Introduction: Good hand hygiene practice is the single most important measure to reduce the spread of bacteria and viruses in healthcare. For nurses, this has become more important as the spread of multidrug-resistant bacteria in hospitals is increasingObjective: To identify factors that are important for adherence to hand hygiene among health care workers with patient contact.Method: Systematic literature review. Original articles were searched in PubMed and Cinahl.Results: Factors of importance for compliance was profession, lack of time, knowledge/education, physical work environment, attitudes toward hand hygiene, and dry hands.Conclusion: More education, less workload and more visible placement of hand disinfectant containers are examples of actions that could lead to the improvement of staff hand hygiene and reduce the incidence of healthcare associated infections. Due to the fact that health care workers around the world have different training and approaches, the result of this study may be difficult to use. To increase adherence to hand hygiene, a similar study limited to a specific country, such as Sweden, would therefore be interesting to carry through.Keywords: hand hygiene, Infection Control, Compliance..

There are several different kinds of bacteria that has developed resistance against the antibiotic agents used in todays medicine. Most of them has evolved from the human health care but several of them has gone over to also cause problems in the animal health care. They often occur as nosocomial infections and the greatest risk of exposure to them is during health care. Since infections with a resistant bacterium can be difficult to treat, it is desirable to prevent this spread, especially since an animal treated in a hospital often is more susceptible to infection, due to their primary condition. In Sweden the current resistance situation is good and is yearly monitored by the Swedish Veterinary Antimicrobial Resistance Monitoring (SVARM) programme.

In Sweden, the most common way to castrate a bitch is by midline approach. In this study, flank and midline approaches are compared in order to evaluate incision by the flank as an alternative technique for ovariohysterectomy in the bitch. The study was performed on straydogs in the central part of Thailand under field conditions. 32 bitches were included in the study. The castration technique was by flank and midline approach, alternating with every other bitch.

The background to this thesis is that we know very little about lesbian and bisexual women's sexual health in Sweden, particularly in relation to sexually transmitted infections (STI) and their transmissions. An internet-based questionnaire with self-selected participants targeted to the group WSW (Women who have Sex with Women) has been implemented. An international survey on the subject shows that the WSW has sexually transmitted infections. This is also in line with the results in this study. The most common sexually transmitted infection in the survey is chlamydia which 12.3 percent have had.

So far, only limited research has been carried out on viruses infecting raspberry, even though the diseases that these viruses cause result in economical losses for raspberry growers. Raspberry ringspot virus (RpRSV) belongs to the family Comoviridae and the genus Nepovirus. Nepoviruses are characterized by their icosahedral virus particles and bipartite genome of single-stranded (+) RNA (RNA-1 and RNA-2). These viruses are transmitted mainly by nematodes of the genus Longidorus, which feed on the roots of plants. RpRSV causes disease in raspberry, grapevine, strawberry and many other plants.

This paper aims to, through a literature review, examine how to best design and adapt calf huts to meet the calf's physiological requirements and reduce the infection pressure for enteric and respiratory diseases. It illuminates how the calf relates to different temperatures and climate, which temperature control mechanisms it uses and its ability to perform these regulations, as well as providing a summary of the past decades´ research on the calf huts housing system. These two theory chapters, along with a concluding discussion, provide a better understanding of how to, especially in temperate climates, design the most suitable calf hut, which cater to the calf's both thermal comfort and physical health. The literature suggests that the calf's own temperature control works well to counteract the temperature outside the desired range, and that one of the most important factors rather is ventilation of a calf hut, which reduces moisture and pathogens. The conclusion of this paper is mainly that there is not an obvious way to place and construct a calf hutch and that most design principles contribute to both positive and negative effects simultaneously.

Shivering är ett fenomen som uppstår hos patienterna postoperativt. Det innebär att patienten har okontrollerbara muskelskälvningar som gör att patienten darrar, skälver eller huttrar i mer än 15 sekunder. Shivering påverkar kroppen negativt, men är också obehagligt och ett onödigt lidande för patienten. I takt med den tekniska utvecklingen utarbetas nya operationstekniker och idag utförs flera operationer med laparoskopisk teknik. Pilotstudiens syfte var att undersöka före-komsten av postoperativ shivering hos patienter som opererats med laparoskopisk teknik.

