The main purpose of this thesis is to analyse the possibilities and problems facing a privatised work injury insurance. This discussion includes the element of premium differentiation. Todays´ Swedish social insurance system is ineffectively formed. The costs have dramatically increased during the 1990´s. The Swedish government is now looking for ways to improve the efficiency of the system.

Bakgrund: Denna litteraturstudie handlar om avnavling och när det är optimalt att avnavla det fullgångna friska barnet. Avnavling har länge varit ett diskuterat ämne bland obstetriker, barnmorskor och föräldrar. Föreliggande studie ska bidra till att öka barnmorskans och övrig vårdpersonals medvetenhet om när avnavling bör ske och när det är fördelaktigt för barnet att avnavlas. Rekommendationen är att friska fullgångna barn avnavlas sent om inte situationen kräver en tidig avnavling eller att föräldrarna önskar tidig avnavling pga. donation till biobanken.

Spinal immobilisering av patienter som drabbats av trauma är vanligt förekommande i ambulanssjukvården. Om en person blivit utsatt för ett högenergitrauma, exempelvis varit med i en bilolycka eller fallit från hög höjd, bör dennes nacke och ryggrad immobiliseras så att eventuella skador på kotpelaren inte förvärras. Syftet med denna intervjustudie var att beskriva ambulanssjuksköterskors erfarenheter av spinal immobilisering av patienter som drabbats av trauma. Studien har en kvalitativ ansats och datainsamlingen skedde genom individuella, semistrukturerade intervjuer med tio deltagare. Vidare analyserades intervjutexterna med manifest kvalitativ innehållsanalys och tre kategorier framkom; Att inte veta vad som väntar, Att göra det bästa för patienten och Att känna sig bekväm med utrustningen.

SAMMANFATTNING BAKGRUND: En patient med ryggmärgsskada [RMS] har en livslång ökad risk för trycksår på grund av sitt rörelse- och känselbortfall. Av alla med RMS i världen får upp till 95% trycksår minst en gång under sin livstid. Det finns idag ingen bra riskbedömningsskala avseende trycksår hos RMS-patienter, då de enligt den vedertagna Modifierade Nortonskalan får en missvisande låg risk för trycksår. Med kunskap om riskfaktorer, information och utbildning går det till stor del att förebygga uppkomsten av trycksår.SYFTE: Syftet med studien var att kartlägga förekomsten av trycksår hos nyskadade/nyinsjuknade patienter med RMS samt att undersöka vilka faktorer som visar på risk för trycksår.METOD: Studiedesignen var en kvantitativ jämförande observationsstudie där data samlades in longitudinellt och prospektivt. Skillnader mellan nyskadade/nyinsjuknade RMS-patienter med och utan trycksår studerades.RESULTAT: Av de 61 patienter som deltog i studien hade 35 (57,4%) trycksår någon gång under vårdtiden.

The United Nations has, during many years, developed a model for a globally harmonized system for classification and labeling of chemicals, with the aim of it becoming a global standard. This system is implemented in the European Union through the CLP-regulation and is now working parallel to the existing directives until 1st of June 2015, when all the new classifications of substances and mixtures must be completed. The aim of this project was to adjust the laboratory to the new legislation, through inventory of stored chemicals, update the list of chemicals and perform self-classifications of mixtures. The work included handling of about 650 different chemicals with varying hazard classifications and search for information in corporate websites and chemical databases. This resulted in a new and complete list of chemicals stored and used in the laboratory and, in addition, an example of how to make a self classification of a mixture.

Prosody is the melody and rhythm of speech and language. Prosodic ability is of great importance for communication, and has been shown to be affected in adults with acquired brain injury. Studies have shown that Swedish children with specific language impairment have prosodic  difficulties to a greater extent than e.g. English speaking peers. It is thereby possible that prosodic ability is more vulnerable also in Swedish speaking adults with acquired brain injury.The aim of the present study was to assess prosodic ability in adults with acquired brain injury, and to evaluate the prosodic assessment procedure that was used.

This quality study was carried out with seven semi-structured interviews and five of them were with elite women´s football coaches. What has been studied is how elite women?s football coaches are working with injury prevention training to their knees for the women?s football players. An anterior cruciate ligament injury in elite women?s football is both common and serious knee injury.

