The study emanates from the national quality registry for persons with severe and profound hearing impairment. The aim was to examine possible differences between signing deaf and adults with acquired severe hearing loss, with reference to self-assessed problems, how the hearing loss influences daily life.In total 234 adults aged 30-90 years were included (128 women, 106 men). In the registry, there are background variables and questions that the patients have answered. The results, indicated on a visual analogue scale (VAS) from 0-100, from a question ?To which extent does your hearing loss at present influence your life?? were analysed.The study was performed by pooling the results of VAS and dividing the patients into signing deaf and those with acquired severe hearing loss, and in age groups 30-60 and 61-90 years.

In today?s hectic society more and more people experience stress and our lifestyle gives us a very limited chance to recover. For some it sometimes goes that far that they get burnt-out, they have pushed themselves to the ultimate limit. There are different methods and treatments to recover but one very efficient treatment is to spend time in a rehabilitation garden. There the patients get treated by therapeutics that uses the garden as the main tool.The fact that gardens and parks have a positive effect on humans have been used by people for a long time but it?s not until recently that the research has taken speed.

Bakgrund: Operationssjukv?rd beskrivs som en h?gteknologisk h?griskverksamhet. I operationssalen arbetar ett tv?rprofessionellt team. Kommunikationen mellan dessa professioner har en avg?rande betydelse f?r b?de samarbetet mellan professionerna och f?r patients?kerheten.

Through the lenses of religion?s role in society, the purpose of this thesis is to examine, the role of the Church of Sweden in providing support to people at the end of life. Questions asked are:  "What types of spiritual support is offered by the Church of Sweden during terminal care provided in patients' homes and how is this support expressed in church orders, assembly instructions, plans of operations and congregation letters?" and " How can the work of the Church of Sweden be understood, based on theories of religion's role in society? The method used is a content analysis of the Church Order, assembly instructions, plans of operations and congregation letters in 17 different congregations within the diocese of Lund. I then engage in a discussion with theories on differentiation and the privatization of religion as a means to interpret my results.

Incompatibility between donors and recipients can cause fatal hemolytic transfusion reactions (HTR), kidney damage and death and immunization of the recipient. Antigens on the surface of erythrocytes in the ABO blood group system and regular natural antibodies against these in the patient?s plasma must be considered. An individual always has a corresponding antibody of IgM in their plasma. Irregular antibodies acquired by transfusion or pregnancy and active in body temperature also cause the HTR incompatibility.

ABSTRACTProblems with high turnover in nursing has escalated during the last years both nationally and internationally. according to previous research job satisfaction and quality of care was connected to specific features of the hospital work environement. It was also recommended by Coomber & Barriball (2007) to analyze job satisfaction at ward level with qualitative interviews to get a deeper and more extended insight in which specific features are of importance.The aim of this study was to investigate and describe the experiance of job satisfaction in relation to quality of care from nurses perspective. This study was carried out at an orthopaedic ward with primary nursing as organizational context of care.Two focus group interviews were conducted, they comprised nine nurses with at least two years experiance of primary nursing. A qualitative content analysis with inductive approach was used in order to develop more detailed insights of potential factors influencing work satisfaction at ward level.

The aim of this study was to compare the effect between the drugs rituximab and infliximab in rheumatoid arthritis (RA). RA is an autoimmune disease that affects the peripheral joints and is associated with exacerbations. Various immune reactions in the body cause inflammation of the joints which further results in cartilage and bone damage. The diagnosis is made by the classification system "The 2010 American College of Rheumatology (ACR) / European league against rheumatism (EULAR) classification criteria for rheumatoid arthritis", which is an update of the older system called "The 1987 American College of Rheumatology classification criteria for RA". Approximately 0.5-1% of the population is developing the disease, but it varies slightly between different parts of the world.

AbstractAim: The aim of this study was to describe cancer patients? experiences of quality of life and wellbeing in relation to yoga practice.Method: A descriptive qualitative study with semi structured interviews was carried out during the fall of 2009 at the University of Uppsala. Informants in the study were cancer patients who were participating in the yoga/psychotherapy group at the clinic of oncology at the Akademiska hospital in Uppsala.Result: Five out of six informants experienced that their quality of life and their wellbeing improved by practicing yoga. One informant had mixed feelings which were not due to the yoga practicing, but to the place where it was practiced. For her this place was associated with illness.

Basal handhygien är grunden för en god hygienisk standard i allt vårdarbete och har stor betydelse för patientsäkerheten. Fastän denna kunskap finns är följsamheten med olika interventioner inte tillräcklig. Syftet med denna systematiska litteraturstudie var att beskriva orsaker till att basal handhygien inte tillämpas. Studien baserades på 20 vetenskapliga artiklar som granskades utifrån mallar för kvalitetsbedömning. Artiklarna analyserades och resulterade i fem kategorier som förklarade orsakerna: arbetsbelastning, tidsbrist och un- derbemanning: personalens kunskap och attityder: bristande förståelse: osä- kerhet inför val av produkter och teknik samt hudirritation. För att skydda patienten från vårdrelaterade infektioner kan omvårdnadsansvarig sjuksköterska agera som förebild i gentemot övrig vårdpersonal i handhygienarbetet. Det är viktigt att förbättringsarbetet bedrivs så att följsamheten blir bestående.

Basal handhygien är grunden för en god hygienisk standard i allt vårdarbete och har stor betydelse för patientsäkerheten. Fastän denna kunskap finns är följsamheten med olika interventioner inte tillräcklig. Syftet med denna systematiska litteraturstudie var att beskriva orsaker till att basal handhygien inte tillämpas. Studien baserades på 20 vetenskapliga artiklar som granskades utifrån mallar för kvalitetsbedömning. Artiklarna analyserades och resulterade i fem kategorier som förklarade orsakerna: arbetsbelastning, tidsbrist och un- derbemanning: personalens kunskap och attityder: bristande förståelse: osä- kerhet inför val av produkter och teknik samt hudirritation.

The purpose of the literature review was to examine barriers and facilitators to life style changes experienced by patients with coronary heart disease. This knowledge could be of use to the nurse in her role as a support to the patient in the process of life style change. The result from this study shows that family support, knowledege about the disease and motivation are important factors when changing life style behaviors..

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.

Antalet företag, organisationer och instanser vars IT-system utsätts för attacker ökar. Något som märks trots att det försöker mörkläggas inom många organisationer. Myndigheter som Polis och Myndigheten för samhällsskydd och beredskap samt IT-personal inom de flesta företag är alla överens om att detta är ett växande problem som måste ses över. Konsekvenser av läckage av känsliga uppgifter kan vara förödande för ett företag, myndighet eller ett helt samha?lle.

I sta?der byggs va?gtunnlar fo?r att ge rum a?t bosta?der och kontor, i dessa trafikplatser fa?rdas a?rligen miljontals fordon. Bra?nder i dessa insta?ngda utrymmen kan fa? allvarliga konsekvenser och arbetas aktivt med att fo?rhindras. I Va?rtahamnen i Stockholm projekteras mellan 2011 och 2013 en kortare va?gtunnel i slutet av E20.

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.