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.

Spontanabort i tidig graviditet hos kvinnor är den vanligaste typen av spontanabort och drabbar 10-35 % av alla gravida kvinnor. Syftet var att beskriva kvinnors upplevelser av omvårdnad i samband med spontanabort i tidig graviditet. Metoden som användes var systematisk litteraturstudie som totalt inkluderade nio studier. Datainsamlingen genomfördes i databaserna Cinahl, PubMed och PsycINFO. Studierna kvalitetsgranskades, och resultatet analyserades utifrån syftet.

ABSTRACTMultiple sclerosis (MS) is the leading cause of adult disability inSweden. Hematopoietic stem cell transplantation (HSCT) can be used as a treatment option for patients with MS where the disease has an aggressive course. The treatment is preceded by high-dose chemotherapy which lowers the patient's immune system. It is therefore of interest to study infectious complications associated with HSCT in this patient.Aim: The purpose of this study was to identify infection problems in this population associated with HSCT, and to study differences in infectious complications between this group and patients diagnosed with lymphoma who have undergone the same treatment.Method: The study was a retrospective descriptive study with quantitative data. A medical record review was conducted.

I detta arbete har den faktiska och simulerade energianvändningen på Spira förskola i Luleå undersökts. Den faktiska specifika normalårskorrigerade energianvändningen fastställdes till 121,4 kWh/kvm år. Vid projektering av förskolan uppskattades den specifika energianvändningen med hjälp av simuleringsprogrammet VIP-Energy till 78,5 kWh/m2 år. Därmed översteg den verkliga användningen den simulerade med 54,6 %.En parameterstudie av indata till simuleringsprogramet har också genomförts med avsikt att fastställa den totala förändringen i energianvändning då indata ändras. Följande parametrar har studerats;?Drifttid hos ventilationssystemet?Horisontvinkel?Inomhustemperatur?Klimatzonen?Kvot mellan till- och frånluft?Luftomsättning för ventilationssystemet?Solreflektion från omgivande mark?Temperaturverkningsgrad?Vindhastighet?Vridning av byggnadenNyckeltal som kan användas för att snabbt uppskatta påverkan på den totala energianvändningen har också sammanställts för majoriteten av de studerade parametrarna.

The thesis presented in this report has been made on behalf of Scania and their basic frame design department with the subject to solve an implementation of a weight sensing system in the chassis. The system is supposed to be implemented in the seat springs, and the reason for this is that all the force will have to go through the weight sensing transducers. With all the force going through the transducers the weight sensing system will not be sensitive for the differences in tolerances from manufacturing. The transducers could be pre-calibrated to avoid a calibration of the whole vehicle after it?s completed from the manufacturing line.Weight sensing systems is today a reality in trucks with air springs.

This case study is made on assignment of Södra, region Öst, as a part of a campaign promoting more active management of the oak forests in the region. Hardwood trees of good quality, especially oak, has a high value due to that the sawn material is highly estimated by the market. It is important that the Swedish oak forests are managed in a proper way in order to meet the future demand. Södra has therefore decided to increase the focus on oak in the Kalmar region and they would like to find out if continues cover forestry (CCF) under certain conditions can be an appropriate management model. The motive is to make use of the existing oak forests more efficient, not just considering well managed forests but also the more neglected oak forests, on poorer soils. Thus, the objective for this study is to examine if CCF is appropriate method in the three stand types; broadleaved mixtures oak forest, oak islet, and oak/spruce forest. Existing management models were surveyed in the literature.

To manage the industry?s need of wood assortments in a optimal and cost effective way the forest companies need to have knowledge of the actual standing volume and the yield of the planned clear cuts. The mean volume of the trunk is also important since it is important for the contractors prices. Today the total volume are estimated either with Näslund (1940) or Brandels (1990) functions of volumes, and the yield is estimated with Rune Ollas (1980) function for trunks and stands. The purpose of this study has been to answer the following questions: How good is the yield forecast with data collected with currently used methods? How well can the yield forecasts became with data collected according to the instructions? How well can the yield forecast be with data collected according to the instruction and calculated with the program Aptan for theoretical bucking? The study has been initiated and financed by SCA Skog AB.The material consisted of a number of randomly selected objects ready for clear cut.

