A part of the midwife?s profession is to promote and support breastfeeding. The objective of this study was to describe the perception of the level of support and advice regarding breast-feeding given to women who have received postnatal care at maternity wards, and to present the opinions of the aforementioned women on how this support could be improved.Method: Women who have given birth at Uppsala University Hospital were routinely asked to fill in internet-based questionnaires regarding their views on the care that they have received. In this study, our data consists of the feedback from four questions in these questionnaires regarding breast-feeding. The answers to the closed questions were presented with descriptive statistics and the comments on two open questions have been analysed with content analysis.Results: Out of 622 women who were cared for at the hospital?s maternity ward after giving birth, 83% stated that they were very satisfied or satisfied with the information and support they received about breast-feeding, and 78% expressed the same views regarding the delivery ward.

Stress-related diseases in Sweden have doubled since 1997. Even longterm sickness related tostress has increased over the last decade. In future there is a need of alternative methods todecrease the amount of people being affected to gain a better population health. Natureassisted therapy (NAT) was shown to be a successful method as part of the therapy of stressand burnout likewise was nature an important factor to prevent people from mentaldisorders. The aim of this study was to analyse the latest research concearning nature and itshealth effects with focus on stress and burnout patients in order to plan health promotingactivities outdoors for these patients.

Försvarsmaktsorganisationen har varit i förändring sedan försvarsbeslutet 2004, då Försvarsmakten gick från ett invasionsförsvars till ett rörligt insatsförsvar. Denna nya inriktning innebär att de svenska enheter skall kunna genomföra uppdrag långt ifrån den svenska kusten och infrastruktur, vilket kan medföra en del nya intressanta frågeställningar.Ett exempel på en sådan frågeställning är om de svenska enheterna är lämpliga för sådana uppdrag då det gäller att ta hand om och transportera eventuella skadade ombord. Har sjukvårdsorganisationen och Försvarsmakten medel till att transportera och ge adekvat vård vid större krissituationer internationellt?Uppsatsen syfte är att genom ett organisationsteoretiskt perspektiv undersöka hur Försvarsmaktens förmåga att ta hand om skadade vid internationella missioner ser ut, samt vilka brister i organisationen som kan påvisas.Den metod som har använts är den deskriptiva metoden tillsammans med fallstudier. Det som har studerats är svenska reglementen, doktriner samt den utländska Nato doktrinen AJP 4-10.

Diabetes mellitus (DM) is a relatively common endocrine disease in dogs and is more common in certain breeds than others, e.g. Nordic spitz breeds. Within the Swedish and Norwegian Elkhound population, female dogs are almost exclusively affected. The hypothesis in this study is that Swedish- and Norwegian Elkhounds develop DM during the progesterone phase of estrous (diestrous or pregnancy). Medical records from 51 female dogs of the breeds Swedish and Norwegian Elkhound were studied.

The energy sector is facing an impending paradigm shift. Today?s technology enables the end-user to generate their own energy locally at home. Furthermore, recently developed storage technologies make it possible to balance energy demand with stored energy and integrate district heating with the local power grid. This means that in the future heat and electric power will interact and energy flows is converted over energy boundaries.

Sustainable development has become the ideology of the twentieth first century. As an important concept and as a framework of political action, sustainable development can at this point be considered as the very symbol of a paradigm in the international debate over environmental issues and the threats of climate change. But what does the concept of sustainability actually suggest? This thesis uses discourse analysis in order to examine the Swedish learning for sustainable development as to three different discourses on the national arena: the government and the municipals of Piteå and Växjö respectively. When the study foremost concerns official policy documents that contain associations with the study area, the methodology used takes into consideration both language, signs, metaphors and so called story lines.

