The pressure is getting tougher on Accident and Emergency departments. Therefore it is crucial to study how the patient?s perceive their visit to the Emergency department. Knowledge about this enables improvement of routines, patient participation and patient safety. The purpose of the study was to investigate patient?s experiences of their visit at the Emergency department.A descriptive design was used.

Standing outside the EU and the EES, Switzerland is a unique state characterized by federalism, direct democracy and neutrality. Though always focused on preserving these features and its sovereignty, Switzerland has managed to gain access to some sectors of the single market through bilateral agreements with the EU. The purpose of this thesis is to examine what level of integration Switzerland has reached in those bilaterally regulated sectors of the single market. As integration cannot easily be assessed, the extent of the Swiss adoption of the acquis is seen as an indicator of the level of integration and is thus examined. The conclusion is that Switzerland, mostly due to the economic interest of common rules, but partly due to pressure from the EU, almost completely adopts the acquis in the bilaterally regulated sectors, including the interpretation of the ECJ.

Every year, approximately 700 000 individuals´ visit an emergency ward in Sweden as a result of injuries and to the emergency ward at Umea University hospital (NUS) about 12 000 injured arrive every year. This study is a retrospective cross-sectional study that surveys injuries caused by crashes among 153 pedestrians and 53 bicyclists, who have been injured in a geographically well defined area during the period January to June 2009. The aim of this study is to survey injuries among pedestrians and cyclists and to examine what preventive measures could reduce these injuries in the Umeå municipality. The results show that falls caused by slipper surface are common among both pedestrians (71 %; n = 109) and bicyclists (32 %; n = 17). Almost one third of the pedestrians (34 %; n = 43) were in the age of 65 or older.

Organisation and market orientation of elderly careThis comparative literature study is intended to describe how elderly care is organised and financed in Germany and Sweden. Furthermore, it analyses the degree of competition and market orientation in both countries' care systems. Important aspects in this context are the kinds of measurements which are used on the two markets and the question if there are quasimarkets.The theoretical backgrounds of the study are Esping-Andersen's "Three Worlds of Welfare Capitalism" and Harold Wilensky's convergence theory. Esping-Andersen's theory describes Sweden as a social democratic and Germany as a conservative welfare regime which means that there are different conditions for the development of welfare. The use of Wilensky's theory shows that both welfare systems are converging since the end of the 20th century.

70 % of the lakes and waters in the water district of northern Baltic Sea do not reach the requirements for good ecological status. This is mostly due to eutrophication caused by a too high deliverance of nutrients from agricultural land or effluents. Losses of particulate phosphorus through water erosion contribute to a great extent to this eutrophication. In the action plan for the water district cover crops are mentioned as a measure for reducing losses of phosphorus from arable land. This paper reviews the possible effect of cover crops in the water district and discusses what crop that would be most suitable.

Syftet med studien var att beskriva arbetsterapeuters kliniska resonemang i folkhälsoarbetet inom primärvården. Den undersökta gruppen bestod av tio arbetsterapeuter med 1- 26 års yrkeserfarenhet. Arbetsterapeuterna intervjuades med en öppen frågeställning samt fick även berätta om ett patientfall. Intervju utskrifterna analyserades utifrån en kvalitativ innehålls analys. Analysen utmynnade i tre kategorier.

We were commissioned by Bulten Stainless AB to identify and analyze their customer order flow. Because the company had problems with delays in the production and deliveries to the customer, the task also included investigation of how the company work with prevention and management of delays. The purpose of the project also included to identify critical factors for effective order flow in smaller workshop companies.The information about the flow and how the work takes place within the company were collected through observations on the company and interviews with the staff. This information was used to draw maps over the customer order flow and to write a description of the current situation within the company. Both strengths and weaknesses of the companies work could be identified through analysis of the present situation.

Bakgrund: En förutsättning för människans hälsa och välbefinnande är ett adekvat näringsintag. Malnutrition har visat sig vara ett stort problem i vården. Syfte: Belysa faktorer som kan vara av betydelse för att förebygga malnutrition. Metod: Litteraturstudie som bygger på femton vetenskapliga artiklar som granskades och kvalitetsbedömdes. Resultat: Artiklarna visade att faktorer som kunde vara av betydelse var sjuksköterskans grad av kunskap, attityder till omvårdnadsåtgärder, tidsaspekten samt användandet av screeningmetoder.

