Syftet med litteraturstudien var att belysa strokepatienters upplevelser av måltissituationen samt beskriva de vanligaste ätsvårigheterna som strokepatienter kan ha samt att undersöka hur vårdpersonal kan hjälpa vid ätsvårigheter. Studien genomfördes som en litteraturstudie som baserades på 12 vetenskapliga artiklar. Artiklarna söktes via hörskolan dalarnas sökmotorer/databaser och sökorden som kombinerades var dysphagia, eating situation, nursing, nutrition och stroke. Artiklarna granskades enlig modifierade granskningsmallar. Resultatet visar på att strokedrabbade kunde uppleva sina svårigheter vid måltiden som pinsamma.

Som omva?rdnadsansvarig sjuksko?terska a?r uppgiften att tillgodose patientens olika omva?rdnadsbehov. Nutrition tillho?r ett av de mest basala omva?rdnadsbehoven vilket dessutom har en betydande roll fo?r det postoperativa fo?rloppet. Underna?ring a?r vanligt fo?rekommande bland patienter med cancer varfo?r det a?r viktigt att faststa?lla nutritionsstatus preoperativt och sa?tta in nutritionssto?d vid behov.

The title of this thesis is ?Accessible Landscape - boardwalks in nature areas?. The main purpose of this thesis is to show how you can increase the accessibility for disabled people by constructing boardwalks in nature areas. The platform for the thesis is a study of litterature on boardwalks, accessibility and disabilities. After defining these terms I made three excursions to three different locations in the south of Sweden. During the excursions I evaluated the boardwalks situated in each of the areas through preferences such as the construction of the boardwalk, its design and the accessibility. After the excursions I interviewed managers of the areas I visited, and people working with disability questions in the municipalities where the excursions took place. To know how to make a boardwalk accessible you need to have knowledge about certain concepts, rules and recommendations. My thesis deals with aspects such as: *Accessibility *Disability *Rules and recommendations when building boardwalks *Real life - evaluation from the excursions and interviews with the managers The result shows that accessibility is a hot topic in Sweden and a lot of improvement is being done with fi nancial support from the European Union.

Bakgrund: Verksamhetschefer, sjuksköterskor, utvecklingsledare och kostombud har påbörjat ett förbättringsarbete gällande kosten på ett särskilt boende för äldre i en mellansvensk kommun. Syftet: Att beskriva omvårdnadspersonalens uppfattning om förbättringar, försämringar samt inflytande gällande måltidsmiljön, efter att riktlinjer kring kosthållningen införts. Metod: Studien genomfördes med en kvalitativ ansats och en beskrivande design. Tjugofem omvårdnadspersonal intervjuades om sina uppfattningar. Resultat: Det framkom i studien att omvårdnadspersonalen till största del uppfattade att förbättringar skett kring kosthållningen efter införandet av de nya riktlinjerna.

Fungi are everywhere around us and recently, there has been an increased interest in their role and importance in the forest. The fungi have several strategies to acquire energy and nutrition; one example is a mutual symbiosis with trees and plants - another being dissolving organic materials. Attempts have been made to better understand the circulation of nutrition in coniferous forests, and how fungi cooperate. Trees and plants have adapted with mycorrhizae and are now interdependent which is important to consider in forestry. A great number of fungi depend on dead wood and old trees to set fruiting bodies and spread further. These fungi also create environments for other species, such as birds and insects. The vegetation of a forest is determined by a series of factors; tree species, how old the forest is, soil type, as well as the ability of the fungal spores to spread and establish. Furthermore, in determining vegetation, the fungi?s ability to compete in the soil matters. These factors are nearly unexplored. Researching fungi knowledge and interest, a survey was distributed to five groups of people. The groups included forest owners, high school teachers, high school students, senior citizens, and a fifth group - ?o he ? - consisting of people of mixed ages and backgrounds.

Inledning. Målet på en av ortopedklinikerna i Västra Götalandsregionen är en vårdtid på högst sju dagar för de patienter som genomgår planerad instrumenterad steloperation i ländryggen på grund av spinal stenos. Bakgrund. Faktorer som påverkar patienten är bland annat hemoglobinvärde före och efter kirurgi och nutritionsstatus. Kontinuitet gällande antal sjuksköterskor involverade i vården av den enskilde patienten har visats ha betydelse för vårdkvaliteten.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionTitle: Can nutritional support contribute to the healing of pressure ulcers in elderly patients?Author: Anton Kinnander, Sandra SmidelikSupervisor: Elisabet RothenbergExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 12-04-11Background The number of elderly patients with co-morbidity is increasing in the western world. It is therefore reasonable to predict increasing incidence and prevalence of pressure ulcers. One study, published 2009, found that as many as 59 % of geriatric patients within the Swedish health care system had developed pressure ulcers. Symptoms vary from mild erythema to severe deep tissue damage and development of pressure varies from hours to weeks.

Background: Companies often invest in foreign subsidiaries and that gives rise to translation exposure. Translation exposure arises with the consolidation of the foreign subsidiary and depends on the rate of exchange that are used for translation of the foreign subsidiary. In time several different methods of translation and recommendations has been developed. Companies listed on OM Stockholmsbörsen shall follow RR8. According to RR8 a classification of foreign subsidiaries as indipendent or integral to the parent company determines which method of translation that should be used.

