vilken man operationsrumsklader av renrumskvalitetpaverkar halten av luftburna bakteriebarande partiklar under pagaendeoperation i jamforelse med konventionella kladsystem.Jag vill borja med att tacka mina handledare professor Bengt Ljungqvistoch tekn dr Berit Reinmuller, for att jag har fatt formanen att ta del av deraskunskaper samt att jag blivit utmarkt handledd och motiverad underexamensarbetets gang. Jag vill ocksa tacka professor Jan Gusten, Chalmersoch tekn lic Johan Nordenadler, Projektengagemang AB samt SahlgrenskaUniversistetssjukhuset, Berendsen Textil Service AB, Ramboll Sverige ABoch Miclev AB, vilka alla har gjort mitt examensarbete mojligt.Avslutningsvis vill jag tacka familj och vanner for uppmuntran underarbetets gang.Stockholm, januari 2010Jonas Hallberg Borgqvist3.

Haptoglobin is an acute phase protein with important biological role because of its capacity to bind to haemoglobin. Haptoglobin exists in three major genetic polymorphism types: Hp1-1, Hp2-1 and Hp2-2, the distribution of which has been associated with abdominal aortic aneurysm (AAA), an asymptomatic aortic disease common among men older than 65 years.    Five different electrophoretic methods were tested according to their ability to separate the haptoglobin phenotypes. The detection was based on a produced hemolysate of blood in which haemoglobin binds to haptoglobin thereby forming a complex that can be detected by specific haemoglobin staining using TMB-dihydrochloride and hydro peroxide as substrate resulting in an azure-green color of the bands. Samples from 15 patients who had suffered surgery for not broken AAA, that is more than5.0 cmaortic diameter, and 15 samples from matched controls were analyzed.    Among the five tested electrophoretic methods best migration and separation was seen on the pre-cast agarosgel Hydragel HR on the instrument Hydrasys. The other four methods gave less successful results.

The aim of this literature study was to give a clear picture of what gastric dilatation-volvulus is, and how the acute- and postoperative treatment and care is managed. The general aim is to support and help the veterinary technicians in their clinical work. Gastric dilatation volvulus is always an emergency. The primarily goal when these dogs are hospitalized is to establish an adequate cardiovascular function. This is done by immediate intravenous fluid therapy followed by decompression of the dilated stomach.

Background: Nerve mobilisation is a controversial subject which has undergone great development in recent decades. Nerve mobilisation is based on a concept of both examination and treatment of the nervous system. Purpose: To study nerve mobilisation as a treatment in physical therapy with emphasis on evidence regarding the method. Method: A literature review. The search was made through the databases: PubMed/Medline, Academic search, PEDro and CINAHL/webspirs.

Background: Bone anchored hearing system is a surgically implantable system for treatment ofindividuals with hearing loss. The Softband is intended for patients who can benefit from a boneanchored hearing system but who are not yet suitable for implant surgery.Objective: The aim of this study was to investigate whether an adhesive bone conductor, Adjoin, canbe used as an alternative to Softband.Material and Method: Twenty adult subjects with normal hearing participated in the study.Measurement of functional gain and speech intelligibility was performed with Softband and Adjoinwhich then were compared. A questionnaire was answered by the participants after the measurementsthat treated their subjective experiences with each option.Results: The objective measurements yielded no overall difference between Softband and Adjoin forthe group studied. The subjective results showed differences in the perceived comfort as well as whichof the two bone conductors that would be preferred to use in everyday life, with Adjoin being thepreferred option. No difference was detected on participants perceived gain, sound quality and speechintelligibility.Conclusion: Based on the measured results, Adjoin seems to be a suitable alternative to Softband.However, there are questions about how Adjoin works with long-term use..

Hygien är en viktig del av sjukhusvård och det finns många utarbetade rutiner och föreskrifter. Då det tekniska kunnandet ökar, ges möjligheter till fler och mer avancerade kirurgiska ingrepp och när krav ställs på kostnadseffektivitet, ökar risken för vårdrelaterade infektioner. Att kunna förebygga och förhindra smittspridning på en operationsenhet är därför av största vikt. Studiens syfte var att undersöka faktorer som kan minska postoperativa infektioner inom operations-sjukvård. Metoden har varit litteraturstudier och baseras på 20 vetenskapliga artiklar.

In this project the author made an attempt to, in a short film, visualizean experience of the organic materials that our bodies consist ofand what becomes of it when we die. The intention was to dissect thismatter, break it down to see it in a simpler form and to explore ourrelationship to it, being part of a constant exchange between organicmaterials and having so much power over the environment and otherliving animals. At the very start, the idea was to deal with the relationshipdifferent people have with their bodies. Later in the process, a decisionwas made that the product would be communicating the author?sown experiences of the body materials after studying it and trying torecreate fragments and feelings of them.

