Inledning: Patienter som varit svårt sjuka och vårdats på intensivvårdsavdelning, upplever ofta oro och ångest, när de ska överflyttas till vårdavdelning. Dessa patienter har stort vårdbehov, eftersom flertalet inte återhämtat sig, från sitt svåra sjukdoms tillstånd. Patienterna är fortfarande mycket trötta, har nedsatt muskelkraft och svårt att klara sig själva. Målet med studien är, att med kunskap om hur patienter upplever överflyttningen, försöka finna former för hur vi ska kunna underlätta denna för patienten. Syftet med studien är att beskriva patienters upplevelser i samband med överflyttning från intensivvårdsavdelningen till vårdavdelningen.

The residential yard at Kvarteret Landsfiskalen 1, in the area Herrgården in Rosengård, Malmö was built in 1971 and has since then been reconstructed twice, in 1984 and 2008. The yard is found in an area which was built during the years 1965 ? 1974, a period in which the swedish goverment approved a decision to build one million homes, and much of the events in this particular yard is also typical for the process in many other areas built during the same period.At the original construction the design of the yard was entirely incused by the pressure in time and finance, one was under at that time, in order to over- come the housing shortage. The design it has nevertheless been given, reflects the esthetic ideals of that time well.The building of the area was barely finished when the swedish authori- ties started handing out grants in order to support the rearmament of the outdoor environment in the areas built during the so called ?million program?.

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.

Syfte. Undersöka användningen av kängurumetoden hos extremt för tidigt födda barn.Bakgrund. Kängurumetoden (KM) är en evidensbaserad metod som innebär att barnet bärs hud mot hud på förälderns bröst i upprätt ställning. Metoden har många fördelar för det för tidigt födda barnet och har visat sig vara effektiv för att skapa starka band föräldrar och barn emellan. Forskning visar att det är en säker vårdmetod även för extremt för tidigt födda barn.

AbstractAim of the study: Aim of the study was to investigate whether there were any connections in time between different parts of care in patients with cardiac arrest and hypothermia treatment and cognitive and physical function six months after cardiac arrest and to investigate neurological outcome related to primary registered cardiac arrest rhythm after six months and if there were any changes in cognitive and physical functions as well as self-related health between discharge from hospital and six months after cardiac arrest.Method: The study included 39 patients admitted to three Swedish hospitals between 2008-2011. Cognitive and physical function was evaluated with Cerebral Performance Cathegory, CPC completed with Mini Mental State Examination, MMSE for cognitive function and Bartels Index, BI for physical function and Euroqol-VAS for evaluating the self-related health.Result:  A significant connection was shown between time to start hypothermia treatment and BI, patients with longer time showed improved physical function after six months.Majority of the participants (66,7 %) had Ventricular fibrillation/Ventricular tachycardia, VF /VT, as primary registered cardiac arrest rhythm and in this group CPC and BI was significant better compared with the asystole /Pulsless Electrical Aktivity, PEA group.CPC, MMSE, BI and Euroqol-VAS were all improved over time.Conclusion: Participants with VF /VT as primary registered cardias arrest rhythm had significant better cognitive and physical function 6 months after hypothermia-treated cardiac arrest compared with participants with asystole/PEA as primary registered rhythm. This shows the importance of access to defibrillators in public places in the society and in hospitals and optimal education of lay people and medical staff. Cognitive and physical function and self-rated health improves over time, which might be a very important reason to convey patients, relatives and medical staff to continue cognitive and physical rehabilitation. Keywords: Cardiac arrest, hypothermia, cognitive and physical function, wellbeeing.

Syftet med denna systematiska litteraturstudie var att undersöka hur patienter upplever sitt venösa bensår och dess omvårdnadsåtgärder. Litteraturstudien grundades på metod av Forsberg & Wengström (2003). Tio vetenskapliga kvalitativa artiklar inkluderades i litteraturstudien. Resultatet visade på att patienters upplevelser av venösa bensår hade en negativ inverkan på livet. Hos patienterna fanns en ständig oro och rädsla för eventuella komplikationer, yttre våld mot såret samt känslor av hopplöshet gällande sårläkningen.

Venous leg ulcers are a chronic disease mostly among elderly individuals. The leg ulcers are often painful and interfere with the individual?s daily life. The aim of this literature review was to describe individuals? experiences of living with venous leg ulcers.

Patients with COPD (chronically obstuctive pulmonary disease) often experience acute episodes of the disease. On these occasions it is usual that the ambulance nurse is the patients first contact in the care. The purpose of this study is to describe patients' experiences in acute condition of the disease COPD and the Pre-hospital nursing. The method was systematic literature review with content analysis. The results show four prominent themes on the basis of patients' experiences.

