Syftet med detta arbete är att undersöka hur ett antal läkare ser på problematiken kring läkemedelinteraktioner samt om läkarna anser att ett utvidgat samarbete mellan läkare och farmaceuter kan hjälpa till att minska förekomsten av läkemedelsinteraktioner och hur detta samarbete i så fall skulle se ut. Undersökningen genomfördes genom intervju av ett antal läkare verksamma i södra Sverige.Resultatet visar att de tillfrågade läkarna anser att läkemedelsbehandling kan leda till läkemedelsinteraktioner och att risken för detta ökar i samband med polyfarmaci. För att kunna undvika eventuella läkemedelsinteraktioner använder sig läkarna, förutom av sina kunskaper, av en rad olika hjälpmedel, bland annat datorprogram som varnar för läkemedelsinteraktioner. Läkarna medger att det finns svårigheter också i att upptäcka och särskilja mellan biverkningar och läkemedelsinteraktioner. Förutom behandling med förskrivna läkemedel använder patienterna naturläkemedel, växtbaserade läkemedel eller receptfria läkemedel som kan bidra till uppkomsten av läkemedelsinteraktioner och dessa behandlingar oftast inte är kända av läkarna i samband med förskrivning av en viss medicin.Samarbetet mellan läkare och apotekspersonal anses vara tillräckligt enligt de intervjuade respondenterna.

Drinking water is produced from raw water and is either from groundwater or surface water. This thesis aims to find out if the cleaning process of raw water is sufficiently effective. This is important because consumers are otherwise at risk of waterborne infection caused by pathogens. There are three groups of pathogens; bacteria, virus and parasite. These have different characteristics which mean that they require different water treatment to be separated.

Ämnet för denna uppsats är tillsynen av enskilda hvb-hemför minderåriga. Syftet är att titta närmare på hur denna tillsyn egentligen fungerar i tre valda län ? Örebro, Halland och Skåne. Uppsatsens huvudfråga handlar om hur tillsynen går till, om riktlinjer finns samt om dessa efterföljs. Uppsatsen har en explorativ ansats och informationhar sökts främst genom e-post-kontakt med olika instanser men också via Internet och litteratur.Det har visat sig att tillsynen oftast följer framtagna riktlinjer i någon form, att den sker via föranmälda besök på hvb-hemmen där tillsynsmännen tittar på dokumentation, rutiner,personal samt behandlingsarbetet.

The effect of methyl jasmonate on resistance against the large pine weevil (Hylobius abietis) in Scots pine and Norway spruce seedlings. A field experiment was conducted in order to determine the dose-response effects of methyl jasmonate (MJ) on growth and defence to pine weevils in Scots pine (Pinus sylvestris) and Norway spruce (Picea abies) and to compare the effect of MJ between pine and spruce. In addition a complementary greenhouse experiment was conducted with the same aims as above and to determine the amount of resin ducts and their correlation to the feeding of pine weevils. The field experiment was conducted on a fresh clear cutting in Garpenberg, southern Dalarna in central Sweden. The experiment consisted of 30 blocks with three kinds of containerized seedlings: 2-year old spruce, small pine (before shoot elongation) and 1-year old pine (already shoot elongated). They were all exposed to 4 treatments 14 days prior to the experiment: control, 25 mM/L MJ, 50 mM/L MJ and 100 mM/L MJ. Data on weevil damage and seedling growth were collected after the first and the second growing season. The seedlings in the greenhouse experiment were of the same kind and were exposed to the same treatment as the ones in the field experiment.

Syfte: Syftet med studien var att beskriva vilka faktorer som kan orsaka risk för fel i samband med sjuksköterskans läkemedelshantering samt vad sjuksköterskan kan göra för att förebygga att fel uppstår inom den somatiska slutenvården. Syftet var också att granska artiklarnas kvalité utifrån urval och bortfall.Metod: En beskrivande litteraturstudie som baseras på 13 vetenskapliga artiklar med både kvalitativ och kvantitativ ansats. Litteratursökningen genomfördes i databaserna PubMed, Cinahl och Academic Search Elite. Resultat: Faktorer som orsakade att sjuksköterskan begick fel i läkemedelshanteringen var hög arbetsbelastning, bristande kunskaper inom farmakologi, mindre erfarenhet av sjuksköterskeyrket och avbrott i arbetet. Förebyggande åtgärder för att minimera risken att ett fel uppstod i samband med läkemedelshanteringen var att sjuksköterskan ökade sina kunskaper i farmakologi, bidrog till förbättrad arbetsmiljö och kommunikation med annan vårdpersonal samt var nogrannare vid kontroller.Slutsats: Flera förekommande faktorer som orsakade fel i samband med sjuksköterskans läkemedelshantering som hög arbetsbelastning och bristande kunskaper inom farmakologi borde inte vara svåra att förebygga.

