Bakgrund: Mammografi med screening används för att minska dödligheten i bröstcancer. Metoden har dock visat sig innebära smärtupplevelser för patienterna.Syfte och frågeställning: Syftet är att beskriva interventioner för att minska smärtan vid mammografiundersökningar. Frågeställning: Hur kan smärtan vid mammografier med screening minskas?Material och metod: En sökning i databasen PubMed med sökorden "pain" och "mammography" och avgränsning för engelsk- och svenskspråkiga artiklar gjordes, vilket resulterade i sju artiklar med 4431 screeningskvinnor.Resultat: Smärtan vid mammografi minskar inte vid användning av musik eller inspelad röst för avslappning, inte heller om kvinnorna får ett förklarande informationsbrev och/eller bemöts med s.k. "spegling".

This paper develops a theory for understanding negotiation situations involving states and indigenous peoples. Using relevant constructivist theory as a starting point, the paper develops a theory about understanding the relationship between power and culture implicit in the concept of the state. This relationship is examined in negotiations situations involving states and indigenous peoples. States are constituted by social structure and are representatives of the national culture. At the same time states are actors within the international system and a part of the culture of Westphalia.

High quality within a Lean production system begins with standardised work, which creates stable processes able to generate predictable output. If nonconformity from the standard procedures occurs, routines are needed to analyse, correct and prevent the nonconformity from occurring again. In that way, the nonconformity can be a trigger for continuous improvements toward more stable processes. In takted production lines, where the operator follows a standard sequence with tasks set to be completed within the takt time, a nonconformity leads to downtime in the operator?s sequence, and no value is added.

Intresset för komplementära smärtlindringsmetoder växer, både hos sjukvårdspersonal och hos patienter. Idag finns det en stark trend mot mer skonsamma alternativa behandlingsmetoder, framförallt vid kroniska sjukdomar där allvarliga biverkningar av konventionell läkemedelsterapi är stor. Syftet med studien var att undersöka vilka smärtlindringsmetoder som sjuksköterskan kan använda sig av inom palliativ vård och dess effekter. Studien bygger på elva vetenskapliga artiklar. Resultatet gav flera olika behandlingsmetoder som kategoriserades under tre rubriker: distansbehandlingar, manuella behandlingar samt fysikaliska behandlingar.

This report is about helping Q-Med AB in Uppsala to start its implementation of uncertainty of measurements analyses in their manufacturing department. Prior to this, the company relied solely on personal experience or did not take this uncertainty into consideration at all during different kind of measurements, which means that some of the processes that the company previously believed were within specified acceptance limits, will actually fail when considering these sources of uncertainties.Q-Med AB needed some sort of instruction to help the company, in a systematic way, to investigate different types of disorders that are affecting all kinds of measurements. This instruction includes a short summary about measurements and uncertainty of measurements in general and a detailed procedure about how these uncertainties are going to be handled in their daily work.The goal was to be able to use this instruction to systematically locate, eliminate (when possible) and analyze all kinds of disorders when measuring. Q-Med is using a lot of different types of instruments when measuring different types of quantities, including temperature, mass, pressure and density. This instruction will hereafter be used for every instrument, regardless of quantity and type of instrument.The instruction is tested through 4 different kinds of measurements, for mass, temperature and humidity.

Background: Patients with self-harm seek hospital care when something traumatic occurred. Self-harm was a way to cure pain and was expressed overdose, cutting, or by swallowing objects. They described that the staff were derisive, didn?t show empathy and engagement. Aim: The aim was to describe factors that effects staffs answer to self-harm behaviour through their perspective.

The last years? financial situation has contributed to an increased willingness from the banks to handle risks. The most important risk to cope with is a risk that is related to a customer?s ability to repay loans. Forecasts indicate that in the future, Swedish farmers will be facing profitability challenges, which points to a need to reconsider the banks procedures considering risk management in credit granting for agricultural businesses.Today?s risk management will be given two complements in this study.

Aim: The aim of this study was to examine nurses experiences of asking patients aboutintimate partner violence and what the nurses believed could be of help or hindrance whenasking the question.Method: The study design was qualitative. Nine nurses from four different divisions wasinterviewed. The participants worked at a Swedish university hospital with an action plan fortaking care of violated women. Data were collected through semi-structured interviews usingan interview guide. The results were analyzed using qualitative content analysis.Main result: The question about intimate partner violence raises a variety of feelings amongnurses, for example anger and empathy.

