Introduktion: Akut hjärtinfarkt är en vanlig dödsorsak. Viktigaste behandlingsinsatsen vid hjärtinfarkt är att snabbt öppna det ockluderade kranskärlet genom primär Perkutan Coronar Intervention (PCI). Viktigt är även att behandlingen förhindrar att kärlet åter ockluderar. Detta görs genom att behandla med det blodproppshämmande och kärlpåverkande läkemedlet Clopidogrel. Enligt en ny behandlingsrutin ges Clopidogrel redan i ambulansen vid konstaterande av hjärtinfarkt för att uppnå effekt så fort som möjligt.

SAMMANFATTNINGSuicid och suicidförsök är ett stort folkhälsoproblem i världen och de senaste 45 åren har suicid ökat med ca 60 procent. Sjuksköterskor som arbetar inom ambulanssjukvården möter ofta patienter med psykisk ohälsa. Detta påverkar sjuksköterskan på olika sätt. Vid självmordsförsök, hot om självmord eller vid misstänkt självmord kan ambulans larmas. I den akuta situationen är ibland ambulanssjuksköterskan den första kontakten med sjukvården.

Objective: To investigate the experiences of ambulance nurses when using Boussignac CPAPcompared to their previous model, and their suggestions for possible improvements in the use of CPAP in the care of patients with pulmonary oedema. Method: A qualitative study with a descriptive and exploratory approach. Data was collected through ten semi-structured interviews with ambulance nurses, seven men and three women. The analysis was conducted using Lundman and Graneheim?s content analysis.

This Master thesis discusses the development of a virtual human soft tissue object for use in exercise applications of various medical procedures.The soft tissue object to be developed shall look like, feel like and behave as living human tissue. It shall give the user a realistic feeling of weight, softness and roughness, and shall behave in a correct way for exercise purposes. The soft tissue model is to be used in a three dimensional stereo graphic environment with haptic feedback. A prototype for practicing the procedure of inserting a catheter is built. The prototype is used to evaluate the potential of the virtual environment for medical exercise applications, and to assess the realism and usability of the soft tissue object.

One of the largest work areas for speech and language pathologists is intervention for children with speech and language disorders. The purpose of the present study was to describe and analyze the clinical management of language impairment in children by studying and comparing medical records and literature from the years 2000 and 2009. The present study is a sequel to two previously published papers by Christina Samuelsson (1997; 1999), in which medical records and literature from the 1920-, 60- and 70?s were studied and a paper by Helén Sämfors (2001), in which the years 1985 and 1995 were studied. The medical records used in the present study came from a medical ward for speech and language pathology at a university hospital in Sweden. The results showed that significantly more children were referred to the clinic for speech and language problems in 2009 than in 2000, and more children were treated for their impairments.

Patients with COPD (chronically obstuctive pulmonary disease) often experience acute episodes of the disease. On these occasions it is usual that the ambulance nurse is the patients first contact in the care. The purpose of this study is to describe patients' experiences in acute condition of the disease COPD and the Pre-hospital nursing. The method was systematic literature review with content analysis. The results show four prominent themes on the basis of patients' experiences.

Brist på kommunikation och koordination mellan vårdenheter utgör ett hot mot patientsäkerheten. Överrapportering bör vara kort, koncis, strukturerad och relevant. Det behövs en samsyn mellan prehospital och inhospital triagering. Triagering enligt ADAPT har visats vara ett tydligt kommunikationsinstrument som ökar patientsäkerheten i samband med överlämningar. Syftet med denna studie var att undersöka om prehospital triage kan öka patientsäkerheten och förkorta ledtiderna i samband med överlämning av patient mellan ambulanssjukvård och akutmottagning.

The purpose of this thesis has been to investigate how librarians perceive nurses as a user group and libraries? function for nurses. In order to achieve the study?s purpose six qualitative interviews with librarians working at medical libraries were conducted. The study has been performed with a phenomenographical methodological approach.

