The purpose of this study was to evaluate enantioselective analytical methods by separation of the enantiomers of four drugs (citalopram, zopiclone, tramadol and methylphenidate) and their metabolites. The analyses were performed with HPLC-UV with columns whose stationary phases were based on macrocyclic glycopeptides (Chirobiotic V, V2 and T) and polysaccharides (Lux Cellulose-1, Cellulose-2 and Amylose-2).The Chirobiotic V column showed high selectivity for citalopram and its metabolites. High resolution was obtained using a mobile phase consisting of methanol, acetic acid and ammonia. High selectivity for the enantiomers of zopiclone and its metabolites were obtained on the Cellulose-2 column using a mobile phase consisting of acetonitrile and ammonium acetate buffer.The enantiomers of tramadol were separated with the Amylose-2 column. However, changes in the pressure arose, probably caused by the additive NH4HCO3.

This is a qualitative study, whose purpose is to examine if night shelters effects homeless peoples self-perceived psychosocial health. In Sweden alone there are almost 18000 homeless people, and 12% of them uses a night shelter. The homeless can?t be seen as a heterogeneous group but instead homelessness counts as a state of being in. The Swedish National Board of Health and Welfare have done mapping over the homelessness since 1993 and the problem is an important part of what the welfare system has to fight against.

  Aim. The aim of the study was to describe how nurses in home care experience to pursue palliative care in ordinary housing. Methods. The study had a descriptive design with qualitative approach and was carried out through semi-structured interviews with 14 nurses in home health care from two medium-sized Swedish municipalities. The material was analyzed with manifest and latent content analysis. Findings. The underlying theme that emerged in the study was: Working with palliative care in the patient´s own homes is positive but challenging. Informants describe among other things that they perceived palliative home care as meaningful and that relatives have a central role in the palliative home care since they are close to the patient around the clock. The stress that emerges from the heavy work load and the long geographic distances are described as strenuous and to affect the care in a negative way. Informants describe the home environment as challenging as it is often not adapted for care and the collaboration with the palliative team is described to be experienced as both positive and negative.

SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed.

?Medicines are available in different forms and often have different types of compound components. More and more drugs are found on the market. This means that professionals who handle different medicines must have access to more and more information.The information available includes information about side effects, active substances, interactions and pill identification. You may want to access different information, depending on your profession.

Syfte: Studiens syfte var att deskriptivt beskriva förskrivningar av Fysisk aktivitet på Recept (FaR®) i Primärvården i Landstinget Uppsala Län (LUL) 2009.Metod: Insamlad data från förskrivare, på 26 vårdcentraler i LUL, erhölls i form av utdrag ur journalsystemet Cosmic. Data bestod av avidentifierade recept vilka sammanställdes med hjälp av variabler i Excel. I Cosmic registreras data från receptet om patienterna (kön, ålder), ordinationen (förskrivningsorsak, träningsform, typ av aktivitet, intensitet, duration), förskrivarens profession, vårdcentral samt förekomst av ordination med hänvisning till stöd av friskvårdslots.Resultat: Under 2009 förskrevs 883 FaR ut i primärvården i LUL. Detta motsvarar totalt 0,55 % av alla de som besökt vårdcentral i primärvården med en spridning på vårdcentralnivå mellan 0,04 % till 2,45 %. Medelåldern för hela populationen är 49 år (åldersspann 18-86 år).

SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed.

Bakgrund: Sjuksköterskors rätt att förskriva läkemedel skiljer sig åt mellan olika länder och infördes för distriktssköterskor i Sverige 1994. Socialstyrelsens uppföljning av sjuksköterskans förskrivningsrätt 2004 indikerade att förskrivningsrätten användes i liten utsträckning. I tidigare forskning framkommer såväl möjligheter som hinder kring förskrivningsrätten. Syfte: Syftet är att undersöka hur distriktssköterskan på vårdcentral använder sin förskrivningsrätt. Metod: Kvantitativ enkätstudie.

The aim of this study is to highlight drug experiences and the significance our interviewee?s ascribe to their drug experiences in conjunction to their everyday lives. In the concluding chapter of this study we have used the collective experiences of the participants to allow us to engage in a dialogue of why it is important to acknowledge the attributes and needs an individual attaches to his/her perspective drug in the field of social welfare in Sweden. Symbolic Interactionism as a theoretical approach is used as the framework for understanding responses of participants in this study. The word ?experience? is a comprehensive concept for the sensations that an individual feels.

SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed.

Infection with intestinal parasites can in many cases be the reason for decreased performance or production. The gastro-intestinal nematode, Ostertagia ostertagi, and the lungworm, Dictyocaulus viviparus, are the most pathogenic nematodes of cattle and severe infection can lead to death. They have both a direct lifecycle and on the pasture the parasites spread as freeliving worms. The parasites are mainly a problem for the first season grazers. They have not developed immunity against the parasites and are therefor more sensitive to parasite infections.

Canine otitis externa is a common reason for a visit to the vet. Predisposing factors often complicate treatment and may result in a chronic disease progression. All otic preparation for topical use in Fass Vet contain antibiotics, corticosteroids and a fungicide. Sixty cerumen samples from dogs with external otitis, sent to the Department of Bacteriology at SVA, were categorised according to their profile of isolated microorganisms. Staphylococcus intermedius alone or together with Malassezia pachydermatis were the most common organisms found. Fifteen percent of the samples contained M.

It's an everyday experience shared by many that nature can be of help in relieving pain, reducing stress, support mental recovery etc. In the last three decades or so this experience has also found support in a large number of scientific investigations. Among other things the experience of nature has been shown to reduce stress and pain in patients and to boost concentration and reduce impulsive behavior in children. Most of this research however has mainly been concerned with the visual modality. In this thesis the aim has been to focus on the auditory modality in this context by trying to reveal some effects on people from the exposure of nature sounds played indoors in three different environments: a grammar school class room, a kindergarten play room and a post-surgery wake up room at an intensive care unit.

This study is about how students view the effects teachers have on their self-esteem and self-confidence. The theoretical background covers the consequences of success and failures, and the interaction between students and teachers, in regards of self-esteem and self-confidence. The purpose of the study was to examine what had in-fluenced the students? self-esteem and self-confidence in the interaction with teachers. To reach the goal of the study, several qualitative interviews were made with the following questions as base:? Which factors does the student consider to be of importance for their self-esteem and self-confidence in the interaction with teachers?? How does the student feel that these factors were affected concerning their self-esteem and self-confidence?During the analysis and systematization of the transcribed interviews, five factors emerged that effects self-esteem and self-confidence.

BackgroundResearch shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety.AimThe aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, local and regional anesthesia.DesignSystematic literature review with a quantitative approach.ResultsSeveral studies indicate that gabapentin and pregabalin can reduce anxiety before and during anesthesia. The anxiety reducing effect appeared to be dose dependent. The naturopathic drugs Citrus aurantium blossom and Passiflora incarnata Linneaus were found to reduce anxiety before anesthesia.