Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Can peppermint oil relieve the symptoms of IBS?A systematic reviewAuthor: Caroline Månsson and Linn RamströmSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 23, 2013___________________________________________________________________________Background: An estimated 7-10% of the world population suffers from Irritable BowelSyndrome (IBS), a disease that greatly affects the daily life and the quality of life of the afflicted.The total annual health care cost of IBS is around 1280 billion Swedish crowns. IBS ischaracterized by abdominal pain/discomfort in combination with diarrhoea, constipation, or acombination of these. The etiology is unknown but it is believed that there are several factors thatcome into play. The disease cannot be cured, but there are ways to alleviate the symptomsthrough a variety of medicinal preparations and dietary treatment.

ABSTRACTBackground and aims: Nutrition is a part of the medical treatment, and also a part of the nursingcare. In spite of this, malnutrition is a common problem in the health care sector. Studies show thatnurses have too little knowledge about nutrition and malnutrition and that nutrition has low priorityin the daily work. The aim with this study was to find out the nurses self-reported knowledge aboutand their attitudes towards malnutrition, nutrition screening, prevention and treatment of patientswith malnutrition.Methods: A questionnaire was handed out to 65 nurses in two different care units and 36questionnaires were answered.Results: The respondents from the two care units self-reported their knowledge about nutrition andmalnutrition low. Most of the respondents stated to have a big need of education about nutritionscreening and more than half of the respondents stated that they have a need of education forprevention and treatment of malnutrition.

Introduction:A good work environment and good resources among district nurses? and general nurses? are important in the provision of good nursing care. For patient security it is also very important that resources and time are used in an appropriate way. A lot of time is spent on non-core activity, for example administration takes more and more time, which can result in feelings of stress.Aim:The aim was to describe how district nurses? and nurses? in primary care perceived their work environment, how their worktime content was distributed and if there was some connection between perceived work environment and the distribution of work time.Methods:A mapping of the content of the work was made in two parts.

As a consequence of increasing wind power installations in the Nordic grid the last years, the need for regulating power has become larger. In the Nordic grid, regulating power is mainly provided by hydro power. One part of the regulating power is called frequency control, which ensures that the grid frequency is stable and close to 50 Hz.However, setting the turbine into frequency controlled operation may cause stress and wear of the components in the mechanical control system. Frequency controlling implies large and frequent servo forces and longer travelling distance of the sliding bearings in the Kaplan turbine.Based on one selected Kaplan turbine, Selsfors G1, measurements and MATLAB calculations have been performed in order to determine forces and movements of the linkage system. With these forces and movements as input, stresses and fatigue have been determined as well as sliding distances, bearing pressures and wear of bearings during a typical lifetime of 40 years.The results indicate that no severe wear exists on the bearings during 40 years of service.

Det är en unik upplevelse att bli opererad med lokalanestesi och vara vaken under ett operativt ingrepp. Patienten överlämnas till vårdpersonalen och är beroende av deras omhändertagande och kunskap. Kontinuerlig information under ingreppet samt ett gott bemötande från personalen kring patienten är avstor vikt för att skapa en trygg miljö och ge god omvårdnad. Syftet med studien var att beskriva patienters upplevelse och känslor av den perioperativa omvårdnaden när de var vakna under ett operativt ingrepp. Fyra intervjuer med konsekutivt utvalda patienter som genomgått operationen på sjukhus i sydvästra Sverige inkluderades i studien.

This paper deals with evaluating 3D-bootstrap for the mining company New Boliden in an attempt to revise their current method of calculating average gold riches in different areas. The purpose is to find one-sided 3D-bootstrap confidence bound of the average gold riches. There lacks well-defined theory behind using 3D-bootstrap, in this paper the variogram is used as an estimate of dependencies between the observations, and the block length is chosen to be higher than this estimate. In aid of this, a simulated data material is conducted to check the validity of 3D-bootstrap in a controlled area where the theoretical value is known. The results are inconclusive, and further studies are needed..

Background: Being subjected to an extensive burn injury affects the victim´s physique, social life and its psyche. A burn injury can be determined as a trauma. Burn injuries often make the patient suffer from pain, anxiety and lack of a social life. Sister Callista Roy´s theory was used to analyze the result of the study. One of her goal is to promote the adaptive function of self-perception.

Introduktion: Magnetkameraundersökningar (MR) görs varje dag och i samband med ökande antal undersökningar händer olyckor och tillbud. MR-undersökning innebär risk för patienten och anledningen till detta är att olika metalliska magnetiska föremål används inom medicin på och i patientens kropp och även i lokalernas utrustning. Röntgensjuksköterskan som arbetar på MR- avdelning måste ha kunskap om patienternas och besökarens säkerhet för att erbjuda en säker vård och skydda patienter mot skada eller risk. Syfte var att beskriva säkerhetsrisker vid MR-undersökning. Metod: Vid litteratursökning i Cinahl, Scopus och Pubmed hittades 18 fallbeskrivningar som besvarade syftet.

