De antibiotika resistenta bakterierna blir allt fler, Methicillin Resistenta Stafylokocker Aureus är en av dem. MRSA återfinns på väldigt många sjukhus världen över och är ett alltmer växande problem. Syftet med litteraturstudien är att belysa effekter av sjuksköterskans compliance avseende prevention och preventiva åtgärder vid risk för spridning av MRSA samt de riskmoment som uppstår vid omvårdnadsarbetet i generell sjukvård. Studien har utförts enligt sju steg för att ha ett systematiskt tillvägagångssätt. Sökningarna har gjorts i Pubmed och Cinahl, kvantitativa studier har inkluderats i litteratursökningen.

Background: From a public health perspective it is of great interest to prevent the risk of noise induced hearing loss, because in addition to hearing loss, tinnitus and sound sensitivity also may lead to other health problems. About 1,4 million people in Sweden live with some form of hearing loss and 25000 of them are children under the age of 16. Studies have shown that hearing loss among adolescents is increasing and it is often associated with sound environments in their leisure time. Lectures in hearing prevention has been conducted in schools for adolescents but have not reached the desired results. Objective: To enquire caregivers? attitude, behaviour and perceived knowledge about sound exposure and its risks.

Syftet med denna litteraturstudie var att beskriva riskfaktorer som kan orsaka uppkomsten av trycksår samt vilka riskbedömningsinstrument som kan användas vid bedömning av patienter i riskzonen att utveckla trycksår. Vidare var syftet att redogöra för prevention vid trycksår. För att kunna besvara dessa frågor användes vetenskapliga artiklar som söktes via Högskolan Dalarnas databaser. Resultatet av sökningen gav 22 artiklar som användes i studien, varav fem artiklar i introduktionen och 17 artiklar i studiens resultat. Av de artiklar som användes i resultatet hade 16 artiklar kvantitativ ansats och en artikel kvalitativ ansats.

Burnt alun shale and lime is the residual product that was formed when alun shale was used as fuel to convert limestone to quick lime. The material contains arsenic, vanadium, molybdenum, cadmium, nickel, lead, and uranium among other elements. The aim of this paper is to examine the uptake of trace elements in vegetables grown on burnt alun shale and lime to determine whether or not the surrounding environment and humans are exposed to these elements by eating plant products. A cultivation trial was carried out where onion, carrot, and lettuce were grown on three mounds of burnt alun shale and lime in the Falköping area in Sweden. The treatments were burnt alun shale and lime mixed with peat, only burnt alun shale and lime, and a reference soil. The reference plots were natural soil mixed with peat adjacent to the mounds.

Background: A health damage that has been specifically related to nursing is pressure ulcers. Pressure ulcers are a complication caused by disease, care and treatment and can result in great suffering for the patient. Pressure ulcers can affect people both physically and psychosocially and is experienced, by most patients, as a serious and unnecessary complication of care. Today there are hundreds of identified risk factors for pressure ulcers described that can be divided into patient and care-related risk factors. A successful pressure ulcer prevention and treatment is to reduce or eliminate the underlying causes for the development of pressure ulcers, prevent deterioration and to treat existing ulcers.

Syftet med denna studie var att undersöka samband mellan bukaorta aneurysm hos 65-åriga män och riskfaktorer såsom rökning, BMI>25, kosttillskott, hypertoni, hyperlipidemi, ett stillasittande yrke samt hereditet. Kvantitativ ansats med deskriptiv och korrelativ design användes, 3854 65-åriga män från två årskullar som screenats för AAA ingick och uppgifter hämtades från ett dataregister. Resultat: Antalet personer med bukaorta aneurysm var 2,4 %, 65 % var/hade varit rökare, 67 % hade övervikt, 49 % stillasittande arbete, 41 % hypertoni, 25 % hyperlipidemi, 17 % åt kosttillskott och 4 % hade hereditet. Rökning, hypertoni och hyperlipidemi visade signifikant samband med och ökade risken för att utveckla AAA. Störst riskfaktor var rökning.

SAMMANFATTNINGSjukhusinfektioner förlänger vårdtiden och fördyrar vården samt innebär ett ökat lidande för patienten. Urinvägsinfektion (UVI) är den vanligaste vårdrelaterade infektionen. Behandling med kateter à démeur (KAD) är omfattande inom akutsjukvården. KAD anses vara den främsta orsaken till vårdrelaterad UVI.Syftet med litteraturstudien var att beskriva faktorer i sjuksköterskans arbete som påverkar incidensen för utvecklandet av kateterassocierad UVI.Underlaget för resultatet utgörs av 24 vetenskapliga artiklar som på manuell och systematisk väg söktes i databaser. Analysen av artiklarna resulterade i sju ämnesområden som utgör delarna i resultatet.

The aim for the project was to develop a risk analyse tool for measuring the fire safety level in Cultural Heritage buildings of Visby, Gotland. In 1995 Visby were taken into the Unesco:s World Heritage List with the explanation ?Visby is an outstanding example of a Northern European walled Hanseatic town which has in a unique way preserved its townscape and its extremely valuable buildings? One of the demands for the tool was that it should be easy to use and result into a ranking level in examined buildings. The user of the tool is recommended to be personnel in the fire department. To develop the tool a Multi Attribute Decision Making (MADM) method was used.

