Utvecklingen inom ambulanssjukvården de senaste decennierna har varit omfattande och står idag för både avancerad sjukvård utanför sjukhuset och transporten av dessa patienter till sjukhus. Fler vårdkedjor startas vilket innebär att mer vård utförs på plats hos patienten, efter det transporteras patienten direkt till behandlande specialistavdelning, utan att fördröjas på akutmottagningen. Denna utveckling ställer ökade krav på fler specialistutbildade ambulanssjuksköterskor. Det är ofta snabba och svåra beslut som skall tas och felaktiga beslut kan ge svåra konsekvenser för patienten.Syfte: Syftet med studien var att beskriva förändringar i tid med och utan prehospital omvårdnad för patienter med bröstsmärtor i ett treårsperspektiv.Metod: Studien var retrospektiv med en komparativ design. Data från januari under 2009-2011 samlades in i form av ärenderapporter från SOS-alarm, som sedan jämfördes med varandra.Resultat: I studien ingick 254 patienter.

Urination is a biological need but the routines surrounding urination are culturally specific and ever changing. This makes the organization of public space an important part in deciding what actions are made possible for the people in it. This paper considers women?s public urination and the possibilities to merge the need to urinate and the construction of the female body as feminine.A number of texts that describe the construction of the female body and identity as both gendered and socially produced are analysed in relation to women?s experiences of incontinence. Incontinence as a medical diagnosis is by this becoming possible to question, and may be seen as one of several strategies used to manage both the organization of the public space and the expectations of the female body to be a docile body.The conclusion is that a woman who wants to enter public space has the following options when it comes to the need to urinate:To strive for the feminine ideal.

Objective: The purpose of the study is to explore and illustrate how ultrasound midwives and medical specialist in obstetrics and gynecology believe the information given to parents about the genetic soft markers should be handled.Design: A quantitative questionnaire study with cross-sectional design. Participants: 44 ultrasound midwives and 37 medical specialists in obstetrics and gynecology.Findings: Most of the participants would like to inform before the ultrasound starts that they will be looking for genetic softmarkers during the ultrasound. Likewise the majority wanted to inform the parents about possible increases in the risk for chromosomal abnormalities based on findings on the routine ultrasound. There was a difference in frequency between those who responded that they would like to inform before the ultrasound that they will be looking for genetic softmarkers and those who responded that they believe the future parents wants information before the examination.Key conclusions: It could help health care professionals in their role as information providers if there were common recommendations for the information to be given to future parents about genetic softmarkers in connection with the routine ultrasound.

Arbetsuppgifterna på ett fartyg kan innefatta hård fysisk påfrestning samt arbete i mörker, påhög höjd och i slutna utrymmen vilket betyder att sjöfolk måste vara lämpliga för tjänstgöringen.De nationella reglerna för medicinsk lämplighet för sjöfolk skiljer sig trots att deninternationella standarden är densamma för alla. Syftet med denna rapport är att åskådliggöraskillnaderna mellan regelverken om läkarintyg för sjöfolk i de skandinaviska länderna ochundersöka historien bakom de svenska föreskrifterna.Vår slutsats är att det skulle gagna Sverige att återinföra Sjömansläkare, som troligtvis är merkompetenta än en icke specialiserad läkare vad gäller tjänstbarhetsbedömning för sjömän.Systemet med sjömansläkare är fortfarande i bruk och fungerar väl i både Danmark ochNorge.Slutligen sammanfattas rapporten av författarnas egna reflektioner kring ämnet i relation tillresultatet. Förslag till vidare forskning återfinns i slutet..

Background: The patient meets nurses in the emergency department that provide both nursing and has medical skills. The care that the patients are receiving should be individually adjusted. The care is shaped by the individual meeting with the patient according to the nursing theorist Orlando. There are large variations between the number of patients in an emergency department and it sets high demands on the staff, both physically and mentally. When the emergency department is highly loaded there is a priority for medical care and psycho-social and aesthetic aspects will have to wait.

Featured adjuvant chemotherapy treatment in women with breast cancer can lead to pain. The aim of this study was to explore, the variety of perceptions and impact of adjuvantchemotherapy-induced pain in daily life, of some women newly diagnosed with breast cancer.Inclusion criteria were participating in an ongoing stress management projectand chemotherapy of (anthracycline/taxan) in doses of 75mg² or more. Exclusioncriteria were inability to understand and communicate in Swedish and mentalillness. After ethical approval of the sub study in September 2010, women wereconsecutively included through oral and written request. Phenomenologicalapproach was used in the eight interviews and data analysis.