 Bakgrund:För att patienten ska uppleva att den blir respektfullt bemött avsin behandlande sjuksköterska, bör sjuksköterskan uppträda med enkommunikation som innehåller både ord och ett kroppsspråk som signalerarett artigt, intresserat och trevligt sätt gentemot patienten. Då får patienten enkänsla av sammanhang som i sin tur leder till befrämjande av hälsa ochsjälslig tillfredställelse. Enligt Travelbees omvårdnadsteori är det viktigt attsjuksköterskan i sitt omvårdnadsarbete bryr sig om patientens lidande och serpatienten för den han är.Syfte: Syftet med denna systematiska litteraturstudieär att belysa hur patienter upplever bemötande i primärvården.Metod:Studien är en systematisk litteraturstudie, där sökningarna gjordes i två olikadatabaser Cinahl och PubMed. Resultatet av sökningarna resulterade i sexkvalitativa och två kvantitativa artiklar som i sin tur analyserades ochkvalitetsgranskades.Resultat: Resultatet visar att patienterna upplevde ettgott bemötande om sjuksköterskan presenterar sig, informerar, är tydlig i sinkommunikation, samt är närvarande, lyssnar och ser varje patient som enunik person. Patienterna känner sig då trygga och lugna i den vårdandebehandlingen.Slutsats: Slutsatsen är att varje patient anser att ett gottbemötande är av stor betydelse i en vårdsituation.

ABSTRACTBackground and aims: Nutrition is a part of the medical treatment, and also a part of the nursingcare. In spite of this, malnutrition is a common problem in the health care sector. Studies show thatnurses have too little knowledge about nutrition and malnutrition and that nutrition has low priorityin the daily work. The aim with this study was to find out the nurses self-reported knowledge aboutand their attitudes towards malnutrition, nutrition screening, prevention and treatment of patientswith malnutrition.Methods: A questionnaire was handed out to 65 nurses in two different care units and 36questionnaires were answered.Results: The respondents from the two care units self-reported their knowledge about nutrition andmalnutrition low. Most of the respondents stated to have a big need of education about nutritionscreening and more than half of the respondents stated that they have a need of education forprevention and treatment of malnutrition.

Purpose: The purpose of this interview study was to describe the nurses? view of their experiences of interaction with other professionals to improve the elderly patient's nutritional status in municipal elderly care.Method: The study is based on qualitative interviews with nine nurses and was analyzed according to a qualitative content analysis method.Results: The main themes that emerged: Communication among the involved, To feel secure in their role, Lack of structure. The nurses worked closely with nursing staff and cooperated more with doctors about nutrition than with the physiotherapist and occupational therapist. The nurses felt they had the main responsibility for maintaining a good nutritional status of the elderly patient and described themselves as primarily responsible for nutrition while they lacked nutritional competence equal to the responsibilities they had during the whole nutrition process. The nurses had no community dietitian?s skills and felt that the dietitian had a great responsibility and the most updated knowledge in diet and nutrition.

The Uppsala based company Q-linea develops procedures, instruments and systems for protein and nucleic acid analysis. The components in such an instrument are controlled by microcontrollers. Microcontrollers are computers in one singular chip that can be used in a wide range of applications such as cars, toys or in this case an analysis instrument. When developing a new instrument for biochemical analysis, Q-linea needed new software for controlling and communicating between the components in the instrument. The process of developing this software is the subject of this thesis.The project included research of microcontrollers and the components in the instrument.

Background: In today's Swedish health care, it is required that the various professionals must work together in teams to safer care. Several professionals with various skills expected working together in the traumateam at the care of the traumapatient. At the same time, research shows that substandard teamwork leads to avoidable errors in care. One way to improve teamwork is to practice. Purpose: The purpose of this study is to shed light on the experiences of the traumateam exercises that exercise participants feel has been favorable for the patient at the initial care of trauma patients.

This report describes a master thesis performed at Saab in Arboga. The main purpose was to build a controller for a system containing a turn table and an antenna beam. The idea is to use this system on a boat where it will be exposed to position disturbances due to waves. The desired behaviour is that antennas placed on the antenna beam should point towards the same target all the time. To solve this problem the system has been modeled and simulated in Matlab and Simulink.

Bakgrund: I sjuksköterskans roll förväntas det att hon ska kunna kommunicera med patienten på ettrespektfullt sätt. Sjuksköterskan har ett ansvar att tillgodose patientens trygghet inför ett operativtingrepp. Målet med det preoperativa samtalet är att informera, undervisa och planera inför detkirurgiska ingreppet. God kommunikation och ett gott bemötande kan inverka positivt på patientenstillfrisknande och tillit till vården.Syfte: Att beskriva det preoperativa mötet mellan sjuksköterska och patient samt dess betydelse vid detkirurgiska vårdtillfället.Metod: Arbetet är en litteraturstudie där sökningarna gjordes i databaserna Cinahl och Pubmed somresulterade i 11 veteskapliga artiklar vilka granskades och analyserades enligt Fribergs modell förlitteraturöversikt.Resultat: Det preoperativa samtalet har stor betydelse för patienten och sjuksköterskan. Resultatetinnefattar tre teman; kunskapsförmedling, dialog, relation.