Inledning: Forskning visar att smärta vid stora trauman är underbehandlat, vilket kan ge ett förlängt sjukdomsförlopp och leda till komplikationer för patienten. Smärtbedömning är en viktig del i smärtbehandlingen och kan göras med hjälp av observationer av fysisk status och smärtskattningsinstrument. Eftersom ett stort trauma även innebär en psykologisk påfrestning för patienten är det viktigt att lindra både smärtan och det psykiska lidandet.Syfte: Att beskriva ambulanssjuksköterskors uppfattningar om traumapatienters upplevelser av smärta samt beskriva ambulanssjuksköterskors erfarenheter av smärtbehandling och omvårdnadsåtgärder som lindrar lidande hos dessa patienter.Metod: En intervjustudie med elva ambulanssjuksköterskor. Intervjuerna analyserades med kvalitativ innehållsanalys.Resultat: Ambulanssjuksköterskans arbete vid smärtlindring vid stort trauma präglades av avvägningar och prioriteringar. Dessa gjordes utifrån ambulanssjuksköterskans egna bedömningar samt de riktlinjer som fanns inom ambulanssjukvården.

Acupuncture has been used for thousands of years in China. Written documents concerning veterinary acupuncture has been found dated around 650 B.C. Acupuncture has gained greater acceptance in the western world the last decades and many countries have established their own veterinary acupuncture organizations. Many studies report good results after acupuncture treatment and back pain in horses is considered a good indication for acupuncture treatment. In studies published, the results are subjectively evaluated. To get a qualitative, scientific evaluation of acupuncture treatment, objective measurements, control groups and statistical analysis are needed. This pilot study presents a case where acupuncture has been used for treatment in a horse that was diagnosed with back pain.

Bakgrund: Smärta är för intensivvårdspatienten en unik, subjektiv, obehaglig och flerdimensionell upplevelse. Intensivvårdssjuksköterskan har ett moraliskt ansvar att lindra patienternas smärta. Verbalt icke-kommunicerandepatienter kan inte skatta sin smärta med hjälp av Numeric Rating Scale (NRS). På en neurointensivvårdsavdelning (NIVA) i Stockholm har det beteendebaserade smärtskattningsverktyget- the Critical-Care Pain Observation Tool (CPOT), implementerats. Intensivvårdssjuksköterskorna på NIVA använder CPOT dagligen i sitt arbete.

This paper describes the development of a simulation model for the ambulance flow in the Västra Götalands-region of Sweden, and an analysis tool for the output of the simulation model. The aim of the simulation model was to be able to evaluate the outcome from changes in the ambulance operations, such as a reorganization of ambulances or an increase in intensity of the ambulance calls. This evaluation is meant to serve as decision support for the strategic planning of the ambulance operations. The analysis tool was developed to visualize the abundant geographical data produced by the simulation model in a meaningful way. The simulation model was validated against historical data which showed that the dispatch time for the highest prioritized ambulance calls corresponds well with historical data.

Bakgrund: Acceptance & Comittment Therapy (ACT) används i de flesta smärtkliniker i Sverige. Trots att ACT har bra evidens, är det oklart vilka behandlingsprotokoll som används. Syfte: Syftet var att undersöka hur ACT implementeras kliniskt för personer med långvarig smärta. Metod: En databassökning genomfördes med sökorden: "acceptance and commitment therapy" AND "chronic pain" OR "persistent pain" i : Portal proquest, CINAHL, PubMED och Scopus. De inkluderade studietyperna var RCT-studier, fallstudier, kvalitativa fallstudier, en studie som var både kvantitativ och kvalitativ och en reviewartikel med inkluderad kvalitativ fallstudie.

A study of paleomagnetic remanence and anisotropy of magnetic susceptibility (AMS) has been performed on the Öje-Diabase in Dalarna, Sweden, and on basic dikes associated with the alkaliquartzsyenite/granite Noran-pluton in central Sweden. Based on isolation of directions of characteristic magnetization in the basic rocks, a division into three different groups (A,B,C) has been made. Group Aconsists of dolerites of Jotnian origin, both dolerites from the Öje-Diabase and dikes associated with the Noran-pluton are included in this group, making them coeval. Group B is suspected to show a re-magnetization from the later part of the Svekonorwegian orogeny. Group C belongs to the Blekinge-Dalarna-Dolerites (BDD). Thermal demagnetization of dolerites revealed two different types of demagnetization behaviours, one where magnetite clearly was the source of the remanence, and an other with a linear decrease in magnetization intensity. The measurements of magnetic anisotropy reveals a magnetic fabric with an almost horizontal foliation and a lineation that indicates a fairly uniform NNW/ S-SE flow direction of the magma..