Forest enterprises have always searched for ways to improve efficiency. For the past few years there has been an emphasis on stock-keeping levels. Increased demand for fresh round timber and the need to decrease the amount of tied-up capital has made the forest industry reduce its inventory levels. This has brought on a higher demand on the timber supply from the forest management districts concerning both delivery in time and assortment output. As a result, the flow of timber has fluctuated a lot with serious consequence for the timber supply during 1994.

Akut smärta är det vanligast förekommande symtom som den prehospitala akutsjukvården ställs inför. Behandlingsriktlinjerna presenterar intranasalt Fentanyl som ett alternativ för akut smärtlindring. Då det finns ett begränsat utbud av studier utförda på vuxna och inom prehospital akutsjukvård var syftet med studien att beskriva effekter av intranasal administrering av Fentanyl i prehospital akutsjukvård. Studien genomfördes med en kvantitativ metod och med en retrospektiv, deskriptiv design. Studien baserades på en granskning av 15 patientjournaler från Ambulanssjukvården i Region Halland och deras journalsystem Paratus.

Hospitals have a set perception as an unpleasant and frighteningatmosphere.The examination-rooms of today within the children?shospitals are often bare and needs embellishment and decoration tocreate a satisfying setting. The decoration might have the function asa divertion from pain and anxiety.According to my experience the decorations of today consists mainlyof Winnie the Pooh figures, a clown or a hockey poster, never anythinglinked to the body and it?s functions.Spina, Thorax & Femur is a project that focuses on the visual identityand possibility to a deeper understanding and playfulness around thebody perception within the nursing environment.A visit at the hospital could be part of a creative knowledgeacquisition. The project result are two boards of glass-enamelledsteel.

Multipel skleros, MS, är en kronisk neurologisk, autoimmun sjukdom, som oftast debuterar hos personer mellan 20-40 år, mest kvinnor. Det är cirka en per tusen invånare som insjuknar. Sjukdomen orsakar funktionsnedsättningar av olika grad och omfattning. Ett dominerande symtom vid multipel skleros är smärta. Syftet med denna litteraturstudie var att hitta omvårdnadsåtgärder, som kan lindra smärta hos personer med sjukdomen.

As a pet owner you are likely to someday face the decision to euthanize your pet and as a veterinarian or veterinary technician you are the one to perform this euthanasia. The reason for euthanasia may be depending on the animal, for instance illness, age and behavioral problems or depending on the needs of the owner or the society, so called convenience euthanasia. Many different euthanasia methods can be used when putting an animal to sleep. The method preferred in animal hospitals is pharmacological euthanasia either by inhalation of anesthetics or by injection of a euthanasia agent. If the pet owner wishes to be present during the procedure it is important to prepare him for what will happen. Many animals are sedated before the euthanasia in order to reduce anxiety and to ensure a softer transition between life and death. The euthanasia agent can then be administrated for instance intravenously or intraperitonealy.

The last years? financial situation has contributed to an increased willingness from the banks to handle risks. The most important risk to cope with is a risk that is related to a customer?s ability to repay loans. Forecasts indicate that in the future, Swedish farmers will be facing profitability challenges, which points to a need to reconsider the banks procedures considering risk management in credit granting for agricultural businesses.Today?s risk management will be given two complements in this study.

Chiari type I malformation is a condition in humans characterized by a small posterior cranial fossa, downward herniation of the cerebellar tonsils, foramen magnum overcrowding and disturbances of cerebrospinal fluid dynamics. Syringohydromyelia is often seen in patients with Chiari type I malformation. Syringohydromyelia is characterized by fluid-filled cavities in the spinal cord. This causes damage to the nervous tissue in the spinal cord. In recent years, a condition similar to Chiari type I malformation has been recognized in dogs. It has mostly been seen in Cavalier King Charles spaniels (CKCS). The condition seen in dogs is usually called occipital bone hypoplasia. The aim of the study was to examine whether there is a difference in the shape of the caudal fossa between CKCS, small bred dogs with a similar head shape and dogs with a normal head shape and if occipital bone hypoplasia is related to a head shape with a steep back of the head. Other aims of the study were to examine the crowding of nervous tissue in the foramen magnum in each breed group, the extent of syringohydromyelia and to what extent the malformation had caused neurological signs. Sculls from dogs on autopsy were divided in halves and the position of the cerebellum compared to the level of the foramen magnum was studied.