 Aim. To describe patients who have got a recommendation by a telenurse to visit the emergency department and how many of these patients could have received care in the primary health care instead. Further on, the aim was to describe if there are patients not following the recommendations.Methods. Quantitative, descriptive study, with an examination of medical records of the patients, which the telenurses recommended to visit the emergency department, during one week. Assessments whether the patient could seek medical care at the primary health care was made, firstly based on the telenurses documentation and secondly on both the telenurses and the emergency department´s documentation.Results.

ABSTRACTThe discussions about energy use have increased year by year everywhere in the society, and so also in the healthcare sector. But what is actually energy use in a hospital facility, and what affects it?The typical way today to express the energy use is in kWh/m2. The problem with a key performance indicator that is expressed as energy use in relation to a specific area is that it does not take into account the activity in the building. Even though the activity to a very high extent affects the energy use.

ABSTRACTThe discussions about energy use have increased year by year everywhere in the society, and so also in the healthcare sector. But what is actually energy use in a hospital facility, and what affects it?The typical way today to express the energy use is in kWh/m2. The problem with a key performance indicator that is expressed as energy use in relation to a specific area is that it does not take into account the activity in the building. Even though the activity to a very high extent affects the energy use.

I ambulanssjukvården krävs det många gånger att man tar snabba beslut om hur vårdandet skall utföras. Dessa beslut måste ofta fattas under kort tid och kan många gånger vara livsavgörande. Inom ambulanssjukvården används olika koncept som arbetsredskap vid händelser och olyckor. Ambulanssjukvården i en organisation i väst Sverige har fått utbildning i Prehospital sjukvårdsledning som används vid olyckor och andra större händelser. Syftet med studien var att beskriva ambulanssjuksköterskans upplevelse av att arbeta på olycksplats i ledande befattning.

As the ability to computerize processes and tasks increase, the proliferation of complex systems in our society continues. How these systems are deployed in the organizations where they are meant to be utilized has been shown to have a large impact on how well they function.In January of 2011 the Enköping hospital initiated the deployment of an IT-support for drug management, a module in the general health care system Cambio COSMIC. Other health care providers in the county, and in the rest of Sweden, have had mixed feelings toward the module. Some have outright refused the module, claiming that it is detrimental to patient safety. One of the arguments for deploying the module in Enköping, however, was that it was needed to improve patient safety.The Enköping hospital is considered to be a well organized institution with good leadership and earlier good experiences regarding IT-systems.

Syfte: Undersöka sjuksköterskor inom ambulanssjukvårdens erfarenheter och upplevelser av hot och våld i arbetslivet. Metod: Empirisk studie med kvalitativ ansats. Sex semi-strukturerade intervjuer genomfördes. Materialet analyserades med en innehållsanalys. Resultat:  Hot om våld och patienter med ett hotfullt beteende är en del av arbetet i ambulansen enligt informanterna.

A report on my thesis developing an algorithm to automatically classify a mammogram image as containing an implant or not and segmenting and masking any present breast implant in the image..

India is home to every sixth person in the world, some 30 million dogs and a quarter of the total world cattle population. A vast majority of Indians are Hindus, and even though the Hindu religion proclaims love, nurturing and worshipping of animals, sometimes the same religion constitutes an obstacle for animal welfare in practice. This paper investigates the significance of historic and religious symbols to the way animals are perceived in modern Indian society, as well as the different social factors which underlie attitudes to animals. The concept of karma, as well as that of good versus bad deaths, is probably the foundation of the general Hindu reluctance to euthanasia in any form. Although in theory all species are generally regarded as equal in Hinduism, in practice there seems to be a differentiation; for cultural, religious, medical and financial reasons.

Bakgrund: Personal inom ambulanssjukva?rd utsa?tts dagligen fo?r stress och ho?g arbetsbe- lastning. Detta leder till o?kad risk fo?r ha?lsoproblem hos ambulanspersonal och riskerar att kunna pa?verka omva?rdnaden.?Syfte: Syftet med studien var att belysa ambulanspersonalens upplevelser av a?terha?mt- ning mellan uppdragen.?Deltagare: I studien medverkade tio ansta?llda inom ambulanssjukva?rden vid tva? medel- stora sta?der i Sverige och na?rliggande glesbygd.?Metod: Studien baserades pa? tio semistrukturerade intervjuer utfo?rda december 2014. In- tervjuerna spelades in och analyserades med kvalitativ inneha?llsanalys.?Resultat: Fyra kategorier framkom: Fo?rutsa?ttningar fo?r a?terha?mtning, Omsta?ndigheter som ger a?terha?mtning, Omsta?ndigheter som motverkar a?terha?mtning och Konsekvenser av bristande a?terha?mtning.