Introduction: Urinary retention is a common postoperative complication associated with bladder distension. Permanent damage to the bladder affects the patient?s quality of life and may lead to a lifelong inability to empty the bladder and needs of self-catheterization with the risk of urinary tract infection. Bladder distension was classified as the fourth largest health care related injury in Sweden in 2013. Bladder distension may occur before the operation starts and is more common among orthopedic patients.

During pulp and papermaking process a huge amount of water is used. The wastewater contains a large amount of pollutants and has to be treated before it reaches the recipient. In March 2004 a new bleaching plant was started up at SCA Graphic Sundsvall AB, Ortviken?s paper mill using peroxide. The production of bleached thermo mechanical pulp and thus the load to the wastewater plant increased.

In some herds it has been observed that extremely short teats have become a problem; with a negative influence on the milking performance. The aim of this study was therefore to investigate to what degree the quality of the teats and the milk in cows with short teats is affected as compared with cows with normal teat length and furthermore if the milking performance could be improved by using a liner adapted to short teats. This study was divided in two parts. In the first part, it was examined if there were any differences between short teats and teats with normal length with reference to the milking performance, udder emptying, teat treatment, milk quality, and udder health. 11 pairs of cows were used and in each pair of cows one cow had teats shorter than 40 mm while the other cow had teats longer than 50 mm.

The aim of these two studies was to investigate the possible physiological, behavioural and emotional changes that appear after human-horse interactions and also to find an explanation to why they occur. One aspect that is discussed is whether the wellbeing of humans can be coupled to interacting with horses and of how the animals respond to the interaction. The first study was performed on 9 horses and their owners, both parts being subjects to registrations during 4 different interaction treatments. The second study was performed on 6 horses with registrations only being performed on the horses during 2 different treatments. Nine horses underwent 3 different treatments all performed by their owners (H = stroking of the horses forehead, B = brushing and M = stimulation of the withers) in addition to a control round (K). Each treatment lasted for 4 minutes but observations were performed until after 45 minutes from start.

The purpose of this study was to evaluate the different substrates that enter the digestion on Sundet wastewater treatment plant for production of biogas.This work have done an analysis of data about the biogasproduction from January 2012 to feburari 2013, this showed that the food substrates has a greater gas production than internal sludge.Through laboratory test the VS, TS and COD values for all the substrates used in the biogas production could be determinded. But the COD-method was less optimal for analysis of fat and food, therefore it optimized the method for fat but due to time constraints, this could not be done on the food substrates..

SAMMANFATTNINGBakgrundDe allt kortare vårdtiderna inom sjukvården ställer höga krav på patientinformationen som ges pre- och postoperativt. Forskning visar att patienternas informationsbehov inte alltid överensstämmer med mängden information som ges. Patienter upplever ofta att informationen som ges är otillräcklig och saknar relevans. God pre- och postoperativ information har många fördelar, då den leder till såväl ökad trygghet som bättre förutsättningar i det postoperativa förloppet. SyfteSyftet med denna studie var att undersöka hur kirurgiska patienter vid en hudmottagning och en urokirurgisk vårdavdelning uppfattade den pre- och postoperativa information de fick i samband med kirurgi. DesignStudien var en enkätstudie med kvantitativ ansats och inkluderade 30 respondenter. ResultatResultatet visade att huvuddelen av patienterna uppgav att de hade läst den skriftliga informationen de fick. De hade också uppfattat att informationen var lättillgänglig.

Collaboration is a form of organization on the rise in Sweden. For health care, it is ofinterest to collaborate with industry to ensure that needs for specialist education andtraining are met and that products developed meet the relevant requirements.Conversely, industry actors have an interest to have a close collaboration with healthcare in order to gain insight into customer needs, provide information about theirproducts and to test products in development.The starting point of this study is an agreement and regulatory framework for formsof collaboration between public health care in Sweden in general and thepharmaceutical industry, the medical device industry and the laboratory technologyindustry. The research questions concerns how this agreement has evolved and theprocess surrounding its emergence may contribute to knowledge about collaborationas a form of organization and the relationship to concepts such as legitimacy,corruption and institutional theory.By tracking the emergence of the current regulatory framework genealogicalthroughout history, the study uncovers how the agreements have played a role in andcontributed to the legitimization and institutionalization of collaboration practices andhow crises have changed the shape of the practices. A theoretical treatment ofrelevant concepts such as legitimacy, institutionalization of practices, corruption andstigmatization of organizations form the basis for an interpretation and analysis of theprocess.The conclusions of the examination of the historical process that led to the currentagreements contribute to empirical knowledge of how crises and stigma affect thelegitimacy of collaboration practices and how the repair of legitimacy can be donesuccessfully after a crisis. The treatment of the empirical material is also a historicalsource for the development of ethics agreements between public health care andpharmaceutical industry and the medical industry in Sweden..

Religiositet och andlighet tycks ha samband med fysisk och psykisk hälsa. I uppsatsen undersöks sambandet mellan andlighet och utbrändhet, två grupper behandlare jämförs och mätegenskaper hos skalorna Spirituality, Religiousness and Personal Beliefs Field-Test Instrument (WHOQOL-SRPB), Spiritual Involvement and Beliefs Scale (SIBS), Maslach Burnout Inventory ? Human Service Survey (MBI-HSS) och Utbrändhet i arbetet (UA) undersöks. Studiedeltagarna var 38 programledare för kriminalvårdens tolvstegsprogram och 39 behandlare i ett psykoterapinätverk inom beroendevården (svarsfrekvens 61,5%). Andlighet korrelerade med personlig prestation (personal accomplishment; r = 0,315, p < 0,05).