Till studenter och färdiga sjuksköterskor har det lärts ut att empati och medkänsla är ett av de viktigaste verktygen i mötet med våra patienter och deras lidande. Trots detta diskuteras det väldigt sällan hur denna egenskap också gör sjuksköterskor sårbara i sitt yrke. Att traumatiska händelser och patienters lidande även kan orsaka lidande hos sjuksköterskan är nästan tabu. Det verkar förväntas av en sjuksköterska att hantera traumatiska upplevelser snabbt och utan vidare reflektioner eller diskussioner. Att lida när andra lider eller varit med om något hemskt kan kanske ses som egoistiskt. Syftet med denna litteraturstudie var att ta reda på hur sjuksköterskans mellanmänskliga relationer påverkas av den stress som arbete med trauman och traumatiserade patienter innebär.

Syftet med denna litteraturstudie var att belysa hur livet förändras hos patienter som fått genomgå en stomioperation. Metoden som användes var en litteraturstudie och inkluderade både kvalitativa och kvantitativa artiklar. Tio studier inkluderades och resultatet presenterades under de tre huvudrubrikerna sexualitet, psykologiskt samt socialt. Resultatet visade att patienter med stomi har stort behov av information och stöd från närstående. Den egna kroppsbilden påverkas mycket visade många studier.

Sjuksköterskornas arbetsvardag bestod av att ofta möta lidande och död hos sina patienter. De behövde i sitt arbete strategier för att hantera sina psykiska och känslomässiga reaktioner. Syftet med arbetet var att undersöka sjuksköterskans reaktioner och bearbetningsmetoder av traumatiska händelser uppkomna i arbetet. Metoden var litteraturstudie. Artiklarna analyserades enligt Evidence Based Nursing (EBN) gjord av Flemming (1998).

In this thesis we propose a conceptual plan for thedevelopment of an Agroforestry Training Centre (ATC)in Musoma, Tanzania. The aim is to make a proposalto support peasant education in agroforestry. How canan ATC in Musoma be developed into a stimulatingand educational park suitable for teaching agroforestrymethods to peasant farmers and other potential users?To answer that a field study was conducted to investigatehow our client Vi Agroforestry Programme (Vi) and thetarget groups of the client can benefit from the site.The thesis begins with a short explanation of thecontext, in which the ATC plays a part followed by amethodology chapter. Next are three chapters presentedwhich introduce the reader to the research conductedbefore starting the proposal, these include: results ofliterature studies, study of precedents, and results of fieldstudy.

This paper treats the question about how the internationally established company, Apple, is affected by intern or extern events when it comes to the trade market. The purpose of the study is to investigate if chosen events create abnormal return on Apples stock market. The chosen research area is Steve Jobs three sick-listings, It-bubble and the purchase of the search engine company Siri. The reason of writing about this is the big interest for the stock market and its function.This study methodological starting position is quantitative done by an event study, with qualitative feature done by an interview with an expertise within this area. When analyzing the empirics, we have used the efficient market theory that says that information should not affect the stock market in the degree that abnormal return creates.

Storm water is rain and melted snow that runs off, primarily from impervious surfaces.Future storm water management is facing the challenges of increased precipitation, asclimate changes, and increased areas of impervious surfaces due to the expansion anddensification of the cities. Impervious surfaces reduce the potential for water to infiltratein the ground leading to increased surface runoff and higher peak discharge.The runoff coefficient is closely related to the percentage of impervious surfaces andrepresents the maximum percentage of a catchment that can contribute to runoff. In thisstudy, the objective was to evaluate the weighted runoff coefficient for three differenturban types; apartment buildings, townhouses and residential areas and a comparisonbetween today and the 1970`s was made.The runoff coefficient was determined by manual mapping of the different surface typesin each area based on data in the form of orthophotos and aerial photographs. The surfacetypes that were mapped were asphalt, permeable areas, tiles, sand/gravel and roof.Tiles and sand/gravel were the most difficult surface types to map. In order to see towhat extent these categories influenced the weighted runoff coefficient a sensitivityanalysis was carried out and the runoff coefficient based on surface type was changed indifferent scenarios.The results of the sensitivity analysis showed that the surface types tiles and sand/gravelhad little impact on the weighted runoff coefficient which in mainly due to the fact thatthe percentage of these surfaces types of the total area is small.The result of the study showed that the largest change in the runoff coefficient occurredin residential areas where the increase in the percentage of impervious surfaces causedby new roofs in the form of porches and garages and from paved or tiled driveways.

Background: A patient undergoing surgery will meet many caregivers in different settings pre-, intra- and postoperative in the surgical pathway. Lack of communication is a common digression and the handoff is such an occasion. The purpose is to describe current knowledge about the patients´ right to safe care perioperative. The study is a systematic review (pilot). Result: The handoff was informal, unstructured and inconsistent.