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.

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.

Examensarbetet studerar möjligheterna att använda en statisk cross hedge för att prissäkra etanol. Situationen som analyseras är hämtad från Lantmännen Agroetanol. Agroetanol är Sveriges största producent av etanol och driver den första anläggning i Sverige där vete omvandlas till etanol. Anläggningen är Sveriges största och byggs för närvarande ut så att kapaciteten kommer under år 2008 kommer att öka med 300 procent. Priset på spannmål har stigit dramatiskt under år 2007 samtidigt som etanolpriset har sjunkit något.

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..

Problem: The corrugated board industry is highly affected by customer uncertainty, various demands and short delivery times. In combination with a complex multi-step production process managers have to be able to identify bottle-necks and gain knowledge and understanding of how different changes in process will affect the production output. <br/><br/>Purpose: The purpose of this master thesis is twofold, (1) to examine applicability of complexity theory through agent-based modelling on a production process (2) to identify improvement areas in order to increase the production output at SKS production site in Eslöv, by modelling and simulating the production process through an agent-based model. <br/><br/>Method: The chosen method of this study is a combination of a case study and a complex system approach. The empirical data was collected through interviews, observation and document studies which were analysed through an agent-based simulation model.

Introduktion: Patientsäkerhet är viktig inom intensivvård och vårdpersonal behöver vara uppmärksamma och medvetna om detta. Klar och tydlig kommunikation samt ett välfungerande teamarbete kan motverka misstag och förbättra kvalitén på vården.Syfte: Syftet var att beskriva hur medicinsk simulering påverkar teamarbete på en intensivvårdsavdelning och därmed patientsäkerheten.Metod: Fokusgruppsintervjuer med semistrukturerade frågor genomfördes, deltagarna hade genomgått simuleringsövningar. Intervjuerna spelades in och transkriberades ordagrant. Deltagarna bestod av 4 sjuksköterskor samt 3 läkare, deltagarna intervjuades i grupper på två och två i varje yrkesgrupp var för sig, en läkare intervjuades enskilt. Analysen bestod av en kvalitativ innehållsanalys.Resultat: Tre temata framkom under analysen, Ökad medvetenhet, Kommunikation i teamet samt Teamet och dess roller tydliggörs.

Stationsetablering innebär bestämning av ett mätinstruments fysiska läge och orienterad riktning. I dagens bygg- och anläggningsbransch används nästan uteslutande fri station för att etablera en stationspunkt för mätningar. På en byggplats är tillgången till referensobjekt ofta begränsad. Instrumentets placering blir därför en kompromiss mellan tillgång till referensobjekt och tillgång till den plats där inmätning respektive utsättning skall ske. Denna kompromiss ger upphov till skiftande geometriska konfigurationer hos referensobjekten, vilka påverkar mätresultatet.Studiens syfte är att undersöka om simuleringar av fria stationsuppställningar i Svensk Byggnadsgeodesis (SBG:s) programvara Geo verifieras av fältmätningar och efterföljande beräkningar av osäkerhetsparametrar orsakade av konfiguration och mätta längder och riktningar.

This thesis has been carried out in New Zealand in collaboration with the University of Waikato. In association with Dr. Mike Duke the purpose of this work is to investigate whether two different software for modeling of photovoltaic systems are useful in the teaching of solar energy.The next ten years grid-connected photovoltaic systems are assumed to increase and therefore also a rising demand for people with engineering knowledge are to be predicted. For engineer students with a focus on solar energy a more practical teaching with design software´s can be a good method to make the students comprehend more when it comes to large scale photovoltaic systems and be more prepared for working life.The software´s used is called Transient System Simulation (TRNSYS) and Photovoltaic Systems (PVSYST) which are both well used throughout the world. To assess the reliability of the software´s, a reference solar power plant at 16.1 kWp installed capacity are used, which consists of photovoltaic modules from four different manufacturers.

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.