Objective: The out-of-hospital cardiac-arrest incidence in Sweden averages about 10 000 a year. Whether the victim will survive or not is dependent upon rapid actions according to the chain of survival ? early alarm, early CPR, early defibrillation and early medical treatment. While waiting for the ambulance the victim is completely dependent on immediate help from any bystander, because early CPR improves survival rates by two-three folds. Unfortunately not all bystanders start CPR because of different reasons.

There is currently no activity or behavior meters validated for sows under Swedish conditions where the sows are loose-housed during farrowing and nursing. An activity meter could in particular be used to detect sows that are getting ready for farrowing. Assistive technology in order to register different behaviors would be extremely useful in research and breeding. In this study, a HOBO Pendant G data logger was validated for two different functions. First, the function as a pure activity meter in which the accelerometer's ability to detect an upcoming farrowing was evaluated, and second, the accelerometer's ability to distinguish between the behaviors standing up, sitting down, lying ventrally and lying laterally on the right and left sides was evaluated. The accelerometer was attached to a collar around the sow's neck, and was recording its location every two seconds for six hours a day for ten days on a total of twelve sows.

Ett av målen med Mobil Intensivvårdsgrupp (MIG) på Karolinska Universitetssjukhuset i Solna är att erbjuda intensivvårdskunnande och expertis för att höja kunskapsnivån på respektive vårdavdelning. Syftet med denna undersökning var att utvärdera om sjuksköterskorna på vårdavdelningarna upplevde att MIG fungerade som ett tillfälle till bedsideundervisning. En strukturerad intervju genomfördes med ett eget utformat frågeformulär, 47 sjuksköterskor deltog i undersökningen. Det framkom i resultatet att MIG förmedlade kunskap till vårdavdelningarna. Resultatet visade även att sjuksköterskor som arbetat i mindre än fem år upplevde att MIG var ett tillfälle till bedsideundervisning, i högre utsträckning än sjuksköterskor som arbetat i fem år eller mer.

A current debate is going on in Sweden about the health-care organization, how it is structured today and how it should be structured in the future. Despite major changes in the county council structures, they still got problems with for instance economy and the providing of staff. As an answer to these problems new solutions are being developed.In this thesis I examine such a solution consisting of cooperation between county councils. The aim of the thesis is to examine how and why the county councils in Sörmland and Västmanland have made a decision regarding cooperation over the administrative border.My contribution is to construct a model over change and decision processes that can be used in other cases as well. The conclusion is partly that the decision to cooperate is built on changing structural factors, such as economy, demography and medical development.

This scientific essay contains an interpretation of injuries caused by weapons and traumas on the bones from the execution site Galgberget in Visby, Gotland. The site was used from about the 13th century to 1845 AD. The purpose is to examine the injuries and describe them, also to investigate what may have generated them. An important question is what bodily position the individuals had at the time of the injury. The methods presented in this essay can be associated with experimental osteology, also the basic methods such as sex- age- and stature- assessment has been applied where?s possible.

Today adult patients' relatives are seen as a resource in psychiatric care but few researchers have examined the lived experience of relatives' participation in psychiatric care. The aim of this study was to illuminate how mental health staff and relatives of adult patients experienced the relatives' participation in psychiatric care on hospital ward.The study was guided by a phenomenological approach and a lifeworld perspective. Data were collected through in-deep interviews with ten adult patients' relatives and three group-interviews with ten mental health carers from two hospitals in Sweden.The essence of the lived experience of relatives' participation in psychiatric care in hospital ward is described in the constituents: invitation to participate in psychiatric care; meet the staffs' care; to participate in own or others terms; bring the common everyday world with you; feel burden; participation a trip in time and space. The findings of the study show that the relation between the staff and the relatives are important for the relatives' participation in psychiatric care. The relatives' participation can alter from no participation to a meaningsful participation, from suffering to well-being.This study can help medical staff to understand relatives and their participation in a new way..

AbstractThe purpose of this study was to describe the post-operative care during the three first days for patients who have undergone colorectal surgery according to ERAS care programs with a focus on the variables nutrition, elimination, activity, type of analgesia and the number of hospital days documented in the patient record and patient log books. ERAS means "Early Recovery After Surgery" and the purpose of the health care program is to accelerate recovery after colorectal surgery. The study had a descriptive design and a quantitative approach, in which 51 patient records were included. Log books and patient records were reviewed postoperatively. According to the log books estimated most of the patients, who had documented, that they ate and drank very good or good.