Some MNEs encounter frustration or failures when they enter a new market. The main reason is due to a lack of adaptation. There is a lack of theoretical study about the local adaptation phenomenon of Swedish MNEs in China. Most studies are at the level of experience. Therefore, the purpose of this study is to find out the dimensions subject to local adaptation and their degree for the Swedish MNEs in China.

In this study I analysed how burning affects sprouting ability and survival of oak (Quercus robur) during the first season after a burn in southern Sweden. The study consisted of two separate field tests; in the first, two 300 m2- plots in western oak dominated forest were burned to analyze the fire behavior and the immediate mortality of oak and beech seedlings defined as individuals (> 20cm of height). At the end of the season almost 50% of the oak seedlings had resprouted while the beech seedlings had 100% mortality. An attempt to investigate the effect of the burn of artificially sown acorns was totally ruined by wild boar grouting before any conclusive results could be seen. In the second test the resprouting ability of oaks of varying diameters (average BHD 7-9 cm, range 2-42 cm) was examined one season after a prescribed burn in southeastern Sweden.

Celiaki är en kronisk autoimmun överkänslighetssjukdom mot proteinet gluten. Gluten förekommer i vete, korn, råg och havre. Sädesslagen innehåller olika prolaminer, vilka gemensamt benämns för gliadin. Autoantigenet utgörs av enzymet vävnadstransglutaminas (tTG). Genom deamidering medför enzymet att gliadinets immunogenitet ökar.

This thesis reports on the methodology and results of a study with one retailers 73 units to investigate factors of the store managers leadership that influence productivity performance in store. The study determine the impact of ten independent variables in terms of the store managers leadership on four performance measures: (3) three productivity measures: Sales Over Labor (SALOL), Sales Over Inventory (SALOI) and Sales Over Square-metre (SALOS) and (1) one profit measure: Contribution Income Over Square-metre (CIOS). The result shows that the leadership factors give no more explanation to the economic results after factors of local market condition and the store attributes are taking in to account. The store manager's leadership can though influence his or her decision-making in-store. The store manager's decision to staff the store more intense (higher service-intensity) can increase the level of contribution income over square metre in-store..

Every year 300 children in Sweden are diagnosed with cancer, but through research and successful clinical work 70 % of the children survive their cancer. Aim: To illuminate nursing care of children with cancer. Method: The study was carried out as a general literature study through systematic review and analyse of 18 scientific articles. Result: The analysis resulted in five themes: Support, play as a psychological assistance, alternatives to alleviation of pain, nutrition and relieving symptoms of fatigue.Conclusion: It is important that the nurse has knowledge about the children and their family?s experiences when dealing with a cancer illness to provide the children with adequate care.

The purpose with this final thesis has been to study the aesthetics and design of roundabouts and to ascertain important factors that influence the experience of them. The investigation was carried out through literature-, field studies and interviews with persons that in different ways have participated in the formation of roundabouts. Furthermore, six roundabouts have been explored in more depth so that the survey would get a more practical link. These six roundabouts all occur in the rim of a city and do thereby have an important role as a gateway. The environments in such contexts are often complex which adds additional difficulty in achieving a visually appealing design, especially when taking into account the usually high traffic intensity.

Some MNEs encounter frustration or failures when they enter a new market. The main reason is due to a lack of adaptation. There is a lack of theoretical study about the local adaptation phenomenon of Swedish MNEs in China. Most studies are at the level of experience. Therefore, the purpose of this study is to find out the dimensions subject to local adaptation and their degree for the Swedish MNEs in China.

Today the ability to swim is taken for granted by most people. Most of Sweden?s adult population can swim which is reflected in the reduced number of accidental drownings. About 1900 AD when Sweden?s population was about five million the average drownings per year was 1100.

Background: Many different parties in the society are affected by the financial information delivered by the companies. Therefore, different interests want their ideas to have an impact on the accountning standards. The construction of the accounting standards are illustrated as a pure political process, where lobbying and conflicts of interest are determining factors. Purpose: The purpose is to understand the underlying interests behind regulation of financial accounting in Sweden and how these interests are manifestated in the establishment of accounting standards. Method: The thesis is designed as a casestudy of the regulation process which induced the legislation of the Årsredovisningslagen 6 kap 1 § 3st.