Bakgrund: Patienter med kronisk obstruktiv sjukdom (KOL) som behandlas med Non-invasiv ventilation (NIV) har risk för trycksår och malnutrition. Observation och övervakning av patienterna är viktigt för att kunna följa behandlingsförloppet och tidigt upptäcka en eventuell försämring samt förebygga komplikationer. Dokumentation av given omvårdnad måste kunna följas för att utvärdera och säkerställa kraven på en god och säker vård. Syfte: Syftet med studien var att granska omvårdnadsdokumentationen för patienter med KOL som behandlats med NIV på en medicinsk akutvårdsavdelning. Metod: Studien genomfördes som en retrospektiv systematisk journalgranskning i 75 journaler med en granskningsmall.

Abstract   Cinematic time is the most complex of all: it is composed of public time (clock), personal time (experienced) and in addition, it can run backwards, be contingent, stored and (re)created. The present study examines some aspects of cinematic time, with special reference to the instant, the moment and the present. The strictly defined instant or moment does not exist. It is a passage between the past and the future and it is impossible to Record on film or a photograph. One example is the moment of death, which is an abstraction with zero duration.

J.O. Mallander?s Extended Play (1968) is a sound Recording, a readymade, of the counting of votes in two presidential elections in Finland, during 1962 and 1968. A voice repeats monotonously: ?Kekkonen, Kekkonen, Kekkonen, Kekkonen, Kekkonen?? Although the Finnish president Urho Kekkonen represents, almost personifies, the politics of the post World War II period in Finland, Extended Play does not explicitly address the political. Rather, as this essay argues, it engages in the discourses of power and politics by providing a temporalization of its fixedness, or what Jacques Derrida terms the proper.Extended Play is, in parallel with Derrida?s critique of western metaphysics, a deconstruction in sound that challenges the state ideologies conveyed in the process of the counting of votes, where the presuppositions of the presence of the voice characterizes the ambiguities of power that Kekkonen?s politics of neutrality represent.Mallander?s readymade emerges as a double of the game theory strategies of the Cold War, a mimetic surplus of the administrative control mechanisms of sound Recording.

Detta examensarbete, Tidplanering av ett stort byggprojekt är en fördjupning inom byggstyrning med fokus på hur planeringsarbetet kan förbättras. Rapporten baseras på Skanskas planeringsarbete av Nya Karolinska Solna. Fördjupningen bygger på kvalitativa intervjuer med personal ur utvalda projektfaser och erforderliga dokument, som ger en närmare inblick i hur arbetet med tidplanering utförs och kommuniceras. Arbetet resulterade i slutsatsen att ledningsverktyget Last planner får samtliga befattningar på byggarbetsplatsen att kommunicera bättre med varandra och uppmärksammar eventuella problem i god tid. Skanska rekommenderas därför att implementera Last planner i framtida projekt. Skanska bör avsätta mer tid för projektering innan produktionen påbörjar.

Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical Record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..

In the years 1996-2001 the European Union`s copyright-directive was drawn up. This directive led to much lobbying activities from both copyright holders and library organisations like EBLIDA and IFLA. The Internet and filesharing networks like Napster had led to strong reactions among some copyright holders. Internet gave people an easy opportunity of accessing copyright protected material. Some researchers of copyright have written books where they state that the copyright holders utilize authors fear of illegal copying to strengthen the copyright laws, and by that benefit economical.

ABSTRACTMultiple sclerosis (MS) is the leading cause of adult disability inSweden. Hematopoietic stem cell transplantation (HSCT) can be used as a treatment option for patients with MS where the disease has an aggressive course. The treatment is preceded by high-dose chemotherapy which lowers the patient's immune system. It is therefore of interest to study infectious complications associated with HSCT in this patient.Aim: The purpose of this study was to identify infection problems in this population associated with HSCT, and to study differences in infectious complications between this group and patients diagnosed with lymphoma who have undergone the same treatment.Method: The study was a retrospective descriptive study with quantitative data. A medical Record review was conducted.

Today is what you could call a golden age for technological development in health care. Technology is given a bigger role in healthcare and serves not only as a support for health professionals in their daily work but also as a tool for the patient. With the help of eHealth services, patients are becoming more involved in their own care. This improves patient?s knowledge about their health, which in turn contributes to higher motivation to perform self-care.

This studie explores how a promotive youth movement that aims to activate adolescents in economically and socially exposed areas, can affect the youth?s participation in society and oppose their experience of stigmatization. The youth movement, whom is being studied, uses urban art expressions as a mean to engage and motivate the adolescents. The empirism has mostly been collected by a limited participatory observation, and through qualitative interviews with staff and adolescents in the movement. The result has been analyzed through Pierre Bourdieus field theory.

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.

Holmen Skog is currently using a GPS-program called TraktInfo, originally developed within the company. They are now planning to switch to a new GPSprogram or allowing the contractors to buy other programs available from the logging equipment manufacturers. To be able to offer this flexibility, Holmen Skog needs to obtain information about the features offered by the different manufacturers in their specific programs, and also when the manufacturers are planning to start selling programs adapted to the new standard called StanFord2010. According to the study, the manufacturers are hesitant to StanFord2010 and there has also been a lack of clear signals from the customers and clients about what kind of different new features to include in the programs. The feature most frequently used by forest machine operators today is the option to keep Record of the harvester?s path by creating a ?log plot?. This feature was not used to its full potential however, since only one out of eight of the forwarders included in the study had computers that were compatible with the harvester?s computer.

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).

Sedan införandet av datoriserade patientjournalsystem och sammanhållen journalföring har det riktats kritik mot hälso- och sjukvårdens hantering av patientinformation. Det råder delade meningar om det är användare eller systemen som felar. Syftet med undersökningen är att inspektera utvalda funktioner i journalsystemet TakeCare som utvecklats för att upprätthålla patient- och informationssäkerhet. Genom att jämföra funktionerna med Socialstyrelsens uppsatta informationssäkerhetskrav har uppsatsen som mål att hitta var de påtalade problemen kan uppstå. Genom att fråga användare kring deras uppfattning om systemet är avsikten att få en förståelse av om problemet ligger i de tekniska funktionerna eller i hanteringen av systemet.Metoder som använts under arbetet är e-postintervjuer och ett studiebesök på Stockholms läns landstings IT-avdelning i form av en intervju och presentation av TakeCare.Vi har sett att det finns funktioner som tar hänsyn till samtliga informationssäkerhetskrav samt att användarna anser att de kan hantera systemet, men trots det kritiseras informationshanteringen inom sjukvården.

Elephants are hindgut fermenters, which affects their diurnal rhythm. To reach their nutrient demands, elephants must eat almost constantly throughout the light part of the day. Sexual dimorphism may also affect their behavioral patterns. To understand the elephants' normal living habits and foraging behaviour, we conducted a pre-study in the Mara Triangle, the north-western part of the Maasai Mara National Reserve. Each of four to six observers randomly chose a focal animal within the group of elephants by the criteria that they were adults and visible.

This study examines use and users of information and Records originating in the context of a contemporary police organisation. This area of research has only been of focus for a relatively few researchers. This in contrast to use and users of historical archives which has been in centre for more studies. The study is conducted with a quantitative method structuring data from 120 selected registered matters containing user queries. The research questions addressed are:- what user categories use the Records of the authority- which are the ways of contacting the authority preferred by the users- which are the identifiers provided by the users and how well are they matched by the search artefacts available to the staff of the authority- what information and Records are sought-after by the users.For comparing the identifiers provided to the search artefacts has been selected the two most frequently used registry systems within the authority.