SAMMANFATTNINGUnder 2006 påbörjades arbetet med att nationellt höja kvaliteten på praktiskt socialt arbete. Socialstyrelsen gav då ut nya råd och riktlinjer för hur socialtjänsten kan stärka och utveckla sitt behandlingsarbete. Utifrån detta blir det allt vanligare att mer strukturerade manualer och behandlingsinstrument införs i arbetet. Ett sådant instrument är Youth Outcome Questionnaire, som under hösten 2007 implementeras i en kommunal behandlingsverksamhet i Örebro. Syftet med studien är att undersöka hindrande och möjliggörande faktorer som omgärdar implementeringen av ett behandlingsinstrument i en behandlingsverksamhet för ungdomar på institution.

ABSTRACTIn an intermediate section at a large university hospital are patients with subarachnoid hemorrhage (SAH) cared for. There are international, national and local guidelines how nutrition therapy should be implemented and how much energy each patient should be given when hospitalized. The purpose of this study was to examine the documentation and actions on nutrition in patients with SAH and to see if guidelines on nutrition were followed. The study was a quantitative, retrospective record review that was analyzed statistically and descriptive. 26 patients were included.

Sjukvårdsfunktionen i Försvarsmakten är viktig när skador uppkommer. Försvarsmaktens förmåga eller oförmåga att erbjuda soldater kvalificerad sjukvård är avgörande för soldaternas förtroende till den egna förmågan.De svenska sjukvårdarna förväntas att oavsett terräng och hot kunna ta hand om en patient i nöd, de är därför utrustade med vapen för att kunna skydda sig själva och sin patient. I Försvarsmakten betyder det att sjukvårdaren bär en automatkarbin 5. Den här uppsatsen kommer att undersöka hur tre olika vapensystem passar in i rollen som huvudbeväpning på en sjukvårdsgrupp. Undersökningen visar att en PDW (Personal Defence Weapon) skulle vara ett bra alternativ till befintlig beväpning..

Diabetes mellitus is a metabolic disorder that brings great changes in every individual's way of living. The goal in diabetes treatment is that the individual will be able to live a normal life, with normal length. To achieve this there is need to avoid complications, both acute and long-term. To be able to do this this the patient need knowledge about the illness and how to adjust pharmacological treatment to diet and exercise. In this, patient education is an important part.

This study examined the factors influencing dairy farmers´ decisions to invest in automated milking systems (AMS). The problem studied involves uncertainty, information and complexity for dairy farmers in specific decision contexts. The frame of reference in the thesis combines contingency theory and decision theory and is used in a qualitative analysis of a set interview with dairy farmers who have recently bought an AMS and salespersons from Delaval, one of the AMS suppliers.The aim of this study is to develop an understanding of the decision making processes of dairy farmers, and in particular to identify which types of factors influence the outcome of an investment decision in the technological development of a farm.The study uses Thompsons` (1967) theory about the structure that organizations develop to handle the input of information. Thus, interest is focused on how a farm business structure handles information in the AMS decision, investigating the differences in information with Delaval?s "feed first principle" system and Lely?s "free cow traffic" system.The results of the qualitative interviews with the dairy farmers who bought an AMS show that there are three important factors that influence the outcome: employees, suppliers and the owner.

The digitization of patient data and medical records used by the healthcare-industry in Sweden is rapidly developing. However; developing and changing things in this field is not an easy task because of the circumstances surrounding it. Digital systems intended to process, and hold, sensitive personal data, such as medical journals, must be developed with laws, confidentiality, integrity and availability in mind to secure that none of this data gets compromised.A complicating factor in regards to this is the fast rate of development within IT in contrast to the much slower bureaucratic process of the justice system. This means that laws and regulations oftentimes aren?t up to date with the newest available technology.With the purpose of establishing set regulations on how patient data should be properly handled the Swedish government enacted the Patient Data Act (sv.

Bakgrund: Varje dag möter sjuksköterskor patienter som drabbats av en sjukdom. Under sjukdomsförloppets sista tid är patienten känsligare och mer sårbar. Bemötandet blir då en viktig aspekt i en bra vårdrelation mellan sjuksköterskan och den döende patienten som bygger på tillit, trygghet och respekt. Syfte: Syftet med studien är att belysa ett bra bemötande med en döende patient ur sjuksköteskans perspektiv. Metod: En litteraturstudie utifrån nio kvalitativa artiklar.