In the beginning of the 19th century, Swedish was the only official language of Finland, and thus the dominating language in administration and higher education. However, during the latter part of the century, efforts were made to develop Finnish into a language which could be used in every part of society. In 1881, the medical society Suomalainen Lääkäriseura Duodecim was founded with the development of a medical terminology in Finnish as one of its main purposes. In 1885, a medical paper, Duodecim, and a medical dictionary were published. The aim of this study is to illuminate the vocabulary of the dictionary.

Due to the new demands put upon combat vehicles of today the development quickly strives for-ward. With developers and experts across the globe working to meet the needs of tomorrows armies. The question we ask ourselves is what will be the characteristics of these vehicles. In order to be able to categorize combat vehicle and analyze its characteristics we use the principles of war. Based on J.F.C Fullers theory from the early 19 hundreds that anything can be analysed using these principles, through a modern interpretation of the Swedish army, we can categorise the present and future abilities of combat vehicles.

The main domain in which eating disorders are defined is medical, whereas socio-cultural perspectives are less common. Because social workers seeks to explain different problems taking societal factors into account, we asked ourselves if social workers have a way of understanding eating disorders, that is different from a medical point of view. Two focus group interviews were conducted; the one composed by social workers with experience of working with eating disorders, and the other by social workers without that experience, which enabled comparisons. The interviews were analyzed using socio-cultural and feminist perspectives. The result showed that the social workers use socio-cultural perspectives in explaining eating disorders.

Syfte: Syftet med denna litteraturöversikt var att beskriva vad som kännetecknar ett gott bemötande inom den prehospitala akutsjukvården och vilken betydelse bemötandet har för vården. Metod: Studien genomfördes som en litteraturöversikt och artiklar söktes via databaserna CINAHL och PubMed. De elva inkluderade artiklarna resulterade i kategorier och subkategorier som beskriver vad som är utmärkande för ett gott bemötande inom den prehospitala sjukvården och vilken betydelse det har för vården. Resultat: Resultatet visade att ambulanspersonalen ska anpassa kommunikationen efter patientens förutsättningar och de ska ha ett förhållningssätt som baseras på respekt, ödmjukhet och empati. En förutsättning för en god omvårdnad är att en omvårdnadsrelation, baserad på tillit och förtroende, upprättas.

Since events of September 11 and the subsequent conflicts surrounding the event, the war against terrorism has been constantly present. It has been used several methods and strategies to address these threats, including a method current in use, the targeting method. The method refers to use few but precise attacks to knock out key functions within these organizations, mostly individuals in the higher command and control structures within these organizations. The effectiveness of the method has been put in question when the majority of the terrorist organizations continue their strife, in some cases even increasing its intensity. The purpose of this study is to investigate which role the higher command plays in these organizations ability to wage war.

De olika landstingen i Sverige bedriver den prehospitala vården utifrån olika styrning, verksamheten har en avsaknad av en gemensam styrning, samordning och nationella riktlinjer. Flera landsting i Sverige har svårigheter att bibehålla arbetskraft inom verksamheten, med detta menas att i vissa fall tenderar verksamheten till att inte kunna hantera att bemanna ambulanserna.Studien uppmärksammar en rad samhälleliga förändringar som skett under nittiotalet och som har inneburit en rad förändringar avseende ökade krav på bland annat rörlighet och flexibilitet för både organisationen och individen. Dessa förändringar påverkar förutsättningarna för den prehospitala vården och de individer som är yrkesverksamma i den. Studien undersöker arbetskraftens upplevelser utifrån deras yrkesroll, belöningssystem och lönesystem, arbetskraftens tillfredsställelse i arbetet och även förutsättningarna för att kunna vara hantverksskicklig. Arbetsklimatet inom prehospital vård har förändrats och verksamheten har fått en tydligt ökad omsättning av arbetskraft.

Creating a database to manage medical data is not the easiest. We create a database to be used for a presentation tool that presents medical data about patients that is stored in the database. We examine which of the three databases, MySQL with relational design, MySQL with EAV design and MongoDB that are best suited for storing medical data. The analysis i performed in two steps. The first step handles the database that is most effective to retriev data. The second step examines how easy it is to change the structure of the various databases. The results show that depending on whether efficiency or maintenance is most important, different databases are the best choise. MySQL with relational design proves to be most effective while MongoDB is the easiest to maintain..