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.

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.

Although known and feared for thousands of years, rabies remains a real and present threat to thousands of people, especially in low- and middle income countries. In India, rabies is an endemic disease, causing human deaths every year. The primary mode of transmission is through the bite of an infected dog. Fighting the disease in the dog population through vaccinations remains the most efficient way to eradicate the disease. The knowledge of rabies in India is unsatisfactory, as a lot of people lack awareness about the severity of the disease and the importance of washing the bitten area and seeking medical attention for post exposure prophylaxis when bitten by a dog.

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

Hjärt-kärlsjukdomar är den vanligaste dödsorsaken i Sverige. 41 % av kvinnorna och 39% av männen avled till följd av hjärt-kärlsjukdomar år 2011. Då ambulanspersonalen ofta har begränsad tid på sig att etablera kontakt och skapa sig en helhetsbild över patientens tillstånd, vilket är viktigt för att säkerställa en god behandling, kan kravet på effektivitet bli en stressfaktor. För att minska stressen kan det vara bra att utgå från en strukturerad bedömning av patientens tillstånd och där en god anamnes är ett viktigt redskap. Det finns utarbetade instrument för detta,däribland anamnestagande enligt Advanced Medical Life Support®-konceptet(AMLS).

Dagens elektroniska patientjournalsystem har begränsade möjligheter att på likartat sätt strukturera och lagra patientinformation. Det är en anledning till att det är problem med att utbyta patientjournaldata mellan olika system. Detta försvårar bland annat forskning och tillgänglighet till patientinformation. Brist på tillgänglighet minskar i sin tur möjligheten att ge en god vård oberoende av var patienten befinner sig.Inom projektet openEHR har en idé med så kallade arketyper tagits fram som ett enhetligt sätt att strukturera utbytbar patientjournaldata för att möta framtida krav på patientjournaler och patientjournalsystem. Arketyper är formella modeller av kliniska informationsentiteter, exempelvis blodtryck.

Ämnet för uppsatsen grundar sig i en ökad efterfrågan av att kunna införa teknik och informationsteknik (IT), som är testad och anpassad för en verksamhet redan innan införandet. Vidare finns det ett behov av att, genom nya innovationer, uppnå långsiktiga strategiska mål inom vård och omsorg. Därför har Sveriges innovationsmyndighet Vinnova startat en satsning på testbäddar inom vård och omsorg. En testbädd kan liknas vid en innovations- och testmiljö där samarbete mellan vårdpersonal, företag och forskning kan ske för att ta fram produkter, processer och tjänster som är anpassade till den miljö där dessa sedan ska tillämpas.Denna studie berör hur utveckling och organisering av en innovations- och testmiljö kan gå till och vilka utmaningar som finns. Vidare tar vi upp intressenters roller och behov i utvecklingen samt hur innovation kan stimuleras i en organisation.

Heart failure is a condition where the heart is incapable of providing adequate blood supply to different organs in the body. The underlying causes of heart failure is some kind of disorder in the heart function, and require careful diagnostics. The basic symptoms that arise from heart failure is difficulty in breathing, that aggravate when lying down, and fatigue. The patients? symptoms and impaired quality of life can be in different stages depending on the severity of the heart failure.

On-site sewage systems are common on the countryside of Sweden with approximately one million on-site systems installed. Due to insufficient function, these contribute significantly to the total discharge of phosphorus to rivers and lakes, causing eutrophication. In order to reduce eutrophication and to fulfil one of the environmental quality objectives, the decision was taken by the Swedish Government in 2005 that 60 % of phosphorous in sewage sludge is to be recycled to arable land before 2015. To make recycling a reality, new solutions have to be found. Federation of Swedish Farmers (LRF) takes an active interest in this issue and has initiated this study. One problem is that the food industry is sceptical towards recirculation due to the risks that products from sewage systems may contain pathogens, heavy metals and unwanted chemical compounds, e.g.

In our globalized society massconsumption is widespread. However there is a trend showingthat people are starting to re-use clothes instead of buying newly produced garments. Reasonsfor buying secondhand clothing are many. During the 1950s people strived to look likeeveryone else but in the 1960s this changed. Subcultures grew stronger.

Audiological rehabilitation is a complex process and can involve medical, educational, psychological, social and technical proceedings. The audiologist's part in this process is essential. The purpose of the study was twofold: to describe the audiologist's working process and to explore patient records written by audiologists according to structure, content and comprehensiveness. Method. Out of rules and regulations, code of ethics and literature concerning audiological rehabilitation from the audiologist's point of view, a model for the audiologist's working process was developed.

En vanligt förekommande laminering är polyuretanskum, som används för att ge egenskaper som mjukhet, komfort och flexibilitet till textiler. Ett användningsområde som tillverkaren och leverantören Borgstena Group Sweden AB använder polyuretan till är lastbilars väggpaneler. De vill dock ersätta den polyuretanskumlaminerade dubbeljerseytrikån som används idag med endast en ren trikåkonstruktion för att slippa problem som dellaminering och minskade töjegenskaper. Dessutom så har den kemiska sammansättningen av polyuretan som används i lamineringen visat sig vara belastande för både miljö och människor. I denna rapport klargörs varför polyuretanskum behöver ersättas och vilka möjligheter som finns i dagsläget för att göra detta.

There are about 700 000 dogs in Sweden. Roughly 70 % of the dogs are purebred and registered in the database at the Swedish Kennel Club (SKC). The database includes records of birth date, pedigree, offspring and results from e.g. veterinary examinations related to genetic health programs.Every year approximately 10% of the dogs die; most are euthanized by a veterinarian. Dog mortality data is stored as digital medical records at animal clinics and in insurance databases.Dog owners tend to register their puppy in the SKC, but they rarely report that the dog has passed away.

In the society of information that we live in the knowledge of computers and computer system will have a greater influence than we may think. Discrimination is no longer exclusively a term that indicates lesser understanding of different cultures, the discrimina-tion that is at hand will be between ?the have and the have-nots?.This study is about the strategic methods and considerations that is of importance for planning, organizing and finally implement the work with national computer based patient documentation. The strategic planning has been done over a period of time where different actors all had their share of influence. The cost seems to be endless since it has increased after the actual program, in this case, Cosmic from Cambio Healthcare, entered the scene of healthcare.

Background: Domestic violence is a major social problem both nationally and internationally. Around the world 35% of the women say that they have experienced physical and/or sexual violence. In most cases it is the woman's partner who subjected her to violence. Every year, 12,000 -14,000 women in Sweden seek medical help as a result of injury incurred of domestic violence. The healthcare in Sweden has a responsibility when it comes to detecting, treating and documenting, but also to prevent violence and its consequences.Aim: To examine the extent to which nurses and midwives asking women about domestic violence, barriers for asking the question and making visible steps to increase the ability to ask the question.Method: A literature review, were included articles reviewed and quality determined.