  ?this Unpleasent klientel?A study on refugee care in Växjö between the years 1944 and 1947.The purpose of this study was to examine the treatment of sick refugees in Växjö in the 1940s. To achieve this a combination of quantitative and qualitative methods were used. The material found in the local archive and local newspaper was then put together and analyzed from the theoretical perspective, gender, class, ethnicity and social status.The result of this study shows that there were two main treatment wards for refugees, one that was supposed to treat women and children with active tuberculosis and the other ward treated refuges with ?epidemic diseases.? Foreign citizens were also taken care of in other words that were also not meant for refugees only, like the Epidemic hospital, which treated about 80 patients of a foreign nationality between 1944 and 1946.

ABSTRACT The purpose of this medical record research was to study 30 patients with chronic subdural hematoma on a neurosurgical clinic, mapping documented nutritional status, preoperative fasting and hydration and energy supply before surgery. In addition peroperative administration of fluid and vasoactive drugs, as well as postoperative complications and length of hospital stay were studied. The mean age of the patients was 71 years. Nutritional status was evaluated in 12 patients, out of these seven were judged to be at risk for under nutrition. Fifteen patients had surgery day 1 (total fasting time on average m 11 h), eleven had surgery day 2(29 h), three had surgery day 3 (35 h).

Hypoadrenocorticism (Addison´s disease) results from insufficient production of glucocorticoid and mineralcorticoid hormones from the adrenal glands. The disease is often difficult to diagnose in an early stage because of the multitude of associated vague clinical signs. The standard poodle is one breed presupposed to be at higher risk of developing the disease. The purpose of this study was to give a review of canine hypoadrenocorticism as described in literature, and to characterise Addison´s disease in a population of standard poodles in Sweden. Statistics on incidenceproportions by breed for hypoadrenocorticism from the database of the Swedish insurance company Agria are presented.

In today?s society, employees are the businesses face toward the public. By establishing dress codes, companies can control the customers? impression. The purpose of this thesis is to investigate and analyze the existing regulations regarding dress codes in companies.

I denna studie ställs frågan om den psykiatriska diagnosens sociala praktik för människor som inte har den psykiatriskt diagnostiserande specialvetenskapens utbildning genom att utforska ett perspektiv som inte uppmärksammats av forskningsfältet: vårdpersonalsperspektivet. Frågeställningen är hur människor som lekmän använder psykiatriska diagnoser och vilka faktorer som påverkar hur psykiatriska diagnoser upplevs som meningsfulla. Uppsatsens teoretiska utgångspunkt är hämtad från Ian Hackings analys av psykiatrisk diagnostik som en interaktiv kategori tillsammans med en analys av Martin Heideggers syn på det mänskliga ?varat? som ett socio-ontologiskt koncept. Härigenom framträder en bild av hur psykiatriska diagnoser är problemformuleringar sprungna ur självreflektion.

Background: Prostate cancer is the fourth most common cancer disease in the world and affects mainly older men. While having prostate cancer the treatment can be both medical and surgical and both these treatments can give side effects like erectile dysfunction, lost libido and hot flushes. Sexuality among elderly is often associated with taboo, but sexuality exists among elderly and is important for their wellbeing and quality of life. It is common that nurses don?t address and discuss questions concerning sexuality with patients, even though they know that sexuality often is affected while having a disease or experiencing illness.

The present study discusses the metabolism of ethanol in the human body from the ingestion of ethanol to the excretion of its break down products water and carbon dioxide. Ethanol is a small molecule, soluble in water as well as in organic solutions. It is quickly distributed to every section in the body, where it exerts a direct toxic effect on the cells. Ethanol cannot directly leave the body efficiently so it needs other metabolic pathways. The molecule is metabolized by oxidation, predominately in the liver.