Syfte: Syftet med föreliggande litteraturstudie var att beskriva vilka omvårdnadsåtgärder sjuksköterskan kan använda sig av i det trycksårspreventiva arbetet. Syftet var även att granska urvalsmetoden som de inkluderade artiklarna har använt sig av.Metod: Artiklar publicerade mellan 2007 och 2013 söktes i databaserna CINAHL och PubMed. Resultatet baserades på tretton artiklar.Resultat: Resultatet utmynnade i fyra kategorier: 1) Riskbedömning; med användandet av ett riskbedömningsinstrument i det dagliga omvårdnadsarbetet minskade förekomsten av trycksår. Det framkom att sjuksköterskans kliniska blick var viktig för att upptäcka patienter med risk för att utveckla trycksår. 2) Tryckavlastande underlag; användande av tryckavlastande underlag var en viktig åtgärd för att förebygga uppkomst av trycksår.

An automatic control system for calibration of pressure indicators has been constructed. This control system can be used as a complement to the calibration system located at AerotechTelub, division MainPartner, in Linköping. The calibration system used today contains some not wanted pressure changes, which is compensated by hand today. The new system presented in this report automates the calibrating process and simplifies the calibration. Suitable hardware as motor, controls card and so on have been found and software in the form of Visual Basic program has been developed.

The objectives of this research were to determine whether the natural rattan resources in Sulawesi, Indonesia can cope with the strongly increased harvesting pressure that has occurred over the last centuries. I was furthermore looking for patterns in the rattan population dynamics that might give a hint on how the harvesting system could be improved to ensure a maximum sustainable yield. To answer these questions, I developed an individual-based model to analyse the dynamics of rattan growth in connection with rattan harvests by locals to identify sustainable levels of rattan harvests around villages in Sulawesi, Indonesia. Scenarios with different harvesting intensities were run to compare the change in harvest amount. For a given harvesting pressure, scenarios with a high number of harvesters and a low harvesting frequency had the same effect as scenarios with high harvesting frequencies and a low number of harvesters.

In Uppsala CHP Plant, there are six pressure reducing valves to reduce the pressure from 15 to 3 bars, before six absorption heat pumps. During the process the energy is conserved but losses occur in form of exergy. The aim of this thesis is to reduce the losses of exergy. This can be done by letting turbines replace the pressure reducing valves.In this thesis an investigation has been done of the conditions today, the conditions after the change from pressure reducing valves to turbines and a comparison of three different types of turbine solutions. The three examined solutions are one turbine, several helical screw expanders and several small turbines in parallel with asynchronous generators.The six absorption heat pumps have been divided into two groups; one group of four and one group of two absorption heat pumps.

Equine metabolic syndrome (EMS) it?s a clinical condition that includes obesity, regional adiposity, insulin resistance (IR) and laminitis. A similar syndrome exists in human medi-cine, the metabolic syndrome (MS), were systemic hypertension also is a prominent fea-ture. The systemic hypertension seen in humans with MS is partly due to a vascular endo-thelial dysfunction with an enhanced endothelin-1 (ET-1) mediated vasoconstriction. There are indications that systemic hypertension might be a feature in EMS as well but if ET-1 is involved in the development of the systemic hypertension in horses is not known.

Bakgrund: Trycksår är idag en vanligt förekommande vårdskada. Få studier har gjorts gällande trycksår i samband med buklägeskirurgi.Syfte: Syftet var att undersöka trycksårsprevalensen bland patienter som genomgått kirurgi i bukläge och identifiera möjliga riskfaktorer för trycksår.Metod: En prospektiv deskriptiv studie med kvantitativ design. Datainsamlingen utfördes på neurokirurgiska och ortopediska kliniken under nio veckor, vid ett stort sjukhus i mellansverige. Hudobservationer och journalgranskning skedde på totalt 29 patienter. Frågeställningarna besvarades med deskriptiv statistik och analyserades med Mann Whitney U test och Chi2.Resultat: Var tredje patient som genomgått buklägeskirurgi utvecklade trycksår.

Stump treatment today requires large quantities of clean water mixed with the protective product Rotstop, to fully cover the stump surface. In order to reduce the water consumption without reducing the coverage of the stump surface, the pressure in the stump treatment device can be increased. Therefore, the Phlebiopsis gigantea (Fr.) Jül. suspension used as a biological control agent to prevent Heterobasidion annosum (Fr.) Bref. infection was pressure-tested.