In this diploma work the approach of determining the required amount of reinforcement in slabs exposed to pure tension is processed, on behalf of Ramböll Uppsala. It is a well-known problem in the industry that there are uncertainties in the determining of the amount of crack reinforcement, especially for structures exposed to pure tension. Cracking caused during the time of dehydration in concrete slabs is the most common defect according to statistics made by CBI[1], which provides numbers as high as 35 % of all the defects caused on slabs are generated by cracks. Comparisons between Sweden's former national standard BBK 04, Building Regulations for concrete structures due to restrained forces of shrinkage, and the current European standard Eurocode 2 are carried out through theoretical studies and concludes with several examples of calculations. Rigorous calculations of both standards, BBK 04 and Eurocode 2 with application of the national annex in Sweden and Denmark are performed.

Introduction: In Sweden the definition of ambulance nursing is the examination and treatment of sick or injured people done by ambulance nurses during transport.  This means not only focus on the illness or injury but also the human being treated. The paramedic service must be based on the presumption that the medical needs of the patients are guaranteed, and that the expectations and demands of the public are satisfied. Competence and availability are basic terms for a well-functional paramedic service. There is a lot of pressure put on the people working with pre-hospital nursing. One mistake can lead to serious consequences for the patient.

Det råder brist på forskning som berör psykiatrisk slutenvård utifrån ett patientperspektiv och studier efterfrågas som på djupet kartlägger patienters upplevelser. Syftet med undersökningen var att öppet och förutsättningslöst beskriva upplevelsen av att vara patient i psykiatrisk slutenvård. Tretton patienter inskrivna vid fyra avdelningar intervjuades och materialet analyserades tematiskt. Resultatet visar att deltagarnas upplevelse av den psykiatriska slutenvården är starkt förknippad med de människor de möter på avdelningen.Patientgruppen blir påverkad av stämningen i personalgruppen vilket får konsekvenser för deras upplevelse av vården. Deltagarna uppskattar engagerad personal som är lyhörd för patientens behov och som ger stöd när de behövs som bäst.

The starting point for this thesis has been the great process of change that Swedish municipalities now arefacing due to the political directive of offering full-time employment to all part-time employees. The aimof the research is to create a decision support model for Swedish municipalities, which simultaneouslyintroduce the offer of full-time employment and an internal personnel pool. The factors that mayinfluence the personnel?s choice of employment level and the quality of the outcome, thus the financial result,are we also aiming at explaining. The empirical observations were found through secondary data as well asobservations from the municipality of Göteborgs Stad.

Inom området för telemedicin efterfrågas praktiska sätt för läkare att snabbt och tillförlitligt kunna ställa preliminära diagnoser. Genom att använda GPRS kan stetoskopljud överföras över långa avstånd. På så vis kan en patient bli undersökt utan att behöva träffa sin läkare. Den här rapporten förklarar arbetet med att konstruera ett trådlöst stetoskop som använder sig av GPRS. In the area of telemedicine practical methods are wantedfor a doctor to quickly and reliably be able to set a preliminary diagnose.

The purpose of this review was to examine in what situations patients with myocardial infarction could feel anxiety. We also wanted to examine what a nurse could do to relieve the anxiety. The results are based on eight scientific articles and one literature review. The results shows that the patient could feel anxiety before examinations and transfers. The patient's anxiety increased if relatives had anxiety and if there were a lack of information from the nurse.

Suicide and attempted suicide frequently occur in society today and represent a major public health problem. In inpatient psychiatric care the nurse have a central role when caring for suicidal patients. Few systematic studies exists that address the nurse?s practical work with these patients. The purpose of this study was therefore to describe the nursing care of suicidal patients as it was perceived by registered clinical expert nurses.

Diabetes Mellitus is one of the most common endocrinologic disorders among dogs. The disorder has a complex background, and successful treatment requires a well-functioning co-operation between pet owners and the veterinarian. The purpose of this study is to investigate the owners? perspective of diabetic treatments offered, and to estimate expected length of survival post-insulin therapy. The research findings are based on a survey mailed to 77 pet owners, whose dogs were diagnosed with diabetes between 1999 and 2003 at the small animal clinic of the Swedish University of Agricultural Sciences. The median survival for the dogs that underwent insulin treatment was 31 months, i.e.