Patienter med nedsatt kommunikationsförmåga har begränsade möjligheter till att förmedla sin smärtupplevelse. Sjuksköterskan har till uppgift att bedöma patientens smärta vilket kan vara oerhört komplext. Syftet med denna litteraturstudie var att  belysa  bedömning av smärta hos vuxna patienter med nedsatt kommunikationsförmåga. Litteraturstudiens resultat grundades på 15 kvalitativa och kvantitativa vetenskapliga artiklar som kvalitetsgranskades och bearbetades. Analysen av dessa artiklar resulterade i två teman: smärtbedömning av vuxna patienter med nedsatt kommunikationsförmåga och smärtuttryck hos vuxna patienter med nedsatt kommunikationsförmåga.

Using leaching test is a way to get a picture of pollutants retention and leaching in a risk assessment on contaminated land. There are several different types of standardised leaching tests today, where the natural leaching processes are speeded up to make it possible to predict the leaching of pollutants. These leaching tests have been developed for waste and there are no specific guidelines on how to judge the results from the tests, when making a risk assessment on contaminated land. This work is an investigation on how to use leaching test in this type of risk assessments. The strengths and weaknesses of the different types of tests are discussed. Depending on what type of information you want from your leaching test, different types of tests are suitable.

Syfte och frågeställningarSyftet med detta examensarbete var att göra en inledande studie som ger en första uppfattning av nivån på den aeroba energiomsättningen under skyddstjänst ombord på ett fartyg. Frågeställning: Vilken nivå på den aeroba energiomsättningen når försökspersonerna upp till under skyddstjänstövning?MetodTjugotre kadetter som studerar till officerare genomförde förtester i form av submaximalt och maximalt cykeltest samt beep-test för beräkning av maximal syreupptagningsförmåga. Femton av dessa deltog som försökspersoner i en slutövning i skyddstjänst där hjärtfrekvens (Hf) mätningar gjordes och upplevd ansträngning skattades enligt Borgskalan.ResultatSex av försökspersonerna uppnådde högst nivåer på den aeroba energiomsättningen under momentet "skrovskadeskydd", sju under momentet "brand 2" och två under "brand 1". Hf varierade mycket mellan momenten och individerna pga.

This report is the result of a thesis work carried out on the Risifrutti production at the company Procordia Food AB. The thesis is at a master level and is the final work for the author to receive a Master of Science in Innovative production at Mälardalen University. The thesis comprises 30 credits and has lasted for 18 weeks. The thesis is mainly a research on whether it is possible to perform an Environmental Value Stream Map (E-VSM) in a food processing industry and an evaluation if the tools E-VSM and Green Performance Map (GPM) are useful in this type of industry. An extra part to this research is to use the results from the E-VSM and give Procordia Food AB information on improvement potentials in the Risifrutti production. The author has found it difficult to collect some of the quantitative data to the E-VSM, mainly regarding energy, but by using the Value Stream Mapping (VSM) tool and other Lean tools the author was able to identify and quantify several wastes in the Risifrutti production. Recommendations for improvements based on these wastes have been given to the company. In the research part of this report the utility of the Value Stream Map, Environmental Value Stream Map and Green Performance Map in a food processing industry have been analyzed. The author has found that the Value Stream Map has been a useful tool since waste and unevenness in the tact of the production has been identified. The Environmental Value Stream Map and the Green Performance Map are also great tools when a company wants to analyze their environmental impact and then invest in environmental improvements. However, no profound energy analyzes has been done in the Risifrutti production because of the lack of energy meters for steam, electricity and compressed air in the production lines..

Bakgrund: Munnen kan inte ses som separat från resten av kroppen eftersom munhälsan påverkar den generella hälsan. Syfte: Syftet var att belysa betydelsen av användandet av munbedömningsinstrument för vårdpersonalen. Metod: Allmän litteraturstudie. Resultat: Genom en innehållsanalys framkom de två subkategorierna; Ger möjlighet att upptäcka och Tydliggör fortsatt behov av munbedömning. Dessa ledde till kategorin; Munbedömningsinstrumentet ger struktur.

AbstractObjectivePatients with Parkinson?s disease often have symptoms of dysphagia. These swallowingproblems have consequences for quality of life as well for the physical wellbeing of thepatients. AimThe aim of this study was to describe and correlate Swallowing Quality of Life (SWAL-QOL)scores, self-assessment of swallowing function using a visual analogue scale and the resultsfrom a fiber endoscopic evaluation of swallowing function in patients who had been selectedfor Deep Brain Stimulation in caudal zona incerta. A secondary aim was to correlate diseaseduration with results from SWAL-QOL and the fiber endoscopic evaluation of swallowingfunction.MethodTen male Parkinson?s patients (age 45-69 yrs, median 61.5 yrs) who were selected for DeepBrain Stimulation completing the Swallowing Quality of life form, as well as rating theirswallowing function using a visual analogue scale and undergoing a fiber endoscopicevaluation of their swallowing function.    ResultsThe median total SWAL-QOL score was 94% while the mean was 91%.

