Background: Insufficient nutritional support is associated with prolonged hospitalisation, impaired wound healing and impaired survival for patients in intensive care. In severe sepsis and septic chock, calculation of nutritional need is complicated since the metabolism is affected by decease. Aim: The aim of the study was to investigate nutritional support and to examine the quality of nursing documentation of nutritional status and nutritional support in patient records in severe sepsis and septic chock.  Method: The study was conducted as a retrospective investigation where 64 patient records were studied. The quality of documentation was examined in 10 patient records using an examinational model.Findings: Calculation of average nutritional support showed insufficient supply particularly in the two first days of intensive care. During the next five days nutritional supply was higher but individual variation was seen, why a clear picture of nutritional support is hard to detect.

Studiens syfte är att undersöka äldres upplevelser av stöd i samband med sorg, vid förlust av livskamrat, samt att undersöka professionellas erfarenheter av sörjandestöd för äldre. Syftet preciseras genom följande frågeställningar: Vilket stöd finns att tillgå äldre i sorg, utifrån samhällets insatser? Vilka eventuella brister finns i sörjandestödet för äldre? Vilka aspekter har varit avgörande för de äldres sorgebearbetning? Studien har genomförts utifrån kvalitativ metod med semistrukturerade intervjuer som datainsamlingsmetod. Intervjuer har genomförts med två respondentgrupper, den ena med tre äldre personer vilka erfarit förlust av livskamrat, den andra med tre professionella vilka via sitt arbete kommer i kontakt med äldre. De teoretiska utgångspunkterna har utgjorts av kristeori, rollteori och ålderism.

Each year over 3000 children in Sweden lose a parent. The loss of a parent may cause some grave changes in a child?s life, leading to both mental and physical consequences. The purpose of this literature study is to examine the different ways in which health care personnel can better receive and relate to children whose parents are dying or have passed away.Data was collected through such sources as Pubmed, Academic Search Elite and Cinahl, which resulted in the inclusion of sixteen subsequent articles, ten of which were quantitative and six of which were qualitative. Thirteen of the said articles illustrate how children act in response to a dying or deceased parent and what measures were needed for them to move on with their lives.

Inom psykiatrisk verksamhet händer det att patienter tar sitt liv under pågående behandling eller i direkt anslutning till en behandlingsperiod. Enligt patientsäkerhetsförordningen måste dessa händelser rapporteras och utredas. Syftet med patientsäkerhetsförordningen är att den ska främja hög patientsäkerhet inom hälso- och sjukvård genom att minska antalet vårdskador, oavsett om bristerna beror på systemfel eller på att vårdpersonal begått misstag. Fokus är således på ett patientperspektiv, därför känns det angeläget att studera upplevelser som väcks hos olika grupper av vårdgivare när en patient begår suicid.Frågeställningar: Behandlares upplevelser när en patient gör suicid.Metod: En kvalitativ intervju på fenomenologisk grund genomfördes med fem vårdgivare i psykiatrisk verksamhet, två sjuksköterskor med steg 1 utbildning och tre skötare.Resultat: Upplevelser hos vårdgivare som är med om en patients suicid kännetecknas av chock, traumatisk stress och sorg. Det väcks också tankar som rör den egna professionen och i en del fall oro för följder av beslut som i efterhand kan bedömas vara felaktiga.Diskussion: När vårdgivare intervjuas om sina upplevelser efter en patients suicid, berättas om olika reaktioner som inte uppmärksammats nämnvärt.

The purpose of this study is to examine how the identity of teenagers is affected by the loss of a parent as well as what coping strategies support identity development. The reactions the teenagers exhibit, in such circumstances, will also be examined. To accomplish this,  a theory package was created, comprising theories in developmental psychology, identity work, coping and theory of grief reactions of children and teenagers. This package provided a broad perspective, which facilitated the analysis. Furthermore, it made it easier to address the purpose and the issue of the analysis.

Since early civilization, herbal tea has been used as remedies for an abundance of different diseases. Among these herbal remedies, peppermint (Mentha piperita) was used for its effect on bowel related ailments. Even though peppermint was not described until late 17th century, it has been used since 1000 years before Christ by the Egyptians. In present day it is still considered a remedy for stomach pain etcetera, and much of the recent research is concentrated on the positive effects of peppermint on pain and bowel diseases. A large section of the research is also reviewing positive effects of peppermint on cancer, allergy and also on its potential as antibacterial agent.

