ABSTRACTAim. To describe intensive care nurses´ experiences of caring for patients with postoperative delirium after heart surgery.Background. Delirium is a common condition after heart surgery. Previous research has focused more on pathophysiology, incidence, etiology, prevention, detection and management, and less on how nurses caring for patients with delirium experience it.Design. A qualitative interview study.Method.

Syftet med denna studie var att beskriva sjuksköterskestudenters uppfattningar om vilka faktorer som ingår i god handledning under verksamhetsförlagd utbildning (VFU). Data samlades in via nio intervjuer och tre skriftliga svar, med hjälp av en intervjuguide, från sjuksköterskestudenter i termin 6 på sjuksköterskeprogrammet i Uppsala. Data analyserades med hjälp av kvalitativ innehållsanalys. Två teman utkristalliserades från analysen; studentens lärande och handledningens innehåll. Studentens lärande innefattar tre kategorier; kommunikation, organisation och förhållningssätt och handledningens innehåll fyra kategorier; kommunikation, organisation, förhållningssätt och arbetsklimat.

The audiologists´ knowledge-domain is generally described as a unique combination of medical, technical, social and behavioural sciences. It gives prominence to the importance of an adequate education relating to the knowledge-demands the students´encounter during their trainee-period. However, an important question is if the educational content corresponds to the knowledge-demands during the training? Aim: This study aimed to identify the knowledge-demands of students during their trainee-period. Furthermore, to identify how the students´ actual knowledge was related to the encountered knowledge-demands.

Objective: In recent years there has been an increasing interest within the clinical (medical) science in measuring people?s health. When estimating quality of life, present practise is to use the EQ-5D questionnaire and an index which weighs the different questions. The question is what happens if the individuals estimate there own health, would it differ from the public preferences? The aim is to make a new prediction model based on the opinion of patients and compare it to the present model based on public preferences.Method: A sample of 362 patients with unstable coronary artery disease from the Frisc II trial, valued their quality of life in the acute phase and after 3, 6 and 12 months.

Svår sepsis och septisk chock är sjukdomstillstånd som kan orsaka ett stort lidande för patienten genom att de är förknippade med hög mortalitet och morbiditet. Tidig identifiering och adekvat antibiotikabehandling är avgörande för prognosen. Detta ställer höga krav på ambulanssjukvårdens kvalitet. Ambulanssjukvården har behandlingsriktlinjer som ska utgöra beslutsunderlag och kvalitetssäkring för den givna vården. De potentiella vinsterna med en behandlingsriktlinje blir dock aldrig bättre än kvaliteten på behandlingsriktlinjen i sig.

Infectious Bronchitis (IB) is a highly contagious viral respiratory and productiondepressant disease distributed world wide. The disease is caused by the InfectiousBronchitis Virus (IBV), a positive RNA strand Avian Coronavirus within thegenus Gammacoronavirus. Due to a combination of high mutation rate and atendency of recombination a constant emergence of new genotypes and serotypesis seen. In Brazil, a country with an extensive poultry production and majorproblems with disease control, the diversity of circulating strains are wide andoutbreaks of clinical disease despite intensive use of vaccines are common. Theaim of this study was to investigate the presence of IBV and to identify genotypesof isolated IBVs in a limited number of layer flocks in Bastos, São Paulo, as partof the screening for circulating genotypes in the country.

Detta kandidatarbete behandlar rumsbegreppet och dess komplexa uppbyggnad, bestående av både den fysiska och sociala dimensionen. Tidigare forskning visar att det råder en mångtydig uppfattning om vad som definierar ett rum. Det innebär att det offentliga rummet behöver defineras för varje sammanhang det förekommer i för att det ska kunna förstås. Det offentliga rummet har historiskt sett alltid haft en betydelsefull roll i samhället. Det har utgjort en arena för politik, handel och vardagliga händelser, och verkat som en central mötesplats i staden.

AimThe specific questions in the theoretic part were:What is contained in the terms "balance and balance skill" and how can this skill be measured?The specific questions in the empirical part were:How does balance skill in different age categories of children correlate with biological and physiological parameters such as age, gender, body height, weight and level of physical activity?MethodsLiterature search based on books and scientific papers related to the questions posed above. Selection was made at libraries and on?line through "Pubmed". Specific search words were used.

