En otillräcklig smärtbehandling ger patienter en försämrad livskvalitet och orsakar ett lidande som innefattar såväl ångest som oro. Många cancerpatienter anser att de inte får någon smärtbehandling och de upplever dessutom bristfälliga kunskaper i bemötandet av dem som ansvarar för deras behandling. Syftet med studien är att belysa på vilket sätt sjuksköterskan kan stödja patienter med cancerrelaterad smärta, för att möjliggöra adekvat smärtbehandling. Studien var en litteraturstudie och bygger på en integrerad analys av 13 artiklar. Resultatet presenteras utifrån olika kategorier.

Objective: The objective was to examine the incidence of constipation, and the preventive measures taken in relation with postoperative pain treatment with opioids at two orthopaedic surgery wards.Methods: The participants were patients that had undergone surgery in the back, hip or thigh. They were selected through systematic selection and a total of 46 electronic health records were examined. The factors investigated and tested for correlation with constipation were the usage of laxatives, daily fluid-intake and early mobilisation.Results: Totally, 26.1 % of the patients became constipated, and laxatives were prescribed to 65.2 % of the patients. Doctors prescribed 53.3 % of the laxatives, nurses 33.3 % and for the remaining 13.3 % it was uncertain who had written the prescription. Usage of laxatives seemed to cause constipation (p=0,025), whereas there was no correlation between constipation and early mobilization.

Prolifererande verrukös leukoplaki, PVL, är en ovanlig sjukdom som yttrar sig genom multipla, vita förändringar i munslemhinnan som recidiverar och med tiden riskerar att utvecklas till cancer. Diagnosen kan endast ställas kliniskt när sjukdomsförloppet pågått under lång tid och det finns heller inga effektiva behandlingsmetoder. Etiologin till sjukdomen är okänd, men idag vet man att det finns ett samband mellan cancerutveckling och vissa virustyper. Syftet med studien är att undersöka om det går att påvisa humant papillom virus, HPV, i vävnadsprover från patienter som kan misstänkas ha PVL. Urvalet bestod av 11 patientfall, där vävnadsprover från biobanken vid avdelningen för oral patologi, Malmö högskola, samlats in och studerats med kromogen in situ hybridisering. Resultaten visade en högre förekomst av HPV i biopsier tagna i det senare skedet av sjukdomen jämfört med tidigare biopsier.

Our aim is to analyse and discuss Swedish sport federations´ view about talent. We are analysing material, mainly in digital form, with focus on the identification of talents, development of talents and talents in a wider perspective. The first one is about when and how federations identify talents. The second one is about how they work with development of talents, for example, what is the most significant aspect to develop young people to become successful athletes. The third one is about organizations questions, how they work to create an environment that enables Swedish athletes to become great in sports.

This degree project aims to evaluate alternative methods to the unanaesthetized castration of piglets. Castration of piglets is performed to prevent the development of boar taint. Boar taint can cause great financial losses for the pig manufacturer. Unanaesthetized castration of piglets is not regarded to be satisfactory from an animal welfare perspective and the procedure will for that reason be outlawed in the near future.Several alternative methods are used in countries all over the world with promising result. The purpose of this study is to evaluate if this methods could be applied in Swedish pig production.A literature study has been combined with interviews; field studies, questionnaires and a small study on male pig production.To be applicable to and applied in Swedish pig production the alternative method must be financially accepted by the manufacturers but also accepted from an animal welfare perspective.Castration is the only way to guarantee a meat free of boar taint.

 We have chosen to write our thesis within a transport company. The work was carried out at DHL activities in Uppsala. DHL is one of the leading transport companies worldwide. Our interest lies in more efficient and advanced transportation and terminals, as globalization and new trends require effective solutions.The aim of our work is to explain the need for information technology applications in road haulage and associated terminal operations. Furthermore, we analyses terminal and applied information technology.

 We have chosen to write our thesis within a transport company. The work was carried out at DHL activities in Uppsala. DHL is one of the leading transport companies worldwide. Our interest lies in more efficient and advanced transportation and terminals, as globalization and new trends require effective solutions.The aim of our work is to explain the need for information technology applications in road haulage and associated terminal operations. Furthermore, we analyses terminal and applied information technology.