Background: Postoperative infections are a serious patient safety problem and affects about 3 % of all patients undergoing surgery. The consequences are prolonged hospital stays, high social costs, increased use of antibiotics and impaired quality of life for the patient. It has been shown that postoperative infections may be caused by contamination already in the operating room. Today we know that there is growth of microorganisms on the instrument table´s top, but there is a research gap about the instrument table's edges.Aim: To examine if the sterile drape on the instrument table´s edges are sterile after finished surgery.Method: Contact plates are printed on strategically selected areas on the sterile drapes top and edges. In the pilot study, a total of 51 cultures were taken at the end of three operations which lasted over three hours.Results: Growth on the top surface and the edges of the sterile drape were detected.

The alpaca is a camelid that originate from the South American highland. During recent years it?s been possible to keep alpacas in other parts of the world. Today there is a world-wide interest in alpacas, but there is still limited knowledge about this fascinating animal. There are approximately 350-400 alpacas in Sweden in 2007.

About 35 years ago the WHO advocated that countries with injecting drug users should introduce the so-called needle exchange programs (NEP) to curb the spread of infection by blood-borne diseases. In Sweden the first NEP started 1985 in Lund, but the program was extremely controversial in a country with such a restrictive drug policy like Sweden.The study you are about to read shall process this controversy, when a NEP opened in Stockholm, by analyzing the articles published in the newspapers Dagens Nyheter and Svenska Dagbladet. By using discourse analysis as a processing tool we?ll try to see the difference between the two chosen newspapers. We will identify and analyze the different participant?s, such as doctors, politicians, user associations and media, arguments in the needle exchange issue.

Introduction. Infection Prevention is one of the surgical nurses' main responsibilities. One of the steps which patients undergo in this purpose before surgery is the preoperative skin desinfektion. Background. The patient washes the day before surgery with Descutan cutaneous sponge 4 %, a sponge containing chlorhexidine.

Ear piercing performed in hairdressing salons and jewellery shops using a piercing gun has been set aside from the obligation to notify the local environmental and public health authorities, due to the use of disposable cassette with the piercing gun. According to the Swedish environmental code each practitioner are required to prevent any health hazards arisen from the operation. Local bacterial infection is the most frequent complication associated with the ear piercing procedure and to prevent the potential risk of such an event, hygiene conditions in both the premises and in procedures are essential. The purpose of the report was to examine the presence of ear piercing practitioners in Umeå and their current hygiene conditions. The study consisted of interviews with employees and managers on site whose answers was evaluated and compared to the general recommendations of The National Board of Health and Welfare.

This is a case study influenced by Grounded Theory and Symbolic Interactionism. Its focus is on a small group of pupils isolated both geographically and socially from the ordinary school. The composition is written from the children?s perspective. Observations and interviews have made it possible to study both the interaction between the children and also the adults, how the children are described by the adults working with them and what expectations they have on the children.In the light of earlier research, our case study can be seen as an example how the school is dealing with the children?s problems.

Pastern dermatitis is a common condition among horses. It is a symptom, a reaction in the skin of the pastern rather than a diagnose. There are a lot of homemade treatments when you ask horse owners how they handle pastern dermatitis, but what does the science say about how it should be treated? Today there is a growing problem with antibiotic resistance, but how good are the veterinarians on testing for resistance before they describe antibiotics? Bacteria and fungus is seldom the primary cause for pastern dermatitis, the reaction is often secondary to environmental factors. It?s difficult to diagnose the primary factor and it´s even more difficult when the horse has been treated in different ways before the veterinarian gets involved.

Hygien är en viktig del av sjukhusvård och det finns många utarbetade rutiner och föreskrifter. Då det tekniska kunnandet ökar, ges möjligheter till fler och mer avancerade kirurgiska ingrepp och när krav ställs på kostnadseffektivitet, ökar risken för vårdrelaterade infektioner. Att kunna förebygga och förhindra smittspridning på en operationsenhet är därför av största vikt. Studiens syfte var att undersöka faktorer som kan minska postoperativa infektioner inom operations-sjukvård. Metoden har varit litteraturstudier och baseras på 20 vetenskapliga artiklar.