Förstaårsstudenter vid Linköpings Universitet har utvecklat en prototyp som på ett nytt sätt visualiserar en patientjournal grafiskt. Beställare av projektet var Institutionen för medicinsk teknik vid Linköpings Universitet som nu vill att en användbarhetsutvärdering genomförs av prototypen. Prototypen riktar sig till anställda inom sjukvården och ska användas på en liten handhållen enhet med pekskärm. Av denna anledning ska den vara ett komplement till befintliga system när användarna arbetar nära patienterna. Då den ännu befinner sig tidigt i utvecklingsstadiet är det nödvändigt att fortsatt utveckling sker i nära kontakt med användarna.Detta examensarbete syftade till att peka på vilka användbarhetsprinciper prototypen bryter mot, vilka behov den måste tillgodose, att undersöka hur användarna interagerar med en Ipod touch och vad de anser om att arbeta med en sådan enhet.

The purpose of this essay is to investigate the construction of sexuality in Swedish school libraries through the lens of Foucault?s concept of power/knowledge. Five libraries were investigated, using two kinds of method: discourse analysis of titles, classification codes and subject headings of sex education materials, and qualitative interviews with librarians working at each of the libraries. Most sex education materials were classified within the medicine section, illustrating the continued authority of medical discourse in matters concerning sexuality. Books for younger audiences were often written for either boys or girls, reproducing a binary understanding of gender.

The proponents for conscience wants to get a clause that will allow the health professionals to due. scruples waive certain duties. Swedens decision makers has despite pressure from the Christian De-mocrats and the Sweden Democrats decided not to implement freedom of conscience in health care. The purpose of this paper is to investigate whether Sweden has the obligation to provide for freedom of conscience in health care. Furthermore, it must be examined, whose rights according to the law will go first, health professionals right to freedom of conscience or the patient right to equal treat-ment.

In healthcare there is a rapid development towards introducing and implementing a wide range of information technology (IT) to aim for higher quality and more effective care. A common health information system (Cambio Cosmic) has been implemented in Landstinget Kronoberg. Clinical microsystems are the frontline units where staff and pa-tient meet. When the conditions in the microsystems are changed, it is interesting to de-scribe and analyse the consequences.The purpose of this study is to describe how health care staff uses a health information sys-tem and how they experience its functionality in their patient work. Initially, a literature re-view about the use of health information system was undertaken, followed by a qualitative case study based on interviews about how healthcare staff describes their reality.

International trade in services has increased over the past 30 years as a result of progress in information and communication technology, increased focus on services from the manufacturing sector and the establishment of trade associations.The international market for healthcare services, also referred to as medical tourism, is growing more and more. Patients increasingly seeking treatment at other countries healthcare systems because of long queues within their own country or because it exists better prices for the same care abroad. However, this type of service exports occurs at a limited extent in Sweden.The purpose of this study is to highlight and analyze the conditions for Swedish service companies to export healthcare services. This, includes the challenges and opportunities that exist to expand the exports of these services.The approach for this study has been in the form of interviews with two market actors and written responses, from the same interview guide, with three market actors. These market participants are the so-called Care companies which export healthcare services in various counties, and the membership organization Swecare who work with export promotion activities for its members in the Swedish healthcare sector.

Syfte: Syftet med studien var att undersöka hur omvårdnaden dokumenteras i datoriserad patientjournal på en medicinavdelning i mellan Sverige, genom en journalgranskning med granskningsinstrumentet Cat-ch-Ing. Frågeställningarna var ?Vilka poäng ger Cat-ch-Ing instrumentet avseende kvantitet samt kvalitet?? och ?Kan omvårdnadsprocessen följas i omvårdnadsjournalen utifrån Cat-ch-Ing instrumentet??Metod: Studien är kvantitativ, deskriptiv och retrospektiv. En journalgranskning gjordes med hjälp av granskningsinstrumentet Cat-ch-Ing. Ett systematiskt urval av 100 journaler gjordes och därefter ett slumpmässigt urval av 30 journaler.

Bakgrund: Ekonomisk, teknisk, medicinsk utveckling och medborgares förväntningar styr ökade krav på god vård. Arbetet i hälso- och sjukvården är kunskapsintensivt och i ständig utveckling. Chefer ska kunna ge instruktioner, förtydliga arbetsuppgifter, stödja prioriteringar och ge medarbetare stöd och återkoppling. Detta sätter fokus på ledarskap och lärande. Socialstyrelsen i Sverige menar att det behövs ökade kunskaper i hälso- och sjukvården, om lärandestyrt förbättringsarbete.