Syftet med denna litteraturstudie var att lyfta fram hur vardagen upplevs, och vad som påverkar den, av patienter med svårläkande venöst bensår. Elva vetenskapliga artiklar granskades och kvalitetsbedömdes enligt givna kriterier. Därefter inleddes den strukturella analysen där tre huvudteman framträdde. Carnevalis balansmodell användes som teoretisk referensram. De tre teman som återfanns var: relationen mellan patient och profession; fysiska, psykiska och sociala konsekvenser av att leva med svårläkande venöst bensår, samt föreställningar och kunskap.

There are an increasing number of pupils leaving school with incomplete grades. Research indicates that the causes to this phenomenon may be individual- as well as school related and complicated to illuminate. The purpose of the study is to examine the processes of exclusion that have resulted in pupils´ incomplete degrees. Two research problems have been formulated. The first one is about the identification of exclusion and branding factors for pupils with incomplete degrees.

Sleep has a recreating, health promotive and regenerative function. Research shows that intensive care patients suffer from sleep deprivation and bad sleep quality with considerable negative consequences.The aim of the report was to examine how much nocturnal sleep patients without ventilator treatment get and to observe factors that may influence sleep.Methods: An observation chart was used to collect data. The staff?s observation of the patients? night sleep and estimated nocturnal noise- and light levels in the patients? rooms were documented. The patients? answers to questions about pain and possible causes for their awakenings were noted.

Background: The population of the world is getting older and in the year of 2020, 1.2 billion people will be 60 years or older. A common health complaint affecting the quality of life in elderly persons are sleep difficulties. Physical activity is claimed to improve sleep quality and the maintenance of a normal circadian rhythm. Several studies have shown positive effects of physical activity on sleep quality, still the evidence of physical activity as sleep-promoter is insufficient. Aim: The aim of this study was to investigate associations between physical activities and sleep quality in persons ?60 years of age.

The purpose of this study was to investigate the problems of building a new region in the Southeast part of Sweden. The idea of a big south Swedish region is brand new; no former studies in this area have been done before. The main analytical focus of this study is legitimacy, identity and democratic credentials. The study has been carried out by interviews with several leaders in organizations working with the collaborations of the smaller regions in to the big region. The method of this study has been a single-case study and dialogue interviews.

Background: Exercise dependence is a behavior where some people get very strong feelings for their training. This dependency becomes a problem when it affects individuals? life in a negative way. Individuals with low self-esteem have been found to have an increased risk for exercise dependence. Self-estem is associated with Self-compassion, which is to have compassion with oneself in pain and difficult periods.

Aktuell forskning har visat att psykologiska faktorer spelar en viktig roll för upplevelsen av långvarig smärta. Denna studie undersökte effekterna av en KBT-behandling bestående av introceptiv exponering och avslappning för patienter med långvarig smärta. Studien använde en single-subject design där sex smärtpatienter genomgick en sex veckor lång individuell behandling. De variabler studien undersökte var i första hand förändringar gällande grad av acceptans samt upplevd smärtintensitet, i andra hand förändringar gällande smärtrelaterad ångest, rörelserädsla, katastroftankar samt funktion. Deltagande i behandlingen var förknippat med ökad acceptans, förbättrad funktion, minskad smärtintensitet, minskad smärtrelaterad ångest, mindre katastroftankar samt minskad rörelserädsla.

Cancer är en sjukdom som drabbar människor i alla åldrar. Den är fortfarande en av de vanligaste dödsorsakerna bland barn och ungdomar. Smärtan hos barn har underskattats på grund av bristfällig kunskap och därför inte alltid behandlats på ett adekvat sätt. Syftet med studien är att sammanställa och belysa forskning som beskriver huruvida rädsla kan påverka barns upplevelse av smärta vid cancerbehandling samt beskriva vilka åtgärder som kan vidtas för att minska rädslan och därmed smärtupplevelsen. Metoden som används är en litteraturöversikt som grundar sig på forskning som finns inom området.