Sustainable development has become the ideology of the twentieth first century. As an important concept and as a framework of political action, sustainable development can at this point be considered as the very symbol of a paradigm in the international debate over environmental issues and the threats of climate change. But what does the concept of sustainability actually suggest? This thesis uses discourse analysis in order to examine the Swedish learning for sustainable development as to three different discourses on the national arena: the government and the municipals of Piteå and Växjö respectively. When the study foremost concerns official policy documents that contain associations with the study area, the methodology used takes into consideration both language, signs, metaphors and so called story lines.

Occasionally the views of medicine and social sciences can collide. Doctors typically relate to a explanatory biological model, and social workers and psychologists seek social and historical reasons for neuropsychological diagnoses.A diagnosis is an obligation for medical doctors as well as other professionals within Child and Adolescent Psychiatry, and a neuropsychological diagnosis is a prerequisite for treatment and more often than not for other forms of support from society.The aim of this study is to examine the function of a neuropsychological diagnosis with regards to the individual patient, Child and Adolescent Psychiatry and society. A second aim was to examine how psychologists and social workers trained in the social sciences view neuropsychological diagnoses.Qualitative interview research methods have been used. Most of the interviews were recorded and transcribed in their entirety. The data has been organised into appropriate categories and the most relevant quotes have been selected.

This thesis focuses on immigrant fathers and the specific situation they face arriving in Sweden. The purpose of this study is to examine various systemic obstacles and eventual possibilities these fathers may encounter in the new country and how they affect their fatherhood. The paper is based on four interviews, with three men and one woman, who work with immigrant fathers partly in parenting educational programs. The informants? professional background varies.

The explosion of information technology has given users direct access to an ocean of information. Increased availability puts increasing demands on the ability of students and researchers to search for, filter, and structure information. In response, the role of the research library has shifted from being primarily an information resource to being an educational resource with a focus on teaching users what is known as information literacy. This thesis is a study of user-education at the Karolinska Institute Library KIB, the largest medical library in the Nordic countries. KIB has invested significant resources in developing user-education, and has a full-time user-education developer and a formal pedagogical platform for user-education.

Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..

Objective: In recent years there has been an increasing interest within the clinical (medical) science in measuring people?s health. When estimating quality of life, present practise is to use the EQ-5D questionnaire and an index which weighs the different questions. The question is what happens if the individuals estimate there own health, would it differ from the public preferences? The aim is to make a new prediction model based on the opinion of patients and compare it to the present model based on public preferences.Method: A sample of 362 patients with unstable coronary artery disease from the Frisc II trial, valued their quality of life in the acute phase and after 3, 6 and 12 months.

During the past few years there has been an observed decrease in physical fitness within different patient groups. As a part of the rehabilitating physiotherapy treatment it is important to acknowledge the physical condition of the patient. Physical fitness testing might be difficult due to physical limitations within different patient groups. A broad range of exercise tests is therefore of importance in clinical practice. The aim of this overview was to describe exercise tests used in rehabilitation contexts, and to define areas of use and restrictions.

The aim of this study is to describe how Swedish research librarians feel that their work has been affected by electronic journals. The study focuses on medical electronic journals accessed through consortia agreements via Bibsam, the Royal Librarys Department for National Co-ordination and Development. This thesis includes two main parts: a literature survey and an empirical study. The literature survey shows that since the 1990´s most research libraries are hybrid libraries including both printed and electronic information sources and that librarians tasks to seek and organize information have remained but the tools have changed. Qualitative interviews were performed with four librarians at two university libraries and one university college library on how their work with electronic journals differed from their work with printed journals, which new tasks the electronic journals have brought and which have disappeared and how the librarians professional role has been affected.

Adherence to medical ordination is low and for long-time medication it is estimated to be as low as 50 percent. Depending on the prescribed drug this could lead to adverse effects and/or loss of effect of the drug. Information about why a drug is prescribed is important patient information and is thought to help increase compliance with the physician?s prescription. According to results from a recent study of visits to the emergency room at Karolinska Universitetssjukhuset in Solna, Stockholm, medically related problems were the cause in about 30 percent of the cases.