Att handleda specialistsjuksköterskestudenter ställer höga krav på handledaren eftersom de handleder en sjuksköterska med yrkeserfarenhet. Studenten har hamnat i ett helt nytt sammanhang och befinner sig återigen på novisstadiet. Handledningen kan utmanas på flera sätt, både positivt och negativt, i den unika intensivvårdsmiljön. Syftet var att beskriva faktorer av betydelse för studenter och handledare vid handledningen under den verksamhetsförlagda utbildningen i specialistsjuksköterskeutbildningen med inriktning intensivvård. Litteraturstudien består av 8 kvalitativa artiklar som analyserats utifrån syftet och mynnat ut i två huvudteman: handledning - faktorer av betydelse för studenterna samt handledning - faktorer av betydelse för handledarna.

Diabetes mellitus is characterised by persistent hyperglycemia in all species. Fructosamine is a glycated protein reflecting blood glucose concentration during the preceding weeks. It has become a valuable analysis to differentiate persistent hyperglycemia from transient stress induced hyperglycemia in cats. It is also used to evaluate current therapy in diabetic patients. Although fructosamine is a well accepted analysis, it is sometimes regarded with scepticism.

Övervikt och fetma är ett växande problem i Sverige och delar av världen. Det är en riskfaktor för andra somatiska sjukdomar och har en negativ inverkan på livskvalitén. Syftet med denna studie var att beskriva distriktsköterskors arbete med och reflektioner kring behandlingen av vuxna patienter med övervikt och fetma. Studien var av kvalitativ ansats med deskriptiv design och genomfördes genom semistrukturerade intervjuer med åtta distriktssköterskor på landstingsdrivna vårdcentraler i Uppsala län. Resultatet av studien visade att mätvärden och samtal var viktiga verktyg för att distriktssköterskorna ska kunna identifiera patientens övervikt eller fetma.

Aim: The aim of this study was to examine health professionals´ experiences of giving advice regarding sleep to parents of infants and to perform and evaluate an intervention in the form of introducing information about the sleep of infants.Method: The study was designed as an intervention study with a qualitative approach where data was collected from two focus groups in the form of interviews. The intervention consisted of the information material Sugen på sömn. There were five participants whom three of them participated in the second interview. The interviews were processed by content analysis.Results: Health professionals´ experience of giving advice on sleep was summarized in three themes. The experiences of giving advice in interaction with parents, health professional themselves experienced the power to influence the parents with the advice they gave, while the parents' previous experience and knowledge impacted on how the advice came into practice.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

The purpose of this literature study was to describe techniques for monitoring general anesthesia and standing chemical restraint in the horse. A number of various techniques and devices related to e.g. blood pressure measurement, blood gas analysis and pulse oximetry are defined, and finally their clinical relevance and reliability are discussed. The equine patient is generally far more exposed to anesthesia-related risks than other smaller species. Complications such as hypotension and hypercapnia are commonly seen during general anesthesia. Thus, close monitoring is essentially performed by the veterinary nurse, whom is responsible for monitoring the anesthetized patient.

Background Calprotectin is a protein expressed in the cytoplasm inside the neutrophile granulocytes. During inflammatory bowel disease (IBD), the neutrophile granulocytes are involved in a complex interaction at the inflammatory area where they die and release their content into the intestinal lumen. Therefore, calprotectin in stool is a suitable marker for diagnosis and measurement of the disease-activity in patients with IBD. The most commonly used method to detect calprotectin in stool is ELISA, but the process of manual preparation of stool samples is time-consuming.Aim The objective of the study was to evaluate an extraction method that could replace manual preparation of fecal samples and to compare different methods for measuring Calprotectin in stool using two ELISA-methods from two manufacturers and one rapidtest.Methods For extraction of calprotectin from stool samples we used sample collector tubes from Epitope Diagnostics and fecal preparation kits from Roche. Two different ELISA-kits for measuring calprotectin concentration in stool were compared.