Introduktion: Operationssjuksköterskans roll har under årens lopp förändras i takt med vetenskapliga framsteg inom kirurgin. Operationssjuksköterskan har i olika utsträckningar fått ett större ansvar inom perioperativa omvårdnanden som inkludera pre-, intra- och postoperativt.Syfte: Syftet med denna studie var att beskriva operationssjuksköterskans uppfattning av ansvaret i den perioperativa omvårdnaden.Metod: Sex intervjuer genomfördes med operationssjuksköterskor vid ett sjukhus i Norrland. Insamlad data analyserades med hjälp av kvalitativ innehållsanalys.Resultat: I textanalysen identifierades fyra kategorier: Kontinuerligt utvärderande av det egna arbetet, Kompetens ger större ansvar, Upplever att en ökad patientkontakt skulle förbättra vården och deras kompetens och Operationssjuksköterskan har en egen uppfattning om hur hennes ansvar att följa riktlinjer och rutiner ser ut.Diskussion: Operationssjuksköterskorna upplevde att nya rutiner utvecklades då fel uppdagas. De beskrev ett mångsidigt arbete som var mer än bara instrumentering, och en ökad patientkontakt uppgavs kunna bidra till att vinna kunskap, både tekniskt och omvårdnadsmässigt. Hur ny information och nya riktlinjer och rutiner användes var i viss grad beroende av operationssjuksköterskan som individ.

The banking industry is a fundamental part of the economy in Sweden. Despite its importance, the competition and the concentration level within the Swedish banking sector is relatively unexplored. This paper aims to examine the development of the concentration level in the Swedish banking sector during a period of ten years, 2003 to 2013. The examined banks in the study are the four largest banks in Sweden; Handelsbanken, Nordea, SEB and Swedbank, and four selected niche banks, ICA banken, Ikano Bank, Länförsäkringar Bank and Skandiabanken. In order to examine the development in percentage change, there are six selected variables; loans, deposits and borrowings (both public and households), net interest income and return on equity, which are observed during a period of ten years.

Shopping is one of the most important social activities today and the majority of all shopping takes place in Shopping Centres. The number of Shopping Centres has increased and it is important to attract visitors by using the right marketing strategy. Christmas is an extra important period because the turnover normally increases three times in December compared to a ?normal? month. The purpose of this study is to analyze the marketing of Shopping Centres during the Christmas period, and analyze how this marketing contributes to the visitors? choice of Shopping Centre. This is a positivistic study that combines a quantitative and a qualitative method.This study concludes that range of stores and distance are the most important factors when a visitor decides which Shopping Centre to visit. During Christmas it is important to create a Christmas feeling, preferably made by offering decorations and music.

ABSTRACTIntroduction: An increasing number of patients in Sweden receive epidural anaesthesia (EDA) in connection to surgery. Caring for patients with acute pain is a responsibility that is strongly established within the profession of the nurse anaesthetist. If the care provided by the nurse anaesthetist for patients who receive epidural anaesthesia is to evolve then further insight and knowledge is required regarding the individual´s experience.Aim: To describe patients' experiences in receiving epidural anaesthesia based on an earlier perioperative start-up of the EDA.Method: Based on a qualitative approach, the aim is to conduct semi-structured interviews with patients who receive EDA in connection to abdominal or gynaecological surgery. Research subjects' statements in the context of the interviews will be transcribed and then analysed using qualitative content analysis. In order to evaluate the chosen method regarding data collection and analysis model an exploratory pilot study was conducted.

With this paper we intend to investigate what kind of benefits there are by adding commodity futures to a well-diversified portfolio. Since the last fifteen years the commodity speculation has grown tremendously, which partially can be explained by that commodities exposes the investor to certain factors other than an investment in equities. According to our calculations the commodity futures have outperformed stocks during our research period, which partially could be explained by the increasing demand of physical commodities in developing countries e.g. India & China (Akey, 2005). By constructing different portfolios consisting of equities and corporate bonds we could investigate whether our portfolios will benefit from commodity futures and how this will vary over different levels of risk.

This diploma work covers an investigation over the heat - and hot water systems of thetenant-owner's association, Bogården. The heat - and hot water needs of Bogården aresatisfied by both district heating as well as three heat pumps. Implemented investigationshows that the heat pumps are not used in a profitable way. Apart from that, the reservepossibilities are small. There is also a risk of the growth of Legionella bacterium in thehot water system.Since the heat pumps are already installed, HSB-Gävleborg (responsible for Bogården)has a wish to investigate possible proposed actions for optimization of existing plant.After completed investigation, a new proposed action is presented.

The cat has become a popular pet. To secure a prosperous cat-human relationship, the cat owner has to understand what kind of animal the cat is and what requirements need to be fulfilled. The purpose of this literature review is to summarize kittens? needs of socialization, anthelmintics, nutrition, vaccination and gonadectomy, until the age of six months and to give the cat owner information on how to care for the cat during this period. Articles were search for in ScienceDirect, Primo and Scopus.

