En patient som ska genomgå en operation kan uppleva känslor som maktlöshet och utsatthet. Patientenkan även känna sig rädd för själva ingreppet och narkosen och vara orolig för hur operationen kan kommaatt påverka livet. Det är enligt kompetensbeskrivningen för legitimerad sjuksköterska och hälso- ochsjukvårdslagen sjuksköterskans ansvar att ge patienten den information hon/han behöver för att kunnautöva självbestämmande och delaktighet i omvårdnaden. Enligt Antonovskys teori om salutogenes ochkänsla av sammanhang kan en människa, trots sjukdom, uppleva hälsa och känna tilltro inför framtiden.Syftet med föreliggande litteraturöversikt var att undersöka om sjuksköterskan genom patientutbildning isamband med operation kan möjliggöra att patienten får tillgång till och kan använda sig av sina egnaresurser och den egna förmågan för att främja hälsa och välbefinnande. För att finna svar på dettastuderades forskningsartiklar inom ämnet och efterhand framträdde övergripande och underliggandeteman.

SAMMANFATTNINGPostoperativ smärta uppstår genom vävnadsskador i samband med operation. Numerisk Rankningsskala (NRS) är ett smärtskattningsinstrument. Postoperativ smärta behandlas oftast med analgetika, ibland ges även någon form av opioid, till exempel Fentanyl. En annan smärtlindringsmetod som används är nervblockader där lokalbedövningsmedel bedövar nerver. Smärtlindringen ska utgå ifrån patientens unika livsvärld.

As a consequence of increasing wind power installations in the Nordic grid the last years, the need for regulating power has become larger. In the Nordic grid, regulating power is mainly provided by hydro power. One part of the regulating power is called frequency control, which ensures that the grid frequency is stable and close to 50 Hz.However, setting the turbine into frequency controlled operation may cause stress and wear of the components in the mechanical control system. Frequency controlling implies large and frequent servo forces and longer travelling distance of the sliding bearings in the Kaplan turbine.Based on one selected Kaplan turbine, Selsfors G1, measurements and MATLAB calculations have been performed in order to determine forces and movements of the linkage system. With these forces and movements as input, stresses and fatigue have been determined as well as sliding distances, bearing pressures and wear of bearings during a typical lifetime of 40 years.The results indicate that no severe wear exists on the bearings during 40 years of service.

Bakgrund: Deep Brain Stimulation (DBS) i nucleus subthalamicus (STN) och i kaudala zona incerta (cZi) har visat positiva effekter på motoriska symtom (rörelseförmåga och balans) vid Parkinsons sjukdom. Efter DBS har dock negativa taleffekter noterats, inklusive nedsatt artikulatorisk precision och stabilitet. Nedsatt artikulatorisk precisionoch stabilitet påverkar klusilproduktionen mest vilket kan resultera i att klusilexplosionen uteblir eller att multipla explosioner uppstår.Mål: Att undersöka artikulatorisk precision och stabilitet vid klusilexplosionen efter DBS i STN respektive cZi.Metod: I studien deltog 19 patienter varav 9 deltagare stimulerats i STN och 10 deltagare i cZi. Talinspelningar gjordes innan operation och ett år efter operation med DBSstimulering på och av. Klusilerna i talmaterialet delades in i tre kategorier, de med en klusilexplosion, de med två eller flera klusilexplosioner samt de utan klusilexplosion.

The purpose of this study is to highlight some aspects of the increased usage of tablets in preschool environments by answering the questions: what does the tablet become in the preschool environment, how much freedom does the children have over its usage.To answer these questions a series of observations were made at two different preschools. The observations were then complemented by interviews with teachers at the same preschools.This qualitative study focuses on some of the didactic questions regarding the tablets, based on a theoretical framework that is within the design-oriented perspective; which addresses the children's? autonomy, the institutional framework and affordance.Our conclusion is that the tablet?s introduction in the preschool has helped the teachers in numerous parts of their documentation, but we can also see that the children's opportunities to make choices regarding the tablet are more limited than with any other resource on the preschool. In our results we also see that when the children get access to the tablet they receive a learning experience, which among other things, strengthens their language skills and their social interaction with each other..

In a suburb of Stockholm, local polititians descide to close down an elemantary school. Because of its shortage of pupils, the polititians claim they can not guarantee the quality of the school and the public requreiments of equal education. The school-employed teachers and parents of the pupils are all unhapy with the descision, but first and foremost dissatisfaied with how the descision was communicated.Using qualitative methods; interviews and content analisys, this thesis aimes to determine how the involved parties, in regards to the termination of the school, view the concepts of freedom of choice, equal education and quality. Interviews have been made with decision-makers, employees of the school, the school leader, one civil servant and parents; all with the goal of understanding how the involved parties view the events leading to the termination of the school and what causes they see. Furthermore, the thesis analyses if and why the involved parties experience the decision as legitimate..

