The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Effects of Menstrual Cycle and Oral Contraceptives on Sport Performance During the menstrual cycle, there is a variation of the female steriod hormones estrogen and progestogen. These hormones has mainly reproduktive functions, but do also affect other physiological systems, which may have an influence on athletic performance. The use of oral contraceptives among female athletes matches the use among the general population. There is a concern among female athletes and there coaches weather oral contraceptives can affect the performance. The purpose of this litterature review is to determine the effect of the menstrual cycle and the use of oral contraceptives on athletic performance.

AbstractIn this work, I have chosen to write about children in grief. Since children in grief is a large area, I have chosen to focus on how preschool handles and works with children who has loosed a parent, siblings or a play-mate by death. The aim of this work is to contribute knowledge about how you in preschool can handle and work with children in grief. To get answers to my questions, I have studied the current literature in the field. I have also interviewed five people with experience and knowledge of work with preschool-children affected by grief.

The aim of this degree project is to find out how people who have grown up in families with addiction problems have experienced their childhood and how their adult life has been affected by this. With the help of qualitative interviews with four grown up children to addicts, knowledge has been gained about what was experienced as problematic during childhood, what was beneficial and compensatory as well as how they feel today. The results have shown that their childhood was affected by a deficiency in the ability to parent, weak networks, adjusting, responsibility, a feeling of being left out and few positive experiences. Factors that have been protective are: important people, interests as well as attitude. In adult life many habits from childhood remain.

The main purpose with this study is to make the modified parenting visible in relation to the school over time. How have the views of parenting and support, by the pedagogues and the parents, earlier been interpreted and how is it today? The results of the interviews, which were more like an everyday dialogue, were analyzed through a phenomenological effort with a hermeneutist method interpretation. The theory connection has mainly consisted of relevant terms for this study.I have come to the conclusion that parents today feel that they have an extended responsibility when it comes their own children?s knowledge.

The purpose of this study is to analyze the handling of difficulties encountered by Swedish managers in Swedish subsidiaries in South Korea. By identifying the most common and possibly most manageable difficulties specific to the market we categorized them into three different groups; external difficulties, internal difficulties and difficulties related to the leadership. Depending on where in the environment and in relation to which stakeholder the difficulties originate the managing process comes to be supported through sometimes contradictory theories. Our study implies that the proper handling is crucial to satisfy local expectations which are critical for survival of Swedish companies. It also implies that the leadership skills acquired by the Swedish managers combined with the level of acceptance for foreign managers among the Korean coworkers affect how influential the manager?s ambitions are.

In the spring of 2009 Silva Sweden AB was contacted for a collaboration within the scope of a MasterThesis project. The company had discussed the possibility to develop a device that monitors usermovement during different types of exercise. The objective of this Master Thesis has therefore been todevelop and design a multi training device that records the user?s physical performance during severalactivities. The purpose of the thesis project has been to use scientific methods for product development inorder to design a multi device that supplements Silva?s range of products.The project followed a product development process divided into four phases; Market Analysis, ConceptCreation, Concept Development and Construction.

School can be an effective environment for achieving a more equal health among children and adolescents, since many individuals can be reached by the health promoting work in the school. In the year of 2000 a project in Skåne was started for the development of health promoting schools. The health promoting projects however, have shown to be of short duration. So, as an alternative, the integration of the health in school ought to be tried. The aim of this study is to give examples how health promoting schools can strengthen their profile.

Det här examensarbetet behandlar Suzukipedagogiken och barns upplevelser av föräldrars aktiva stöd och engagemang när deras barn lär sig spela ett musikinstrument. Undervisningsmetoden bygger på interaktionen mellan elev, förälder och lärare, vilket utgör Suzukipedagogikens hörnstenar. För examensarbetets utförande valde jag ut fyra informanter, utifrån kriteriet att de skulle ha haft minst en förälder som utövar musik som amatör eller professionellt. Vidare skulle två informanter ha undervisats på ett sätt med anknytning till Suzukipedagogiken, och de andra två skulle ha undervistats inom ramen för traditionell instrumentalundervisning. Motiveringen till urvalet var att därmed kunna jämföra informanterna mot deras olika bakgrunder av undervisningsmetoder.

There are many risk factors involved with a sedentary lifestyle. Deep vein thrombosis (blood clot), circulatory problems and contractures are just a selection of problems you can get by too little exercise. For people who are immobilized because of illness, it can be difficult to get enough exercise and movement to avoid similar complications. Because of most medical supplies on the market today are not optimal for use at home, I have chosen to develop a training device for the lower limbs, adapted for use in a bed, both in hospitals and at home. It is important that the devise can be used in any bed, regardless of headboards.

The purpose of this trial was to evaluate the possibility to use sampling of faeces, urine and plasma, and measurements of blood pressure as methods of discovering hypomagnesemia in horses, as well as the application handiness of these methods. The most commonly used method of checking the magnesium status of a horse is to analyze samples of serum or plasma. The trial was of a switch-back design, in which the horses were used as their own controls. The animal material was five Swedish warm blooded trotters between six to ten years old, and weighing between 485-620 kg. The trial consisted of three periods that were two months each.

There will be changes in the accounting regulations in Sweden. Firms will be categorised as K1-K4 firms depending on the size of the company. There will be different levels of accounting in the four categories. Firms will always have the possibility to choose a more advanced accounting regulation than the one they are obligated to due to their size. The purpose of this dissertation is to investigate which factors that influence the management in K3 firms in the choice between the K3 and K4 regulation.

Grief research generally demonstrates that children and teenagers who have lost a parent in suiciderisk developing severe psychological and physical morbidity, as well as social disabilities, in adultlife as a result of traumatic aspects of the death and complicated grief reactions. The youngbereaved also run a highly increased risk of developing suicidal behaviour or to commit suicidethemselves. Despite these alarming reports, the research field is poorly explored and studies thattake an interest in the long-term consequences and the subjective experiences of the bereavedyoungsters are lacking. A qualitative study using narrative methods has been carried out toexamine the experiences of four young women, who during adolescence lost a father in suicide.The study specifically focuses on the grief process, the short- and long-term consequences, and theneed for social support in relation to family, extended network and society. The study reveals thatthe women?s traumatic loss has shattered their basic assumptions about the world as a safe andmeaningful place.

De psykiskt sjuka tar allt större plats inom den somatiska sjukvården men forskningsfältet är nytt och kunskapsluckor existerar. En systematisk litteraturstudie gjordes. Litteraturstudiens syfte var att belysa sjuksköterskans attityd till att vårda patienter med psykisk sjukdom i den somatiska vården.En databassökning har gjorts i fyra databaser med omvårdnadsfokus: Cinahl, Pubmed och PsycInfo. Sex studier inkluderades. Ur dessa har utkristalliserats tre återkommande teman: attityder som avspeglar sjuksköterskans erfarenheter, vårdmiljöns betydelse på sjuksköterskans attityder och utbildningens betydelse för sjuksköterskans attityder.En stor mängd negativa attityder existerar men även en del positiva, ofta knutet till sjuksköterskan personliga attityder.

A lot of various substances can be detected by dogs, as oestrous in cows, endangered species or non-biological substances like accelerants, narcotics, explosives, mines and pollutions and biological substances like identity (suspects), cancer (breast, lung, colorectal and bladder cancer), human remains (cadaver), bacteria and mould in buildings. The dogs are trained using non-scientific methods and not much research in detection training exists. This is a review of different types of dog detection, with focus on new research..