AimThe aim of this study was to map the injury panorama of traumatic injuries related to ice hockey in Sweden 2006-2011. In addition to that the aim was to compare whether there were any gender differences regarding traumatic ice hockey injuries. MethodThe present study was based on data from the Folksam insurance company between 2006 and 2011. The population consisted of ice hockey players in a club affiliated to the Swedish Ice Hockey Federation and that had sustained a traumatic injury related to ice hockey that resulted in medical care and then was reported to Folksam. The results are presented with descriptive statistics such as mean and standard deviation, median range and frequencies. ResultsThe head was the most common injury localization followed by the upper extremity where the shoulder accounted for a high number of injuries. Fracture was the most common type of injury for both male and female players.

AimThe aim of this study was to map the injury panorama of traumatic injuries related to ice hockey in Sweden 2006-2011. In addition to that the aim was to compare whether there were any gender differences regarding traumatic ice hockey injuries. MethodThe present study was based on data from the Folksam insurance company between 2006 and 2011. The population consisted of ice hockey players in a club affiliated to the Swedish Ice Hockey Federation and that had sustained a traumatic injury related to ice hockey that resulted in medical care and then was reported to Folksam. The results are presented with descriptive statistics such as mean and standard deviation, median range and frequencies. ResultsThe head was the most common injury localization followed by the upper extremity where the shoulder accounted for a high number of injuries. Fracture was the most common type of injury for both male and female players.

Hospital records of 32 non-racehorses referred to Skara Animal Hospital and Halland Animal Hospital, Sweden, between January 1995 and September 2001 for intraarticular fractures of the third phalanx, were reviewed, and follow-up information on final outcome was collected to determine whether any injury or treatment factors could be associated with the outcome. Mean age of the horses was 8.3 years (range, 1-20 years), and follow-up time ranged from 1 to 7 years after injury. In 11 (34%) of the horses, injury involved the front limbs. Twenty-two (69%) horses returned to their original level of use. There was no statistically significant correlation between outcome and elapsed time from injury to treatment, treatment variables, or bony union in the present study.

Non-contact anterior cruciate ligament (ACL) injuries is a serius and traumatic injury to the knee that is common in female soccer players and often force the player to quit or lower the level of activity because of lost stability in the knee or from fear to suffer  a new injury. Female soccerplayers have a higher risk than their male counterparts to get an ACL rupture and especially adolescent females have a high risk. The most common causes to a non-contact ACL rupture is side-cutting manuvers and landing after jumping. Every other player with an ACL rupture develops osteoarthritis within 10-15 years from the time of injuryResults: The higher risk for females to incur a ACL rupture is due to smaller intercondylar notch, they?re in the follicular or ovulatory phase of their menstrual cycle, increased knee laxity, dominance in the quadriceps muscles, flexion in hip and valgus movement in the knee.

SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed.

Author: Madeleine Ahlström and Hanna PuontiTitle: To meet the invisible population - A qualitative study of men with deliberate self-injury [Att möta de osynliga - En kvalitativ studie om killar med självskadebeteende]Supervisor: Anders ÖstnäsAssessor: Jan Petersson This study aims to provide a picture of the underlying causes why men deliberately hurt themselves. It also aims to provide a picture revolving how men self-harm and what the direct effects are from their self-harm. The study describes their behaviour and how the behaviour has evolved over time. There is also a focus in the study to illustrate how society´s operative approach towards men makes their self-harm invisible, and make them an invisible population that neither the scientists nor the general population chooses to see. Self-injury is strongly associated with girls and their way of harming themselves.

Vocal Cord Dysfunction (VCD) is characterized by paradoxical vocal cord movement during inspiration or expiration, and generally affects adolescents and predominantly women. Previous studies have shown a large inconsistency concerning terminology, definitions, etiology, assessment, differential diagnosis, co-morbidity and treatment. The purpose of this study was to map knowledge on and management of VCD in Sweden. The study was conducted as a written survey addressed to speech-language pathologists and physicians, and attained an answer percentage of 79 percent. The results showed that several professions were involved in the management of these patients, but no clear pattern of referral could be observed.

Aim Developmental Coordination Disorder Questionnaire 2007 (DCDQ'07) is an international survey tool based on parents' estimation of their child's motor coordination skills. The purpose of this study was to investigate the validity of a Swedish version of DCDQ'07 by finding out how the classification of Developmental Coordination Disorder (DCD) via DCDQ'07 is consistent with the classification of DCD via the motor impairment test, Movement ABC.MethodIn the context of a larger study, a Swedish translated version of the parent survey DCDQ'07 were sent to 4000 randomly selected families with children aged 8 - 10 years in Stockholm County. The classifications "DCD" or "NOT DCD" with cut-off values ??of 56 (9 years) and 57 (10 years) were applied. Forty families were selected from 410 registered responses.