När unga behandlas inom ramen för institutionell tvångsvård finns det några aspekter som är avgörande för behandlingsresultatet; att personalen arbetar samstämmigt och i enlighet med relevanta metoder samt att de upprättar en främjande relation till den unge. Det krävs en kombination av dessa aspekter för att på bästa sätt ge den unge förutsättningar att främja sin utveckling. Föreliggande studie syftar därmed till att undersöka hur personal på tre särskilda ungdomshem, drivna av Statens Institutionsstyrelse, ser på metodtillämpning, relationella aspekter och samstämmighet. Studien bygger på en kvantitativ del som innefattar en enkätundersökning där behandlingspersonalen besvarar hur de ser på dessa aspekter, samt en kvalitativ del där institutionschefer, avdelningsföreståndare och annan personal delger sin syn på hur metodanvändning, samstämmighet och relationella aspekter förhindrar eller möjliggör adekvat behandling. Av materialet framkommer att metodanvändningen uppfattas, av personalen, vara ett hinder för de olika verksamheterna.

Rabies kills about 55 000 people every year and more than 90% of infected humans are considered getting the disease from dog-bites. To control the disease and eventually eliminate human rabies, the most efficient and economic method is to keep the dog population vaccinated. The objective of this thesis was to evaluate the situation of canine rabies in two urban areas in Lilongwe, Malawi, where canine rabies is enzootic. In each area 200 household-interviews were conducted in September and October 2013. Focal points were awareness of the disease, human incidence as well as vaccination coverage in the dog population.

Aim & Questions at issueThe aim of our study is to study how special teachers/special educationalists in schools of Stockholm look at the phenomenon ADHD/DAMP. We have looked into their view on the diagnose, compared to the two different kinds of research visions about the diagnosis who are known in Sweden today. How do the special teacher/special educationalist work with the diagnosed children?This is our questions at issue:? Is there any optimal learning situation for children with ADHD/DAMP?? Is there something that distinguish all children with ADHD/DAMP?? What is positive and negative about giving the diagnose ADHD/DAMP to children?? Is there any external factors that influence that there is so many more children today who has been given a diagnose?? How does special teachers/special educationalists look on amfetamin-treatment?MethodWe have done qualitative interviews with special teachers/special educationalists in the city area of Stockholm. These have been worked up one by one and then been compared and evaluated together.ResultAll special teachers/special educationalists mentioned that when you educate children with ADHD/DAMP, a structured life underlies the possibility for the children to provide knowledge.

Bakgrund: Postoperativa sa?rinfektioner a?r en vanligt fo?rekommande va?rdrelaterad infektion, och orsakar stort lidande fo?r patienten och stora kostnader fo?r sjukva?rden. Diabetes a?r en riskfaktor fo?r att utveckla postoperativ sa?rinfektion, och har liksom hyperglykemi fysiologiska effekter som bidrar till en o?kad risk att utveckla postoperativ sa?rinfektion.Syftet med denna studie var att underso?ka sambandet mellan diabetes, postoperativ hyperglykemi och postoperativ sa?rinfektion hos patienter som genomga?tt CABG-kirurgi.Metod: Studien designades som en kvantitativ retrospektiv studie med deskriptiv ansats. Data insamlades dels fra?n va?rdenhetens egen infektionsregistrering, dels genom granskning av 276 patientjournaler pa? den aktuella va?rdenheten.

Immune-mediated haemolytic anaemia (IMHA) is an immune-mediated destruction of erythrocytes and is one of the most common haematological diseases diagnosed in dogs. The haemolysis is a type II immunoreaction and is initiated by IgG or IgM antibodies or complements. This retrospective study includes 63 dogs suffering from primary IMHA. The study was based on information from records from the Swedish University of Agricultural Sciences, Department of Small Animal Clinical Sciences in Uppsala and from the Animal Hospital in Strömsholm. The aim of the study was to evaluate the progress of the disease, treatment and the prognostic factors in different breeds, gender and age. Following criteria were used for the dogs to be allowed in the study: the dogs were diagnosed with anaemia, the anaemia was regenerative and autoagglutination and/or spherocytes were seen in the blood. About 50 % of the dogs in the study were diagnosed with IMHA within 2-6 years of age. Wire-haired dachshund was remarkably one of the most common breeds in this study together with Cocker and Springer spaniel.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionTitle: Can nutritional support contribute to the healing of pressure ulcers in elderly patients?Author: Anton Kinnander, Sandra SmidelikSupervisor: Elisabet RothenbergExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 12-04-11Background The number of elderly patients with co-morbidity is increasing in the western world. It is therefore reasonable to predict increasing incidence and prevalence of pressure ulcers. One study, published 2009, found that as many as 59 % of geriatric patients within the Swedish health care system had developed pressure ulcers. Symptoms vary from mild erythema to severe deep tissue damage and development of pressure varies from hours to weeks.

The aim of the study was to examine which approach future social workers have regarding specific competence in the meeting with lesbian, gay, bisexual, transgender and queer clients. Previous research shows that LGBTQ people have a low confidence towards social services, police and courts and say they face discrimination and degrading treatment to a greater extent than the heterosexual population. Research shows that education and better skills of LGBTQ culture among professionals can change the situation.The essay is based on a model of cultural competence in working with sexual minorities and people with a transgender expression. The model defines the meaning of an LGBTQ perspective and is designed to improve social work with LGBTQ clients.The study is quantitative and empirical data consists of 203 survey responses from students with a long experience of the social work education. The analysis of the results is based on the cultural competence three principles; attitudes, knowledge and skills.