Konfusion är mycket vanligt förekommande hos äldre och skapar stort lidande, ger höga samhällskostnader och orsakar hög mortalitet. Syftet med studien var att belysa sjuksköterskans icke farmakologiska omvårdnadsåtgärder vid konfusion hos äldre patienter. Metoden var en litteraturstudie, vilken innefattade tio artiklar där relevanta omvårdnadsåtgärder framkom, dessa presenterades i resultatet under VIPS - modellens åtgärdssökord. Resultatet av studien visade att patienter med konfusion mindes och uppmärksammade vad som skedde med och runt omkring dem. Viktigt var att få information om sitt konfusionstillstånd för att förstå vad som hände och varför.

Purpose The purpose of this study is to evaluate the treatment results and adverse drug effects for 14 dogs receiving a new paclitaxel preparat named Paccal vet. The evaluated dogs are chosen to enter a pharmacogenomical study. Therefore, this paper intends to give an introduction to pharmacogenomics. Finally this study also aims at finding the homologue genesequenses in dogs to seven genes that are important for metabolism of paclitaxel in humans. Materials and metods The dogs went through 2-4 cycles of paclitaxel treatment, they received a new water-soluble formula named Paccal vet, at dosages of 100-150mg/m2. Treatment results and adverse effects are listed for each dog in table 1.

Canine herpesvirus-1 (CHV-1) är det herpesvirus som är specifikt för hunddjur. I likhet med andra alfaherpesvirus ger det oftast upphov till en ofarlig infektion hos vuxna individer och en dödlig, systemisk infektion hos nyfödda. När den akuta infektionen är över går viruset in i en latent fas. I den latenta fasen finner man vilande virus främst i de lumbosakrala ganglierna, tonsillerna, öronspottkörtlarna och levern. Stress kan få infektionen att reaktiveras. Uppsatsens syfte är att undersöka hur viruset påverkar individer i olika åldrar, sjukdomens effekter på hundaveln och lämpliga åtgärder för att undvika sjukdom. Hos den vuxna individen ses oftast bara lättare luftvägsinfektion, ögoninflammation eller genitala förändringar.

Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical Nutrition3AbstractTitle: How does isoflavones in combination with soy protein impact cholesterol levels in hypercholesterolemic postmenopausal women relative to milk protein?Author: Emma Edberg och Emma NilssonSupervisor: Lena HulthénExaminer: Anna WinkvistProgramme: Dietician stydy programme,180/240 hpType of paper: Examination paper, 15 hpDate: 2014-05-26Background: Hypercholesterolemia is a major risk factor for cardiovascular disease and the number one cause of death among women in Western countries. Declining levels of estrogen at menopause could be a contribution factor. Isoflavones is a vegetable substance, with structural and functional similarities to the human estrogen. This is a potential reason for possible cholesterol-lowering effects.

Biogas is a renewable energy source that is produced by anaerobic digestion of organic mate-rial. In Sweden, biogas predominately comes from sewage water sludge and landfills or from organic waste of households and industries. Small scale digestion plants at farms are espe-cially expected to contribute to increased biogas production in the future. Biogas can be ob-tained directly in it?s raw form and used as fuel in a combustion chamber.

There are records of lowering of the water level in a lot of the Swedish lakes from the middleof the 1700th century. The aim was gaining more areable land to meet the needs of more foodto support the expanding population. In areas with top soil which contents of clay or loam asin the southwest of Scania in southern Sweden this was proven to be a successful wayexpanding the total outcome of the harvest.The studied area in the northeast of Scania, though, consists of morain with a lot of mires -much less nutritious conditions. When the water level is lowered the atmosphere gets accessto the peat. The dissolving of the organic matter that has been suppressed by the lack ofoxygene below water level continues.

Clearcutting systems have been the dominating silvicultural approach during the last decades in the Nordic countries. While economically rational, it is also leading to a trivialisation of the flora and fauna, and may result in negative reactions of people in urban settings. As a consequence of this, and a more diversified view on which goods and services forests should deliver, there is an increasing interest in broadening the range of silvicultural methods that are used. The term continuous cover forestry (CCF) represents a suite of methods that have gained increasing interest in the Nordic countries. In CCF a considerable amount of the trees are left after harvest to favour values that require a continuity of tree-covered areas. There are thus hopes that this method will meet the needs for maintaining biodiversity and satisfy social and cultural values.

Energy supply in Sweden year 2011 amounted to 577 TWh. The final energy consumption for industrial, residential and service was 379 TWh. Sweden has energy policy goals to reduce energy use in buildings. One of these goals is to reduce the energy use by 20 % in 2020 compared to the year 1995. An important step to achieve this goal is to target energy efficiency measures in existing buildings.