The purpose of this study has been to investigate how psychosocial support for families where a parent suffers from a life threatening illness can be constructed. The intent was also to explore how the child's perspective is protected and what barriers and opportunities there are for family oriented support. The study has a qualitative approach and includes interviews with four social workers. The interviews were analyzed with a systems theory and attachment theory. The conclusions are that the whole family suffers psychological and social pressures when a parent is sick.

The main part of the goats in the world is located in developing countries, whereas active breeding programs are mainly restricted to Northern America and Europe. Goat milk can be processed to several products and goat cheese is the main product. An organized breeding program is carried out in France and Norway but is not present in Sweden. Important selection traits for milk producing goats include milk, protein and fat yield along with protein and fat content. Functional traits have been more important the past years and they have large economic importance for the farmers.

This literature research is meant to answer the following questions: ? What was the Swedes consumption of fat from 1935 to 2009? ? How has the fat consumption corresponded to the current recommendations? ? What is LCHF and which are the main advantages and disadvantages? Fat supplies us with energy, isolates and protect organs from bumps and punches. Fat is insoluble in water but soluble in organic solvents. The properties of a fat depend on its structure. The most common fat in human food is triacylglycerides.

Bakgrund: Sjuksköterskor kommer i sitt arbete att möta svårt sjuka patienter och deras närstående. När någon är sjuk involveras hela familjen. Det är då viktigt att närstående får hjälp med att bearbeta sorgen och lidandet som uppstår och då spelar sjuksköterskan en viktig roll. Syftet: Syftet var att belysa hur närstående upplevde sjuksköterskans stöd i sin sorg och sitt lidande. Metod: Studien genomfördes som en allmän litteraturstudie och baserades på tolv vetenskapliga artiklar.

The surface finishing technique called black oxidation is currently being used on thetool holders made of low alloyed tool steel produced by Sandvik Coromant. Blackoxidation isn?t considered a sufficient technique because it doesn?t make the toolholders look like the quality products that they actually are. The reasoning behind thisis that the tool holders can show signs of corrosion after prolonged storing times orin countries with high humidity and temperature. The corrosion doesn?t decrease thetool holders performance, but the customers might believe otherwise.

Bakgrund: Varje år får omkring 300 barn i Sverige cancer. När ett barn får ett cancerbesked drabbas hela familjen. Tiden efter diagnos är en jobbig period för alla inblandade. Vardagen förändras och känslor av besvikelse, ilska och sorg kan tränga sig på. På sjukhuset spelar sjuksköterskan en central roll i omvårdnaden och konfronteras oundvikligen med familjen och deras känslor.

ABSTRACT The purpose of this medical record research was to study 30 patients with chronic subdural hematoma on a neurosurgical clinic, mapping documented nutritional status, preoperative fasting and hydration and energy supply before surgery. In addition peroperative administration of fluid and vasoactive drugs, as well as postoperative complications and length of hospital stay were studied. The mean age of the patients was 71 years. Nutritional status was evaluated in 12 patients, out of these seven were judged to be at risk for under nutrition. Fifteen patients had surgery day 1 (total fasting time on average m 11 h), eleven had surgery day 2(29 h), three had surgery day 3 (35 h).

Background: Obesity has expanded to a nationwide issue that affects millions of people. The healthcare system struggles to handle the epidemic as the problem grows. Studies show that healthcare workers have negative attitudes toward obese and overweight people and that they lack knowledge and proper tools to support this patient group. Motivational interviewing (MI) is a known technique for initiating lifestyle changes with patients. Aim: The aim is to evaluate the effectiveness of MI as a tool for weight loss and sustainable lifestyle changes for people with obesity and overweight. Method: This study uses a literature review methodology with a systematic perspective. Data is gathered and analyzed to investigate how MI affects weight loss.

Bakgrund: När en närstående befinner sig i livets slutskede påverkas hela familjen, genom att deras liv förändras och sorg och lidande uppstår. Syfte: Syftet med denna studie var att beskriva familjens upplevelser av sorg och hur deras liv påverkas när en närstående vårdas i livets slutskede, samt sjuksköterskans roll i detta skede. Metod: En litteraturstudie genomfördes där 14 vetenskapliga artiklar med kvalitativ ansats granskades och analyserades. Resultat: Tre övergripande teman framkom: familjens sorg, påverkan på familjen och vårdpersonalens bemötande och stöd. Familjen blev överraskad av sina starka sorgereaktioner.