Bakgrund: Hälsoutgifterna i förhållande till BNP har i flera länder ökat, samtidigt som vissa länder uttryckt oro över att fokus på utgiftsrestriktioner har skadat prestationerna inom hälsosystemet. Utvecklingen inom den isländska hälsosektorn är densamma.Syfte: Denna studie syftar till att beskriva och behandla de huvudsakliga problem som den isländska hälsosektorn står inför, redovisa åtgärder och reformer som har utförts med tyngdpunkt i privatiseringsplanerna samt diskutera möjliga alternativ för framtiden.Genomförande: Studien genomfördes parallellt med praktik på Sveriges ambassad i Reykjavik, Island. Det har bidragit till att författaren disponerat över ett stort informationsunderlag vilket underlättat förståelsen för specifika isländska faktorer, attityder och levnadssätt.Resultat: Det är viktigt att isländska staten har klara definitioner gällande vilken rättvisa som skall finnas i hälsosystemet. Fondering och ökad prevention samt införande av en resultatorienterad budget samt att staten utformar ett väl fungerande system för kvalitets- och kostnadskontroll för att få till stånd en effektiv privatisering..

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.

Nurses in health care have a responsible and sometimes stressful job. Nowadays there?s a high pace in health care where many decisions have to be made during time pressure, a lot of information has to be transferred between health care units and sometimes complicated equipment are used. Cases of mistakes are reported more than ever to the national committee responsible for health care. Many of the mistakes, where the nurses are involved are due to the nurses? stress.The aim of this study was to gather information to describe causes of stress in nursing care and the nurses? experience of stress influence on health care.The method that was chosen for this study was a literature review where scientific, critically reviewed articles were analyzed.  The analysis resulted in two main themes.

Denna uppsats behandlar den nu gällande amerikanska säkerhetsdoktrinen (NSS). Uppsatsensmålsättning är att undersöka om den gällande amerikanska säkerhetsdoktrinen tjänar sompreventionsmedel och som ett uttryck för statlig tvångsdiplomati. Säkerhetsdoktrinenanalyseras för att komma åt den nya säkerhetspolitiska paradigmen. Vidare preciserarrespektive undersöker uppsatsen den utslagsgivande säkerhetspolitiska kalkylen för attsäkerställa amerikanska nationella intressen och överväganden ur ett geostrategiskt perspektiv.Som metod för att undersöka frågeställningarna respektive uppsatsämnet används härvid enkvalitativ textanalys. Analysverktyget som används har tagits fram för att granska utrikes- ochförsvarspolitiska doktriner och tjänar därför uppsatsens syfte väl.

The aim of this thesis is to study the reading habits of Swedish librarians visualized by librarians from Götabiblioteken ? a collaboration of 14 public libraries in mid-Sweden ? focusing on the reading done on their spare time, even if work-related. We started with a survey sent out to 74 librarians in October 2013, answered by 56, and followed up by interviewing 7 of them in November.We tried to answer these questions:To what extent does the working librarians read on their spare time compared to before they started working?What literature do they read, now compared to before they started working?To what extent does their perception of what they should have read affect their private reading?In what way does a librarian in the beginning of their career differ in reading habits from the reading habits of a librarian with many years in the profession?The result of our study shows that most of the librarians read as much or more than before they started to work. They are more selective in their choice of literature and are affected by their work in it in different ways.

This study aims to theoretically investigate the concepts of the interpersonal actions 'to motivate' and 'to manipulate' and also to examine possible differences and similarities between the two. The method used is a conceptual review based on the Self-Determination Theory, related to the concept of motivation, and Machiavellianism, related to the concept of manipu-lation. The results show that 'to motivate', according to Self-Determination Theory, concerns influencing the intrinsic or extrinsic motivation, where intrinsic motivation is related to the feeling of self-determination, inner locus of causality, being or feeling competent and exercise activities for the pleasure of it, whilst extrinsic motivation is related to external locus of cau-sality, external pressure and engaging in activities for the purpose of reaching a goal or re-ward. 'To manipulate' is according to Machiavellianism based on the manipulator doing whatever it takes to reach a certain goal and gain something for himself with no regard of what methods being used. The comparative analysis showed that the crucial difference in how an behaviour is interpreted as either, or both, motivating and manipulative is based on who is doing the interpretation, what information she has and which aspects that are focused on..

Cancer mammae är den mest förekommande cancerformen hos kvinnor världen över. Etiologin är för närvarande relativt okänd. I decennier har det förts en diskussion huruvida kost har ett samband med denna fruktade cancerform. Syftet med denna systematiska litteraturstudie var att sammanställa litteratur rörande omega 3 och omega 6 för att undersöka om det finns ett samband med cancer mammae. Litteraturstudiens metod grundar sig på Forsberg & Wengström (2010).