Background: Hepatitis E (HEV) is a small, non-enveloped virus that belongs to the viral genus Hepevirus. HEV is a positive sense single-stranded RNA virus and there is insufficient information regarding its replication. This is mainly because the virus has low capacity to grow in normally used cell cultures. Many specific strand assay detection studies have been done in order to understand more about HEV replication. Unfortunately, these assays have the disadvantage of giving false positive results.Aim: The aim of this project was to improve the positive strand assay to increase specificity and eliminate false positivity which is due to high sensitivity of the polymerase chain reaction (PCR).

Field balances based on supply and removal of trace elements from the topsoil have been calculatedfor farms specialized in crop, dairy and pig production in Sweden. Today's field balances have beencompared with the field balances of 1990 in order to examine if, and then how, the situation haschanged. Studied trace elements are arsenic (As), cadmium (Cd), chromium (Cr), copper (Cu),mercury (Hg), manganese (Mn), nickel (Ni), lead (Pb) and zinc (Zn).The balance calculations show that the stores of Cu and Zn are depleted with an average rate of -15% and -6 % over a 100-years period on crop farms when only commercial fertilizers are being used.The concentrations of Hg and Pb tend to increase in the topsoil on crop farms with more than 3 % forHg and with 2 % for Pb in 100 years. There is today balance between supply and removal of the traceelements As, Cd, Cr, Mn and Ni. In the south of Sweden, on crop farms with sugar beets in the croprotation, one can see a decrease in the concentration of Cd in the top soil by -6 % over a period of100 years.

Background: Atopic eczema has increased in the last decade among children. The nurse can have a major role to prevent the disease. Aim: the aim of this study as to describe the nurses´ work in primary care with prevention to families with atopi with focus on atopic eczema among children. Method: A literature review based on analysis of fifteen scientific articles was done. Results: If the child was breastfed both positive and negative effects were evident.

Bronchiolitis is a common performance decreasing disease in horses (Bracher et al, 1991¸Dixon et al, 1995) Its medical treatment includes inhalation therapy with corticosteroids and b2-adrenoceptorer stimulators. Use of both these medicines is prohibited for sport horses and athletes. Because the facemasks used for inhalation therapy are not airtight, there is a risk for leakage of these medicines. We wanted to see if cross exposure of nearby horses can result during normal recommended treatment of a horse, and assess if this could result in doping positive urine sample from the person treating the horse and from horses in the same airspace. We did a pilot study with four healthy horses. The experiment was divided into four parts.

Benskörhet (osteoporos) och frakturer orsakade av osteoporos är ett stort globalt problem. Syftet med det tioåriga projektet ?Vadstena en benhård kommun? var att utvärdera om man med en befolkningsinriktad interventionsstrategi kunde minska osteoporos och osteoporosrelaterade frakturer i en kommun. Ett representativt urval av befolkningen i åldern 20-79 år, 15% av en population på 7800 personer, blev tillfrågade om att delta vid fyra undersökningstillfällen som innebar att fylla i en enkät och att bentäthetsmätas. Vid första tillfället deltog 70%, första uppföljningen 69%, andra uppföljningen 79% och vid den tredje uppföljningen 65%.Syftet med denna MPH-uppsats är att beskriva det praktiska interventionsarbetet utifrån dagboksanteckningar och att presentera befolkningens upplevelser av interventionsarbetet.Vi nådde uppskattningsvis 5000 personer (65%) av befolkningen med direkt information.De personer som fick individuella riskprofiler baserade på angivna svar i frågeformulär och bentäthetsvärden var de som gav mest positiv respons och kan tillskrivas en lyckad individuell intervention.Den grupp som varit med en eller flera gånger tidigare (interventionsgruppen) var de som vid sista undersökningen 1999, hade fått ökad kunskap om osteoporos (P<0,001).

AbstractEvidence based research has shown that organized parent support programmes have a goodeffect in strengthening the role of the parent and preventing problems during growth. Thisin turn has a great significance for Public Health.Komet is one of the evidence based programmes used in Sweden, based on Americanprogrammes and adapted to Swedish conditions.This qualitative study consists of interviews with six children between six and nine yearswith behaviour problems, whose parents have taken part in the Komet programme.With Grounded Theory as research approach the children?s experiences of the programmeand relations within the family have been looked into and analysed.The result of this study suggests that a space for growth of their own is a common need ofthe children, and that this can be achieved by giving them the opportunity to function in afamily environment where they are seen and understood.The Komet programme contributed to this by giving the family tools to strengthen relationswithin the family, create calm and make the children more visible.The self image of the children in this study had improved which gave them more room togrow in a strengthened family situation. This in turn improved conditions for good feelings,and sense of well being, of importance for child development and health..

Mine waste from Ljusnarsbergsfältet in Kopparberg, Sweden, is considered to constitute a great risk for human health and the surrounding environment. Some of the waste rock consists of sulphide minerals. When sulphide minerals come into contact with dissolved oxygen and precipitation, oxidation may occur resulting in acid mine drainage (AMD) and the release of heavy metals. The purpose of this study has been to characterise the waste material and try to chemically stabilize the waste rock with a mixture of sewage sludge and calcium carbonate. The drawback of using organic matter is the risk that dissolved organic matter can act as a complexing agent for heavy metals and in this way increase their mobility.