Bakgrund: Trycksår är vanligt förekommande inom vården. En koppling har gjorts mellan försämrad nutritionsstatus och ökad risk för trycksår. Ett sätt att påverka näringsstatusen kan vara att ge näringstillskott och genom detta indirekt påverka läkningen av trycksår, detta omvårdnadsansvar ligger hos sjuksköterskan. Ett problem kan dock vara att kunskapen hos sjuksköterskor gällande näringstillskott kan variera. Syfte: Syftet var att beskriva näringstillskotts effekt på läkningen av trycksår.

Syftet med denna litteraturstudie var att beskriva riskfaktorer som påverkade uppkomsten av trycksår samt de vanligaste förekommande preventiva åtgärderna. Vidare var syftet att beskriva sjuksköterskans roll vid förebyggandet samt behandlingen av trycksår. De vetenskapliga artiklar (n=21) som ingick i studien söktes manuellt samt datoriserat via databaserna Blackwell Synergy, CHINAL, Elin@Dalarna och Elsiever. Inklusionskriterierna var att de skulle vara vetenskapliga samt av kvalitativ och kvantitativ design. Även litteraturstudier inkluderades.

Background: For the knowledge company the employees? competencies and knowledge are important assets. According to this, there has been a lot discussion about how to best take advantage of the employees? knowledge and create organizational learning. This organizational learning can be difficult to create due to the individuals? own goals and the fast changes in today?s society.

The aim of this study was to determine which type of fluid to use in trauma care to improve patient survival. The method used was a systematic review, where a total of 18 studies were reviewed and 13 included in the results. The inclusion criteria used in this study were Randomized controlled trial, or studies relevant for the purpose, written in English and published during the last ten years. The studies were identified in the PubMed data base. The results showed that in trauma with hypovolaemia, colloid infusion has a better effect than infusion of crystalloid fluid on blood pressure and colloid infusion reduced the body's cascade systems in a beneficial way. Colloid infusion administered to head injury patients lowered their intracranial pressure more than crystalloid infusion.

The following thesis is examining compliance with EU-law from a member state perspective. The variation in the compliance level between the member states from 1995 to 2005 is analyzed to prove the fact that the Nordic member countries during the measured time period experienced a low number of infringements. The infringements that did occur were resolved faster and more efficient in the Nordic countries then in the other member states. The theory used to explain the Nordic compliance rate is divided between external and internal pressure in a pull and push model. The external pressure is illustrated with argumentative persuasion from the EU-commission to the individual member states; how the state responds to the persuasion in order to act compliant.

Post-anaesthetic myopathy (PAM) is a serious occasional complication of general anaesthesia in horses. It causes not only pain and suffering to the horse, but also suffering (trauma) to the owner with increased veterinary costs. In the worst case PAM can be fatal. The anaesthetic nurse must know which parameters have to be taken into consideration in the prevention of PAM, to be able to prevent it, and use that knowledge for the animals safety. The aim of this literature review was to investigate and make a presentation of the factors and measurements associated with PAM, with focus on how to monitor these measurements to prevent it from happening, and the advice a Veterinary nurse can give to the horse owner regarding this condition. According to literature there a few factors that greatly increase the risk of PAM, these include- hypotension, periods less than 60 mmHg significantly increases the risk.

Environmental objective 17: Sustainable consumption - An attempt to integrate the global impact of the Swedish consumption with the environmental objectives system The aim of this report was to integrate the global impact of the Swedish consumption withthe environmental objectives system through presenting a suggestion for a seventeenth environmental objective ? Sustainable consumption. How the Swedish consumption pressures the global environment and methods to measure the affects was investigated. The pressure was divided into five main fields: climate, air, water, land and chemicals. The impacton humans and the biodiversity was also discussed, as well as differences between how men and women affect the environment and get affected when the environment changes.

The concept of vulnerability is the capacity or the sensitivity to become damaged. Vulnerability are characterized by one or more of the following terms; a system´s sensitivity to exposure to shock, stress or interference, the state of the system in relations to a threshold of damages, and the system´s ability to adapt to the changing circumstances. Vulnerability in this study is referring to the sensitivity of the circumstances that lead to sustainable livelihood that can´t be maintain and that there is an inability to cope with and manage stress. The choice of making a study in this area is based on that action needs to be taken to moderate the vulnerable aspects of society, in this respect in relations to storms. Analyzes of the social vulnerability to climate change or natural events is needed for effective actions.