Bakgrund: Smärta är för intensivvårdspatienten en unik, subjektiv, obehaglig och flerdimensionell upplevelse. Intensivvårdssjuksköterskan har ett moraliskt ansvar att lindra patienternas smärta. Verbalt icke-kommunicerandepatienter kan inte skatta sin smärta med hjälp av Numeric Rating Scale (NRS). På en neurointensivvårdsavdelning (NIVA) i Stockholm har det beteendebaserade smärtskattningsverktyget- the Critical-Care Pain Observation Tool (CPOT), implementerats. Intensivvårdssjuksköterskorna på NIVA använder CPOT dagligen i sitt arbete.

Bakgrund: Acceptance & Comittment Therapy (ACT) används i de flesta smärtkliniker i Sverige. Trots att ACT har bra evidens, är det oklart vilka behandlingsprotokoll som används. Syfte: Syftet var att undersöka hur ACT implementeras kliniskt för personer med långvarig smärta. Metod: En databassökning genomfördes med sökorden: "acceptance and commitment therapy" AND "chronic pain" OR "persistent pain" i : Portal proquest, CINAHL, PubMED och Scopus. De inkluderade studietyperna var RCT-studier, fallstudier, kvalitativa fallstudier, en studie som var både kvantitativ och kvalitativ och en reviewartikel med inkluderad kvalitativ fallstudie.

In order for a judgement to be enforceable in another Member State, there is a certain requirement for an "intermediate? court procedure, a so-called exequatur procedure. An exequatur procedure is both expensive and time-consuming. The average cost of the procedure within the EU is 2 200 euro in a case without particular difficulties. In more complex cases, the cost of the procedure can be validated up to 12 700 euro.

Celiaki är en kronisk autoimmun överkänslighetssjukdom mot proteinet gluten. Gluten förekommer i vete, korn, råg och havre. Sädesslagen innehåller olika prolaminer, vilka gemensamt benämns för gliadin. Autoantigenet utgörs av enzymet vävnadstransglutaminas (tTG). Genom deamidering medför enzymet att gliadinets immunogenitet ökar.

The aim of this comparative study is to analyse the French and the Polish regional governance in order to see if there are any differences in their regional ruling systems. Further more I will study their different possibilities in taking part in the European Union regional political market. The shape of the regional systems will be explored both organisationally (study of the institutional entities of the regional construction) and functionally (study of the competencies of the regional body etcetera) to focus on its cause on the regional development. My over all focus will be to find out whether regional rule means differently in the countries France and Poland.Several questions are dealt with and the two main ones are as follows; How do the different structures of the form of government in France and Poland influence the governance on the regional level? Do Poland, as a new member state of the European Union, have what it takes to face the challenges of the new membership; or are there a complex of problems arising from the admittance that prevent its regions from fully taking part in the European regional political market?Some of my conclusions are as follows;There are major differences between the two countries when it comes to their regional ruling systems leading to different abilities in taking part in the European regional political market.

Every year 300 children in Sweden are diagnosed with cancer, but through research and successful clinical work 70 % of the children survive their cancer. Aim: To illuminate nursing care of children with cancer. Method: The study was carried out as a general literature study through systematic review and analyse of 18 scientific articles. Result: The analysis resulted in five themes: Support, play as a psychological assistance, alternatives to alleviation of pain, nutrition and relieving symptoms of fatigue.Conclusion: It is important that the nurse has knowledge about the children and their family?s experiences when dealing with a cancer illness to provide the children with adequate care.

Increased trade and exchange within the European Community has brought with it the need for less restricted circulation of judgments. The situation has improved greatly due to the enactment of Regulation (EC) No. 44/2001 on jurisdiction and the recognition and enforcement of judgments in civil and commercial matters (the Brussels I Regulation).Despite recent improvements the proceedings are still time-consuming and difficult. Many creditors refrain from having judgments recognized and enforced as the proceedings cost too much time and are too time-consuming. On January the 21st 2005 a new Regulation entered into force, Regulation (EC) No.

The overall aim is to examine how the European Union Water Framework Directive has affected the local water management in the catchment Märstaån situated in the eastern part of the lake Mälaren river basin, Sweden. The first part of the study gives an historical overview of the area with focus on how the old agricultural landscape was handling the nutrient load from farming activities by means of different kinds of wetlands. By using the concept of the procedural landscape, introduced by Torsten Hägerstrand , together with historical maps with dates starting from the 17th century, the pre-modern landscape is analyzed.  The second part is an investigation, based on qualitative data, on how the different actors in the catchment area work together to secure the water quality for the Märstaån river. The analysis shows that the Märstaån catchment river systems are mostly unchanged in the rural areas.  The exception is the mainstream section of the Märstaån river running partly underground today and the Halmsjöbäcken river that is heavily affected by the Arlanda airport situated within the catchment area.