Background: An effective management of the healthcare's organization on one disaster site is considered as a condition in order to decrease damages and suffering at them as been hit of an accident. In KAMEDO-reports is described true accidents, how among other thing organizational parts been implemented and evaluations of which importance different decisions had. Aim: The aim of the study was to examine KAMEDO-reports concerning prehospital medical management on disaster sites. Method: Eight KAMEDO-reports was examined with focus on organization and management. Results: Four areas in which all could be influenced by the healthcare personnel in leading position was described: Management and Co-operation, Load and Go - Stay and Play, Priority and Triage.

The purpose of this study has been to investigate how the temperance movement IOGT in Karlstadcampaigned for people to vote for a referendum on alcohol in 1922 and how it has been tackled bythe local press. To answer the purpose a qualitative text interpretation has been used from IOGT'smeetings protocols and the local press used are the two largest newspapers in Karlstad during thisperiod of time, Karlstads-Tidningen and Nya Wermlands-Tidningen. The type of examinationperformed is called interpretive case study where it has been used a theoretical basis. Thetheoretical point is Habermas Bourgeois publicity also been used by Lars Båtefalk in his thesisStaten, samhället och superiet. Can the temperance movement be said to take part of the publicsphere?The results show that IOGT during this period have grown large enough to be a part of the publicwhich Båtefalk mean was not the case around 1900.

I uppsatsen undersöks kulturellt och annat symbolisk kapital hos läkarstudenter vid Karolinska Institutet. Det teoretiska ramverket utgörs av Pierre Bourdieu. I studien jämförs läkarstudenternas investeringar i utbildning, mediavanor och andra kulturella aktiviter med fyra andra elitinriktade utbildningsprogram i Stockholmsområdet. Studien har en kvantitativ del med data insamlat genom en postal enkät till högskolestudenter och en kvalitativ del med personliga intervjuer med läkarstudenter på termin fyra på Karolinska Institutet. Studien visar att läkarstudenterna har mycket gemensamt med studenter vid de andra utbildningarna men att det särkskiljer sig i vissa avseenden.

Documentation in electronic journals is perceived as time consuming and sometimes technically difficult to handle, but also leads to an improved quality of care. Objective: The purpose of this study was to investigate nurses' perceptions of documentation with a focus on timing, technique and quality of care and whether any differences in these perceptions were dependent on age. Method: Quantitative descriptive cross-sectional study in the survey form, 28 nurses at a university hospital in central Sweden participated in the study. Regression analysis was performed with Spearman's rank correlation coefficient. Results: Electronic documentation takes 30 to 60 minutes for most nurses and half of them considered it a reasonable time.

Klinisk blick är en term som frekvent återkommer under sjuksköterskeutbildningen och i klinisk verksamhet. Den återfinns ofta i samband med klinisk bedömning och somen övergripande beskrivning av en patient. Endast antydda betydelser har framkommit och då tätt knutna till andra termer och processer. Syftet med studien var attundersöka komponenterna intuition och tyst kunskap som delar i sjuksköterskans kliniska blick. Studien genomfördes som en litteraturstudie där 17 vetenskapliga artiklar granskades.

The 22q11.2 deletion syndrome is a common genetic disorder that affects for example the heart, palate, immune system and hearing and therefore affects a child?s development. The purpose of this study was to investigate the proportion of children (0-18 years) with 22q11.2 deletion syndrome who have a hearing loss. A retrospective study of 103 children diagnosed with 22q11.2 deletion syndrome was conducted by Medical records. Of the 103 children, 51 were boys and 52 were girls.

Elderly patients experiences of palliative care ? a rewireThe purpose of this paper was to study elderly patient?s experience of palliative care with present knowledge as starting point. The questions were; what criteria do the elderly, dying person think is most important to fulfill in palliative care? and how satisfied is the elderly, dying person with the palliative care that are giving to him/her? The information were collected by a data based search trough science magazines and technical literature. Four relevant studies were found; Costello (2001), Heyland (2005), Wilson (1999) and Formiga (2004).

Elderly patients experiences of palliative care ? a rewireThe purpose of this paper was to study elderly patient?s experience of palliative care with present knowledge as starting point. The questions were; what criteria do the elderly, dying person think is most important to fulfill in palliative care? and how satisfied is the elderly, dying person with the palliative care that are giving to him/her? The information were collected by a data based search trough science magazines and technical literature. Four relevant studies were found; Costello (2001), Heyland (2005), Wilson (1999) and Formiga (2004).