  ?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.

Background: In scientific literature there are various treatment programs for people with alcohol dependence described, however, are psychosocial factors that promote recovery process described to a limited extent.Purpose: To describe the psychosocial factors that promotes recovery from alcohol dependence.Method: Literature study of ten scientific articles, published between 1999-2011 with both qualitative and quantitative design.Results: According to the literature, the recovery process can be considered to begin when a person with alcohol dependence reached his personal rock bottom. The longer the recovery progresses, the greater are the overall level of performance. Social support is described as an important factor to prevent relapse and reduce the need for professional help. Self-belief and support of self-help groups are described as important to maintaining sobriety. Social support and influence from family members was related to increased ability to analyze and assess their situation during the recovery.

Title: The nurse's dilemma in psychiatric inpatient care - a balancing act between good and evil Objective: To describe the nurse's experience of relieving patient suffering caused by coercive measures on a closed psychiatric ward . Frame of reference : The results are discussed in light of Eriksson´s theory of suffering and caring relationships Method: A qualitative analysis based on focus group discussions Results: The analysis resulted in six categories, to protect the patient , to involve the patient , not to lose control , to remain , to justify compulsion , and to be touched . The results showed that nurses had the experience of being able to relieve the suffering of patients caused by coercive measures. It was also found that the nurses had a tendency to justify coercive measures , the more experience they had of performing these . Conclusion: The results describe that nurses have the experience and knowledge of how to relieve patients' suffering caused by coercion but also their experiences of performing these .

Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

Inledning: Syftet med föreliggande studie var att testa interbedömarreliabiliteten för det i Sverige vanligaste triageinstrumentet Rapid Emergency Triage and Treatment System (RETTS). Instrumentet består av 42 kontaktorsaker (ESS) som kombinerat med mätta vitalparametrar, t.ex. blodtryck och puls, ger en triagefärg. För att kunna bedriva evidensbaserad omvårdnad krävs att instrument, skalor och metoder är valida och reliabla. Statens beredning för medicinsk utvärdering anser att RETTS saknar både validitets- och reliabilitetsdata.Metod: Två ESS från instrumentet valdes.

Purpose The purpose of this study is to evaluate the treatment results and adverse drug effects for 14 dogs receiving a new paclitaxel preparat named Paccal vet. The evaluated dogs are chosen to enter a pharmacogenomical study. Therefore, this paper intends to give an introduction to pharmacogenomics. Finally this study also aims at finding the homologue genesequenses in dogs to seven genes that are important for metabolism of paclitaxel in humans. Materials and metods The dogs went through 2-4 cycles of paclitaxel treatment, they received a new water-soluble formula named Paccal vet, at dosages of 100-150mg/m2. Treatment results and adverse effects are listed for each dog in table 1.

Root rot is a big hurter and a huge economic problem for the Swedish and European forestry. The severest hurter is Heterobasidion annosum (Fr.) Bref and it occurs as two different species in Sweden. Commonly referred to as the P-type (Heterobasidion annosum s.s. (Fr.) Bref.) and the S-type (Heterobasidion parviporum Niemelä & Korhonen). Therefore a lot of research has been carried out in this topic to find a solution and reduce this problem, one alternative that have shown to be profitable is stump treatment in thinnings.

Drinking water is produced from raw water and is either from groundwater or surface water. This thesis aims to find out if the cleaning process of raw water is sufficiently effective. This is important because consumers are otherwise at risk of waterborne infection caused by pathogens. There are three groups of pathogens; bacteria, virus and parasite. These have different characteristics which mean that they require different water treatment to be separated.

The purpose of our studyis to investigate how the changed Education Act in Malmoe affects the work of school counselor in elementary school and how it further may affect the work. We were also investigating counselors? views on the politically increasing transparency of student health that comes as a result of the new school organization in Malmoe. To obtain our results, we have chosen to use a qualitative research interview, where we have chosen a semi-structured interview form. We have chosen two theories, Foucault -power and discipline and organizational theory.

Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one. Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.