Sectra Mameas is a medical technology company in an expansive phase that is planning to increase its volume capacity with 50 % in the beginning of 2009. This to be able to deliver the increased number of systems that the customers request. To be able to produce more units the takt time of the assembly line needs to be shortened. This could only be done by identifying and solving recurring problems. To be able to find the problems, create a common knowledge of which these are and eliminate them the production department of Sectra Mamea needs to visualize certainKey Performance Indicators (KPI) in the organization.

In the 1970s and 1980s, Sweden held about 15-20 certified health resorts that wanted to improve peoples? health with vegetarian food and alternative medicine. This essay aims to explore the popularity of health resorts through a patient?s perspective. What did the patients look for at the resort, which they could not find in the official health care? A basis for the analysis is Bonnie Blair O´Connor?s theory of Health Belief Systems.

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.

The meaning of the concept of psychosocial treatment is ambiguous. The purpose of this study was to examine how professionals within some care institutions, which provide methadone, buprenorphine or naloxone treatment, regard and carry out the psychosocial features of such treatment. Central issues discussed were; how personnel approach the psychosocial features of the treatment, what personnel regard as a focus in the psychosocial treatment, what conditions personnel consider affect treatment positively in order for it to be successful and how personnel see the relation between the medical and psychosocial features of the treatment. The method used was interviews with nine professionals in six qualitative interviews. The theoretical perspectives and concepts used in our analysis were; the theory of biological dependence, an organizational perspective, Prochaska and DiClemente's Stages of Change Model, the concept of individual reality and the concept of marginal conflict.Results show that the conditions most important for successful treatment are; that the patient has a place to live, an occupation, motivation, that the patient take responsibility for his/hers progress and have realistic expectations about the effects of the medicine.

Bakgrund: Inom ambulansorganisationen ordineras läkemedel via telefonordinationer eller genom generella direktiv som erhålles från ambulansöverläkaren. Ordinationer enligt generella direktiv ska utfärdas restriktivt och omprövas regelbundet. För att patienterna ska bedömas på samma sätt så behövs utarbetade bedömningsmallar och riktlinjer som sjuksköterskorna som arbetar i ambulanssjukvård kan arbeta utefter.Syfte: Att studera hur sjuksköterskor upplever läkemedelshantering inom ambulansorganisationen Västernorrland.Metod: Samtliga sjuksköterskor inom ambulanssjukvården i Västernorrlands län tillfrågades om deltagande. Totalt kom 74 individer (54%) att delta. Datainsamlingen genomfördes med enkät bestående av slutna frågor och möjlighet att skriva kommentarer till varje fråga.Resultat: Det framkom att personalen aldrig överskred maxdosen, men gav på eget initiativ läkemedel som de saknade generell ordination på utan att först kontakta läkare.

etta arbete belyser det för hästnäringen stora problemet ekvina placentiter från en veterinärmedicinsk synvinkel. Ekvin placentit betyder moderkaksinflammation hos häst. De vanligaste orsakande virusen, EHV-1 och EVA, samt ett mykotiskt agens, Histoplasma, tas upp. Bakteriella placentiter är dock mycket oftare förekommande. Därför diskuteras inte bara de tre agens som är vanligast; Streptococcus zooepidemicus, Escherichia coli och Pseudomonas aeruginosa, utan även två bakteriella agens på snabb frammarsch; Leptospira spp.

Stress är en alarmreaktion som uppstår när individen hamnar i en situation som innehåller nya eller oväntade stimuli. Det blir skadligt för individen då kroppen inte får tillräckligt med återhämtning och stressen blir långvarig. Utmattningssyndrom träder in då individen ignorerat kroppens signaler tillräckligt länge. Medicinsk yoga är en typ av komplementärmedicin och inriktar sig på hela människan, vilket är effektivt på individer som upplever stress och utmattningssyndrom. Det är en relativt nyutvecklad form av yoga men blir allt vanligare inom hälso- och sjukvården.

ABSTRACT. Introduction: In the Swedish government?s public health policy the municipalities are emphasized as one of the most important actors. Based on their broad range of operations the municipalities have good opportunities to influence the health situation of its citizens. Aim: The purpose of this study is to investigate how the local public health coordinators in Region Västra Götaland are working and what barriers they experience in their work.