Trots att en produkt uppfyller uppsatta krav och specifikationer kan den uppfattas av kunden som bristfällig om de uppsatta kraven och specifikationerna inte stämmer överens med kundens behov och förväntningar. Det är därför nödvändigt för företag att kontinuerligt erhålla information om kunden och dess attityder för att kunna skapa produkter med god kvalitet. Inom den del av tjänstesektorn där lönsamheten i stor utsträckning bygger på långa relationer med kunder tenderar kundtillfredsställelse och tjänstekvalitet att ses som nyckelverktyg för att behålla kunder (Sweeney & Swait, 2008). Syftet med detta examensarbete är att studera hur kundönskemål kan identifieras och omsättas till förbättringsprojekt i sådana verksamheter. Examensarbetet är utfört på Scania CV ABs helägda dotterbolag DynaMate AB, vars kärnverksamhet är produktionsunderhåll, och HT Svarv AB i Kalix, vilka sedan september 2007 har valt att överlåta sitt underhåll helt i DynaMates regi.

Bakgrund: Bröstcancer är den vanligaste cancersjukdomen bland kvinnor idag och var tionde kvinna drabbas någon gång av sjukdomen. Genetiska faktorer kan öka risken för att drabbas av bröstcancer. Tidig menarche och sen menopaus hör även de till riskfaktorerna. De behandlingsmetoder för bröstcancer som finns tillgängliga är kirurgisk behandling, strålbehandling, cytostatika, hormonpreparat samt annan medicinsk behandling. Indikationen för hormonell behandling är om tumörcellerna har östrogenpositiva receptorer på sin cellyta.

The purpose of this thesis is to explain why states obtain nuclear weapons and the role variousactors and interests play in the making of states´ nuclear policies. The main questions are asfollows: (1) What big theories exist concerning states obtaining nuclear weapon and nucleararmament in International Relations and what relevance do they have of the post cold-war period?,(2) What is the meaning of the perspective of the Military-Industrial Complex (MIC)?, and (3)Arethere empirical studies which supports the existence of a MIC in the United States?The focus lies on actors and driving forces that are internal to states and it is also important toinvestigate if the theories have relevance for the post 9/11-era. The study uses the method ofqualitative literature-study with some quantitative segments. It is claimed that states might beinterested in justifying their behaviour in a morally appealing way and that real reasons may behidden.

The aim of this thesis is to describe the customer?s attitudes toward the contracting for availability, i.e., which factors are from the customer?s perspective necessary for the fulfilment of a supplier-customer agreement? Furthermore, the objective is to describe and analyse a supplier-customer relation in the Defence Industrial sphere.The present study has been carried out as a case study using an abductive approach. The thesis is based on a practical problem, i.e. which factors will be important to the customer when a contractor in the Defence Industry wants to increase its commitment of service, and how will their relationship change? The thesis is above all focused on generating knowledge that can lead to rapid and concrete measures and that can be used in the analysis of an increased industrial commitment but also as a case study of a problem of a more general nature in the Defence Industry.

Hästar har funnits vid människans sida i över 6000 år och används sedan några decennier tillbaka inom humanvården i form av så kallad hästunderstödd terapi. Syftet med den här litteraturstudien är att redogöra för bakgrunden till att hästar kan användas till detta, vilka effekter som kan ses med fokus på behandling av barn med autism och äldre personer samt överskådligt ta upp vilka risker som finns associerade med terapiformen. Framför allt är det egenskapen av att vara ett flockdjur som gör att hästar kan används inom psykoterapi. Hästar är känsliga för andra individers signaler och reagerar utifrån dessa vilket har visat sig användbart för att hjälpa människor att stärka sin självbild och tillit. Utöver den psykologiska aspekten av hästunderstödd terapi finns också den fysiska. Inom ridterapi drar man nytta av hästens rörelsemönster för att stärka bland annat muskelfunktion och balans hos människor med fysiska funktionsnedsättningar.

This report is made as a literature review, focusing on the work done to increase understanding of efficiency in the categories of substations and secondary heating systems, with respect to the deviation from the theoretically possible cooling off in the distribution network as well as the economic benefit that appear. The main purpose of a considerable part of the literature used in this report addresses the issue of identifying individual causes of reduced cooling in district heating systems. These literature resources have been compiled and summarized as part of the report.The technology of district heating is associated with benefits such as better use of the energy in a fuel. This is the case of cogeneration plants where serial generation of electricity and thermal energy increases efficiency compared with the parallel generation where heat is generated locally and electricity is generated centrally. Serial generation thus allows for lower primary energy demand.

Veterinary hospital care and advanced veterinary services are rapidly growing industries. As of January 1, 2010, veterinary nursing became a licensed vocation, the title of veterinary nurse became protected, and the act regulating competence among the professions of the veterinary field was extended. These changes, along with increased demands and expectations from owners, have given rise to greater demands on the staff's qualifications and have increased the need for well-educated staff with expertise in several different areas. The aim of this study was to find out what the licensed veterinary nurse can do in terms of rehabilitation for the hospitalized equine patient suffering from orthopedic injury. This has been carried out through qualitative interviews with veterinary surgeons experienced in treating such patients, and also by reviewing the relevant literature.