In order to reach the environmental targets, set up by the EU, there are many measures taken to make Sweden more energy efficient. In the housing and real estate sector, an installation of an exhaust air heat pump that reuses the heat in the exhaust air in order to lower the amount of acquired energy, is an example of such an action. The recovered energy can then be used for heating of radiators and tap water. This report aims to evaluate and compare three different systems using exhaust air heat pumps regarding COP, degree of coverage and cost savings. This study was delimited to only account for apartment buildings.The theory chapter describes the different conditions and factors that affect a building?s energy balance.

There are various investments to suit different investors, what affects the investor is the risk he/she takes with the investment and also the awareness  the investor has. According to different theories a higher risk gives even a higher yield to compensate for the extra risk the investor takes.In this paper, we discuss and compare two different forms of savings, Swedish closed-end funds and Swedish mutual funds to examine what alternative that generates highest returns in relation to the risk.To help, we use different evaluation measures that adjusts the different investments risk so that you can compare how well the investments have performed regardless of the risk they have. This will give us an answer about what investment form that have performed the best between 2002.01.01-20010.12.31. Five Sweden mutual funds and five closed-end funds have been selected to participate in the survey.To evaluate this, it is primarily quantitative data, analyzed in the evaluation measures. The results obtained in the survey show that Swedish closed-end funds have performed far better during the selected time period.

Introduktion: Forskning kring omvårdnadsteori har ända sedan Florence Nightingales tid varit aktuell. Utvecklingen har resulterat i många olika riktningar. Syfte: I denna uppsats var vi intresserade av att belysa aktuell forskning av omvårdnadsteoretiska strukturer och vilka tillämpningsmöjligheter samt vilka effekter/konsekvenser dessa kan ha för omvårdnadsinnehållet inom perioperativ omvårdnad.Metod: Genomgång gjordes av vetenskapliga artiklar vilka söktes fram i databaserna PubMed och Cinahl tillika relative links samt genom manuell sökning. Metoden för artikelanalys har präglats av den hermeneutiska spiralen. Resultat: Fyra olika kategorier av perioperativ omvårdnadsteoretisk struktur ur tre olika perspektiv utkristalliserades.

The purpose of this thesis is to examine and analyze why, in the case of Afghanistan, the government chose to establish a highly centralized political system, when from a democratic standpoint a less centralized system would be preferable.The time period that is examined span from 2001 when the so-called Bonn-Accord was signed, to the parliamentary elections held in 2005, a period often referred to as the Bonn-process.The theoretical framework examines both the complex relations between federalism and democracy, as well as the relation between federalism and the role of existent ethnic minorities. The theoretical framework is then used in order to explain why it would be problematic to create a federal system in Afghanistan under the present circumstances.The conclusions that can be drawn are the following: In case of the republic Afghanistan the creation and implementation of a highly centralized political system was the only possible way for the government to be able to cope and practically deal with the problems of existent ethnic antagonism and regional warlords in order to create a stable political situation in the country..

Introduction: Anxiety and depression are common among patients enrolled in psychiatric outpatient care. Ear Acupuncture is an alternative form of treatment that has been shown to relieve anxiety and depression in previous studies.Aim: To evaluate ear acupuncture as a group treatment for depression and anxietyMethod: A psychiatric outpatient clinic has been offering group treatments with ear acupuncture for anxiety and depression for 5 weeks. Participants of the study have answered self-rating scales Montgomery Åsberg Depression Rating Scale, Beck Anxiety Inventory and Sheehan Disability scale before and after the treatment period. Material was collected in the period 2008-2012 and has been analyzed in SPSS.Results: Data from 31 patients were included in the study. The results from the study showed a significant difference, between the measurements before and after treatment, with a reduction of the average values in the three different scales.Summary: From this study, it is difficult to draw any conclusions about the effect of ear acupuncture.

The aim of the present study was to investigate the effect on growth of foals on two different diets, either a forage-based diet or a diet containing approx. 40 % concentrate. The report also includes a review of the pertinent literature on the effects of diet on mares? milk and growth of horses. The hypothesis of the study was that a forage based diet will result in a similar growth pattern as a diet including more concentrates if the diets contain the same amount of energy, crude protein, lysine, calcium and phosphorous.

The purpose of our essay is to investigate the role of the practice period under supervision from a skilled practioner as a part of the student?s development of knowledge. This essay?s main participants are students who are studying their sixth semester during the spring 2009 at the bachelor program of social work at the University of Gothenburg and active skilled practioners during the autumn of 2008 and spring 2009. The essay has primarily a qualitative approach.

Currently, there are no clear statistics on how the floor plan and room size in apartment buildings has changed over time since the postwar period. The statistics available is average area per apartment which can be found on Statistics Sweden's website. This report has the aim to increase knowledge about how the Swedish home have changed over time.The questions that the report will answer are:For apartment buildings, how has the living area been distributed since the postwar period?Why has the area distribution changed over time?A survey of the houses built during 1950-2014 was made before questions could be answered. A case study was also made which a total of 90 apartments were analyzed and divided into three eras, the people´s home, the million programme and the neomodernism.