Background; Gynecological cancer is a common term for cancer in the female genitals and 2013 there were about 2800 women in Sweden that was diagnosed. This form of cancer and the treatment that is used, affects the sexuality and also the fertility of the women.Aim; The purpose with the essay was to illustrate the experience of the sexuality after the treatment of gynecological cancer.Method; The method used in the essay was a systematic translation of different literature. Of all the articles used there were eight that was qualitative, two quantitative and one was a combination of both methods. The analytic process was accomplish with the support of the Friberg (2006) analytic method.Results; The analysis resulted in two categories; Physical changes after the treatment and the treatments impact on the sexuality of the women. The physical changes that occurred because of the treatment was recurring and it showed that it was primarily surgery that hurt the woman body.

SUMMARYPrevious research has shown that there is a connection between the doorways and postoperative wound infections. Despite recommendations from Socialstyrelsen and the individual hospitals' PM there is still high traffic in the operating theatres. In a hybrid theatre environment combined X-ray techniques of surgery, resulting in it being further two categories inside the operating theatre. This may generate an increase in traffic flow. The study is a prospective, non-participant observation study conducted in the spring of 2013 at a university hospital in western Sweden.

Musik är något som påverkar alla på ett eller annat sätt och har använts i terapeutiskt syfte sedan 1500 f. Kr. Även om den har en lång historia är den ändå inte allmänt vedertagen som en omvårdnadsåtgärd. Nästan varje dag möter sjuksköterskor patienter som i varierande grad upplever oro. Tidigare forskning visar att musik har inverkan på oro, men det är inte mycket beskrivet om sjuksköterskors erfarenhet av att använda musik som en komplementär omvårdnadsåtgärd vid oro och hur musiken påverkar sjuksköterskors arbetsmiljö.

It's an everyday experience shared by many that nature can be of help in relieving pain, reducing stress, support mental recovery etc. In the last three decades or so this experience has also found support in a large number of scientific investigations. Among other things the experience of nature has been shown to reduce stress and pain in patients and to boost concentration and reduce impulsive behavior in children. Most of this research however has mainly been concerned with the visual modality. In this thesis the aim has been to focus on the auditory modality in this context by trying to reveal some effects on people from the exposure of nature sounds played indoors in three different environments: a grammar school class room, a kindergarten play room and a post-surgery wake up room at an intensive care unit.

BackgroundResearch shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety.AimThe aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, local and regional anesthesia.DesignSystematic literature review with a quantitative approach.ResultsSeveral studies indicate that gabapentin and pregabalin can reduce anxiety before and during anesthesia. The anxiety reducing effect appeared to be dose dependent. The naturopathic drugs Citrus aurantium blossom and Passiflora incarnata Linneaus were found to reduce anxiety before anesthesia.

Dagkirurgi blir allt vanligare. Då det genomförs under generell anestesi förekommer ofta oro och postoperativa komplikationer som smärta och illamående. Patienters tillfredsställelse med dagkirurgi och anestesi har tidigare studerats, men ofta med enkäter av låg kvalité. Syftet med denna studie var därför att med hjälp av intervjuer studera dagkirurgiska patienters upplevelse av anestesi och kirurgi. Sju patienter intervjuades.

Syfte: Sammanställa och granska studier gällande postoperativ behandling vid ruptur av ligament patella. Detta för att beskriva effekt och kvalitet på studier om postoperativ behandling.Metod: En beskrivande litteraturstudie valdes som design, med sökorden: patellar ligament, patellar tendon, rupture, knee injuries, surgery. Av totalt 1240 träffar valdes 13 relevanta artiklar publicerade mellan 1999-2013 efter sökningar i databaserna PubMed, PEDro, COCHRANE, SCOPUS, CINAHL, SPORTDiscus och AMED. Artiklarna kvalitetsgranskades enligt PEDro scale.Resultat: Två postoperativa behandlingar beskrevs, tidig och sen mobilisering. Antingen placeras knäleden i ett stabiliserande knäskydd som till en början låser knäleden i full extension eller så påbörjas tidig mobilisering av den opererade knäleden.

Trycksa?r a?r ett fo?rekommande problem inom den kirurgiska omva?rdnaden som leder till o?kade va?rd- och samha?llskostnader samt ett o?kat lidande fo?r patienten. Det a?r av stor vikt att va?rdpersonalen arbetar fo?rebyggande fo?r att motverka uppkomsten av trycksa?r samt att i god tid uppta?cka om ett trycksa?r har uppsta?tt.Syftet med denna studie var att underso?ka trycksa?rsincidens efter la?ngvarig neurokirurgisk kirurgi, identifiera vart trycksa?ren uppsta?r och om de kunde kopplas till riskfaktorer.Metoden som valdes var en kvantitativ prospektiv kohortstudiedesign fo?r att resultatet skulle kunna anva?ndas i den peroperativa och postoperativa omva?rdnaden. Hudkostymen inspekterades tva? ga?nger postoperativt pa? tjugoen patienter.Resultatet visade att 76 % av studiedeltagarna hade trycksa?r efter operation och det vanligaste fo?rekommande omra?det var ha?larna.