Uppsatsens syfte var att beskriva hur arbetsterapeuter resonerar kliniskt vid bedömning av arbetsförmåga hos personer med neuropsykiatriska funktionsnedsättningar. För denna studie användes en kvalitativ ansats. Semistrukturerade intervjuer genomfördes med fem arbetsterapeuter som jobbar mot arbetsmarknaden. Frågeområdena inspirerades av clinical reasoning ?three track mind? där procedural, interactive och conditional reasoning utgör de tre olika tankemönstren.Resultatet redovisades i fyra kategorier och ett övergripande tema som beskriver arbetsterapeuternas kliniska resonemang: Att forma en frågeställning, Att välja bedömningsmetod, Att utforma en slutrapport och Yrkeskompetens.

AbstractBackground: After a while the usage of urinary catheters leads to UTI which for the patient means inconvenience, suffering and pain. Aim: The aim of this study was to illuminate how to prevent UTI from patients with indwelling catheter. Method: This study was a literature review in which the articles have been searched for in PubMed, Cinahl and ELIN@Kristianstad. Results: It is important for the nurse to clean the periutheral area before inserting the catheter, and has the knowledge of different cathetermaterials. Silver alloy-coated catheters reduces the rate of UTI.

Syftet är att undersöka hur fyra affektiva personlighetsgrupper skiljer sig i stress, sömnsvårigheter och smärta. De fyra affektiva personlighetstyperna är självförverkligande, lågaffektiva, högaffektiva och självdestruktiva. Studien inkluderade färdiginsamlad data från The Middle Sweden Pain and Sleep Project. I studien deltog 611 män och 838 kvinnor i varierande åldrar (M=46.93, SD=12.73). Det visade sig att det fanns signifikanta skillnader i stress, sömnsvårigheter och smärta mellan grupperna.

Syftet med föreliggande studie var att undersöka och beskriva manliga patienters uppfatt- ningar av kateterisering och hur det är att, tillfälligt i samband med ett operativt urolog-iskt ingrepp, få och bära kateter. Studien genomfördes genom kvalitativa intervjuer av tio patienter på en vårdavdelning. Materialet från intervjuerna bearbetades och analyserades med en fenomenografisk ansats och detta resulterade i fem kategorier: Vikten av ett gott bemötande, Informationen före operation har stor betydelse, Obefogad rädsla för smärta, Betydelsen av val av material, Tryggheten och relationen till medpatienter i samma situation..

Uppsatsen undersöker hur personalen på Eknäs ungdomshem upplever rättvisa på sin arbetsplats. I undersökningen deltog 31st anställda varav 15st män och 16st kvinnor. På arbetsplatsen finns en hög sjukfrånvaro och hög personalomsättning som kan leda till ökad upplevelse av orättvisa. Trots detta har de anställda ingen utbredd upplevelse av total eller allmän orättvisa, vissa saker upplevs mer rättvist medan andra saker upplevs mer orättvist. Personal upplever sig orättvist behandlade i situationer som härrör till ansträngning, de tycker inte de får de resurser de förtjänar eller kan påverka sin situation när de anstränger sig utöver det normala på arbetsplatsen.

The purpose of this literature review is to gain knowledge of how a nurse can relieve a patient´s suffering and promote a patient´s health on his/her own without pharmacologic aid. The method is a literature review based on 10 scientific articles. The study is influenced by Antonovskys view of health. The result showed four clear themes: (1) reduced anxiety / worry and physiological effects, (2) well-being and quality of life, (3) steps towards self-care and (4) relations. Relaxation and massage proved to have calming and pain-relieving effects.

The OMX-case entailed considerable uncertainty about the relationship between tax treaties and Swedish domestic law. Previous approaches to handle rule conflict between them was put out of action for the first time when an internal rule took precedence over tax treaties. The Greece-case came a few years later where there were hopes that it would be decided in plenary session to return to the view that prevailed before the OMX-case, which did not happen. Instead the Supreme Administrative Court ruled that the tax treaties shall in principle be given preference, but that in exceptional situations tax treaties can be infringed to an internal rule's benefit, so called tax treaty override. Such procedure is acceptable if the legislature gives "clear expression" of the intention of a certain type of income is to be taxed in Sweden, or that a particular new rule applies regardless of the provisions in tax treaties.The purpose of this thesis is to analyze the supreme administrative courts management of rule collision between domestic law and tax treaties in the Greece-case.