This thesis is written on behalf of Skanska, Väg- och Anläggning Stockholm Mälardalen, vid Nya Karolinska Sjukhuset i Solna, NKS. The report has resulted in recommendations for the method of soil stabilizations of soil nailing, excavation of slope and fiber reinforced shotcrete, which is the most suitable method from a safety and a cost point at the NKS.The aim of this thesis was to investigate whether fiber reinforced shotcrete increases slope stability, with the focus being on the total stability. The main goal was to investigate which method of soil stabilization is the most suitable for the slopes that are analyzed in this report. Through studying literature, the authors have gained an understanding about the theoretical background for the given problem. Through calculations and analyses of the slopes, safety factors have been acquired.

This master?s degree thesis stems from the new possibilities that digitization offers preserving and increased public accessibility of our cultural heritage, but also how a lack of co-ordination and standardization may result in short-term projects and lack of quality. The purpose of this thesis is to examine a selection of public libraries? digitization projects. The two questions posed are:How does a selection of public libraries conduct their digitization projects concerning a) goals and objectives, b) execution c) what resources they encompass?How well does their work agree with the recommendations that exists for goals, objectives and execution?To answer the questions interviews were conducted with persons in various ways involved with the digitization projects.

To be able to maintain an adequate ITservice for various users and needs,more municipalities are looking at thepossibility for mergers of local ITdepartments. One solution for mergingmultiple services/functions and creatingsynergy opportunities is called SharedService Center (SSC). The concept of SSCis that the administrative serviceitself becomes a core activity withinthe organization. The aim of this thesisis to provide municipalities who areconsidering a merging of their local ITdepartments with recommendations on howto design the Shared IT Service Center.Recommendations are outlined based on ananalysis of IT-management literature,reports and by conducting a study onthree ongoing collaborations.The conclusions drawn from the studysuggest guidelines for the design of aShared IT Service Center formunicipalities. These are as following:Create a vision associated with aspecific and structured target state.Identify needs for different targetgroups in municipalities and set acommon standard.Create a clear and practical model/SLAappearance of the cooperation andagreement.Ensure the individual municipalitiescommissioning skills in order to notlose it in the context of a common IToperation.Find an organization that is democraticfor member municipalities andfacilitates long-term partnership.Specify the operation and maintenance sothat it can be regulated and controlledEstablish a common help desk.Establish a common standard andconsolidated infrastructure before theintroduction of a common technology platform..

BVC-sjuksköterskan möter många föräldrar som har frågor om kostintroduktion till spädbarn, en av BVC- sjuksköterskans uppgifter är att undervisa föräldrar i kostfrågor. Studier har visat att föräldrar upplever att de får olika råd från BVC-sjuksköterskor, vilket kan göra föräldrarna osäkra på vilka råd de ska följa. Syftet med pilotstudien var att beskriva BVC-sjuksköterskans erfarenheter av att ge kostråd till föräldrar vid introduktion av fast föda till spädbarn. Fyra intervjuer genomfördes med BVC-sjuksköterskor inom barnhälsovården i Region Halland. Kvalitativ innehållsanalys användes som analysmetod.

This report aims to suggest recommendations that will increase the efficien¬cy in theconstruction process of a construction project. Through interviews, studies of budgetcalculations and examples given by the project management at the construction sightsan understanding of some complications have been gained. These complications havebeen tracked back in an attempt to find the source of the problem, and at the end ofthe report some suggestions have been presented with the pur-pose of preventingthese complications. Through the interviews it is suggested that many complications re-late to lack ofcommunication and motivation due to poor planning be-fore and during theconstruction process, a suggestion that is supported by the study of the budgetcalculations. The examples from the project management also points out someshortages in planning, but also coordi-nation related complications due to lack ofcommunication. To prevent these problems the recommendations suggested at the end of thisreport aims to improve the planning process through a properly fulfilledwalkthrough-planning of all of the construction activi¬ties during the time needed todo so. It is also suggested that the company uses experience from previous projects inorder to reduce costs, and that the qualifications of the employees is being appliedwhere it is needed.

Background: Insufficient nutritional support is associated with prolonged hospitalisation, impaired wound healing and impaired survival for patients in intensive care. In severe sepsis and septic chock, calculation of nutritional need is complicated since the metabolism is affected by decease. Aim: The aim of the study was to investigate nutritional support and to examine the quality of nursing documentation of nutritional status and nutritional support in patient records in severe sepsis and septic chock.  Method: The study was conducted as a retrospective investigation where 64 patient records were studied. The quality of documentation was examined in 10 patient records using an examinational model.Findings: Calculation of average nutritional support showed insufficient supply particularly in the two first days of intensive care. During the next five days nutritional supply was higher but individual variation was seen, why a clear picture of nutritional support is hard to detect.

Bakgrund: Varje år ställs sjuksköterskor inför diverse problemställningar gällande palliativ vård i livets slutskede. Nutritionsbehandling är en av de åtgärder som kan sättas in för att lindra situationen för både patient och anhöriga. Då det är flera parter så som patient, anhöriga, läkare och sjuksköterska inblandade är det av stort vikt att alla förstår och är informerade om situationen för att den svårt sjuke ska få bästa möjliga vård. Syfte: Syftet med litteraturstudien är att beskriva sjuksköterskors upplevelser av nutritionsproblem hos patienter i livets slutskede. Metod: En litteraturstudie genomfördes där 10 kvalitativa och kvantitativa artiklar granskades och analyserades enligt Friberg (2012).