ABSTRACTBackground: In all cancer therapies occurs more or less side effects, there one of them are mucositis. Symptoms of mucositis include wound and blister in the oral mucosa and affects 50-80% of children undergoing cancer treatment. Today there is no Swedish tested assessment scale for mucositis.Aim: To describe how teenagers with cancer and parents of children younger than 12 years with cancer perceive issues in a mouth-assessment instruments, Children?s International Mucositis Evaluation Scale (ChIMES), that have recently been translated into Swedish.Method/Design: The study was a quantitative descriptive research design. The participants were teenagers with cancer 12- 18 years (N=15), and parents (N=15) of children younger than 12 years.

Effektiviteten av manualiserad Motivational Interviewing prövades i en experimentell design. Gymnasieelever med hög frånvaro (n=89) blockrandomiserades till antingen två sessioner Motivational Interviewing eller någon av de två kontrollgrupperna, som erhöll validerande samtal respektive ingen intervention. Den beroende variabeln utgjordes av förändring i frånvaro som rapporterades av de deltagande skolorna. Utöver detta användes School Refusal Assessment Scale för att undersöka orsaker till frånvaron. University of Rhode Island Change Assessment användes för att mäta motivation enligt Prochaska och DiClementes förändringsmodell.

During the last decades the importance of IT has increased for businesses all over the world. It has transferred from only being used in administrative purposes to become more integrated to the core business. Due to the financial crisis in 2009 and increasing globalization, IT is facing the challenge of lower costs and increased efficiency. This requires IT-departments to embrace new strategies in order to fulfill these new tougher demands.Lean is a business development concept that aims to lower costs through more effective processes by removing all activities that does not create any value from the end customer?s perspective.

According to the Water Framework Directive of the European Union, macrophytes should be used as indicators in the ecological and environmental monitoring of lakes. In the member state Sweden the Environmental Protection Agency has elaborated assessment criteria for determining lake status based on macrophytes. The main focus of this thesis is to evaluate the efficiency of the assessment criteria for macrophytes. In addition the concordance between the ecological status classes of the four quality factors included was analysed.The assessment criteria for macrophytes are based on the total phosphorus preference of the respective species. The focus is thus mainly on the nutrient level of the investigated lakes and the environmental problem monitored is eutrophication.

Background: Sphincter injury is serious complication in connection to vaginal childbirth. Desire to avoid vaginal birth again is seen in women who previously suffered from a sphincter injury.Objective: To identify and evaluate obstetric guidelines in Sweden regarding sphincter injury in relation to childbirthMethod: Content analysis with a combination of a deductive and inductive approach.Results: The most frequently occurring risk factors and prevention with help of perineal protection were described in the guidelines. The physician made diagnosis and repaired the sphincter injury at the theatre.  Complications such as coital pain and anal incontinence were described in the guidelines. Paracetamol and diclofenac was most common analgesic regimen given for pain.

The assessing of student texts is an ordinary and important task for teachers, and the purpose of this study is to investigate, analyze and discuss which aspects of writing that particularly have an effect on the assessment of the student texts. The aspects in focus are: contents, genre, text length, paragraphing, sentence structure and choice of words.The data is drawn from six texts in the national test in Swedish for the 9th grade. Thetexts are analyzed quantitatively and qualitatively regarding contents as well as language.The results show that the qualities of language influence the assessment more than the qualities of contents. Both word variation index and the number of long words increase in relation to raising marks. Uncommon words are also more frequent in texts which receive higher marks.

Andréasson, M, Preoperativa förutsättningar och postoperativ smärta efter hysterektomi. Examensarbete i omvårdnad 15 högskolepoäng, avancerad nivå (105-120 hp). Malmö högskola: Hälsa och samhälle, Utbildningsområde omvårdnad, 2008. Syftet med studien var att undersöka hur 50 patienter bedömer den preoperativa fasen inför en planerad hysterektomi och att beskriva eventuella samband mellan dessa aspekter och upplevd postoperativ smärta. I studien användes ett frågeformulär med strukturerade frågor och ordinalskalor samt VAS verbala smärtskala för att värdera den pre- och postoperativa omvårdnaden. Studien visar att 18 (36 %) patienter hade postoperativt ingen till måttlig smärta och 32 (64 %) patienter hade medelsvår till outhärdlig smärta. Trots detta tyckte 36 (72 %) patienter att den postoperativa smärtlindringen var tillräcklig medan 13 (26 %) tyckte den var otillräcklig.

Background: Pressure ulcers have during a long time ages caused great suffering for the patients. The factors affecting the occurrence of pressure ulcers can be both internal and external, such as immobility and malnutrition. Nurses´ role is to assess risks and thus pay attention to prevent and treat pressure ulcers. The nurse may use various assessment tools to highlight and document patients at risk for developing pressure ulcers. Aim: This study was to describe health professionals´ thoughts and actions about the pressure ulcers.

Ribs from sheep, goat and pig are rarely assessed  to species due to the fact that they are very similar in their morphology and size. The ribs are instead considered unidentifiable although it is possible to see what kind of bone it is. If these ribs would be identified to species not only would species assessment degree of archaeological source material   increase, the relationship between meat-rich and meat poor regions would change.To find out whether there are morphologically measurable differences between sheep, goat and pig ribs, three measurement points on each rib has been defined and measured. At each measurement point two measurements were measured, one medial-lateral measurement and one cranial-caudal measurement. The ratio between the medial- lateral measurement and the cranial-caudal measurement was calculated for each point.