This paper describes a case study of the largest film production ever conducted in Scandinavia. The study aims at explaining the complex relationships in the network structure in which the project took place. Coordination of creative projects carried out in a network context, includes handling conflicting interest and contradictions. Creativity needs space and freedom while projects need structure and coordination, whereby controlling these projects becomes complex. Adding to the complexity, does the loose form of organization that the network structure represents, without any long term structure.

The purpose of this paper was to understand internal communication?s critical tradition by studying the interface of the subjective experience and the objective behavior within a management team. During almost two years this group was observed, several semi-structured interviews were conducted and a specific incident was analyzed. The interview texts where analyzed, using the Meaning Constitution Analysis developed by Roger Sages (2010) at Lund University. The observations were summarized in sociograms showing relationships in the organization.

The purpose of this essay has been to examine the public`s view of the Swedish eldercare during 2006. This study uses discourse analysis as a research method, the reference material has been articles from the newspaper Dagens Nyheter. The aim of the research has been to find central themes, conflicts and consensus in the discourse of eldercare. The analysis resulted in four main subjects which were based on four main questions; the questions of responsibility and execution, the question of contents, and the question of where the eldercare should take place. The analysis of conflicts and relations of consensus in the discourse of eldercare resulted in two different main views; the traditional and a more modern.

Introducing a new type of IT-structure means a change that employees within an organization must adapt to. Today, many companies have implemented information technology in the form of Enterprise Resource Planning (ERP) Systems and find themselves in th so-called Second Wave stage where an after work is ongoing with continual improvement that involves changes that employees need to understand and act upon. To learn how to work with these recurrent misadventures is of importance because it is seen as a critical factor in order to take advantage of the ERP system and its benefits. To study this a study was conducted through personal interviews at Apoteksgruppen AB which a few years ago introduced a new ERP system. There the authors saw that employees learned in different ways depending on the position, and that the more responsibility this person had the greater freedom this person had to resolve their problems and therefore learned more effectively.

TFT (Thought Field Therapy) och EFT (Emotional Freedom Techniques) är två energipsykologiska metoder som använts vid ångestproblematik. Energipsykologi är ett samlingsnamn för metoder med influenser från bland annat traditionell kinesisk medicin. TFT och EFT har diskuterats som ett komplement till vedertagen behandling vid traumatisering. Föreliggande uppsats syftade till att undersöka området energipsykologi och belysa TFT och EFT för traumabehandling. Datainsamling genomfördes i två steg genom en litteratur- och intervjustudie, som jämfördes med varandra.

Tractors of today come equipped with a CAN-system. A CAN-system sends information from sensors to electronic control units who process the signals. The sensors measure several interesting parameters such as force, pressure and speed for various components of the tractor. This thesis discuss a force sensor which is placed in the pivot of the tractors three point linkage, the sensor measure the horizontal reaction force from the load that the tractor is exposed to. Signals from this sensor can be used to measure the force from any implement that the tractor is exposed to during an operation.

ESAB is a world leader in production of welding consumables and equipment. The company manufactures, among other things, welding electrodes. A roller straightening unit is used in the cutting process to straighten the wire, which the welding electrode consists of, by adjusting some of the rollers during operation. According to ESAB?s standard and the European machinery directives, moving parts of machinery, such as rollers of the roller straightening unit, must be out of the operator?s reach.

Under en operation behöver patienter tillföras vätska. Det finns en pågående diskussion om vilken sorts vätsketillförsel som har fördelar för patienterna. Framförallt diskussionen om glukos ska tillföras eller inte. Förhöjda blodsockervärden under och efter operation har visat sig ha negativa konsekvenser för morbiditet, mortalitet och vårdtid. Det finns inga entydiga riktlinjer kring peroperativ vätsketillförsel.SyfteAtt se hur plasmaglukosvärdet hos patienter som tillfördes eller inte tillfördes glukosinfusion vid planerad kolorektal kirurgi förändrades över tid, per- och postoperativt, och hur detta påverkade diures och illamående de första fyra timmarna postoperativt.

En viktig del av en nations säkerhetspolitiska ambition handlar om att skaffa sig handlingsutrymme. Detta görs genomen orkestrering av nationens olika maktmedel. På militärstrategisk nivå skapar en samordning av politisk målsättning,doktriner och resurser en samlad nettoeffekt, vilken utgör nationens möjliga militära strategi.Efter att det kalla kriget upphört har stora förändringar i den säkerhetspolitiska miljön för bland annat Sverige ägtrum. Sverige har därför förändrat sin säkerhetspolitiska utformning och Försvarsmakten och dess luftstridskrafter harföljt efter. Det svenska flygsystemet skall idag exempelvis kunna användas i av NATO eller EU ledda fredsframtvingandeoperationer.