Background: It is required that health care professionals continuously work with patient safety and quality improvements, and the skills of registered nurses are significant in this work. However, quality improvement also requires commitment and knowledge about how to improve health care and ensure patient safety. There is a lack of studies that highlights the importance of supportive functions for this work. Nurses in clinical settings can be utilized as facilitators that make things easier for other health care professionals who are engaged in quality improvement and patient safety. In order to gain understanding about the significance and needs of nurses with a role of facilitator, it is urgent to learn from their experiences of facilitating quality improvement in health care.Aim: The aim was to study nurses? experiences of facilitating quality improvement of nursing care, patient safety and multi-professional collaboration in health care.Method: Semi-structured qualitative interviews were performed with ten registered nurses who had experience of being in the role of facilitators.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Coconut fat?s effect on blood lipids - A systematic overviewAuthor: Linnéa Hult and Sandra WestlingSupervisor: Fredrik BertzExaminer: Ingrid LarssonProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2013-04-11Background: Coconut fat has recently been praised in the media. Amongst other things,coconut oil has been said to lower cholesterol (1, 2). This despite the fact that coconut oilcontains of 92 % saturated fat, which strong scientific evidence support raises the blood lipidsand thus increases the risk of cardiovascular disease (3).Objective: To examine the scientific evidence for how blood lipids in adults are affected byan intake of coconut fat compared to an intake of other kind of fats.Search strategy: PubMed and Scopus have been used in the literary search. Keywords usedwere "coconut fat", "coconut oil", "plasma lipids" and cholesterol [MeSH].Selection criteria: Human studies of RCT or cohort type, published since 1983.

Because of an increasing demand from customers and changing external environment, there is a need for continuous improvements, for both manufacturing and service organizations, to meet these demands. Manufacturing organizations have been working systematically with quality improvements for a long time, but it has not been as common for service organizations. Because of that the methods to use for implementation of the systematic improvements have not been designed to fit service organizations, and not either for public organizations. The purpose of this thesis is to explain if and why the Swedish Road Administration?s organizational culture and handling of ideas and deviation support an implementation of continuous improvement management.

Bakgrund: Det finns en rad olika faktorer som påverkar produktutvecklingsprocessen vid ett företag. Isaberg Rapid AB utvecklar, tillverkar och marknadsför en rad produkter inom tre olika produktområden; kontor, verktyg och OEM. Denna studie fokuserar på produktutvecklingsprocesserna inom divisionen för kontorsprodukterna vilken kanske är den mest konkurrentutsatta på företaget. Produkterna som tillhandahålls av divisionen är under hårt tryck från konkurrenter på en global basis och snabba och effektiva produktsläpp är av yttersta vikt för att hävda sig på marknaden. De olika aktiviteterna omkring produktutveckling i kombination med de snabba förändringarna av företagets marknadssituation med nya kundgrupper och ökande konkurrens, har lett fram till vissa specifika ofrånkomliga faktorer som har en stor inverkan på produktutvecklingens effektivitet.

Background: Approximately one in three Swedish people will receive a cancer diagnosis. Cancer primarily affects the elderly but also young people suffer. Young people are in a period of life that could put a strain of the ordinary when they are faced with choices and new challenges. The basic sense of security in everyday life is not so obvious and many suffer from, for example, stress and the feeling of being inadequate in relation to the requirements. It is relevant that the nurses can put themselves into what it is like to be young and afflicted with cancer, with the pressures of life itself and what the disease represents.

Although Social Democratic Memoirs comprise an extensive material, these texts have not attracted any systematic analysis as a distinct and yet varied form of textual genre. The focus in this MA-paper is the Swedish Social Democratic Memoir as a rhetoric genre. The main primary material is memoirs of the pioneer August Palm (1849?1922), the father of the nation Tage Erlander (1901?1985) and the political leader Göran Persson (1949?), published 1905, 1972?82 and 2007, respectively.The general aim is to find out what is the driving power of the memoirs and, more specifically, to shed light on the images of the party history and the history of the welfare state. The method is a comparative analysis of these texts.

ECG-Screening for young elite athletesAbstractBackgroundSudden cardiac death (SCD) during physical activity is a frightening and emotional tragedy that draws huge media attentions when it occurs. Fortunately it is a relatively uncommon occurrence but happens nonetheless to young athletes who often seems to be in perfect health. SCD is used as a term for sudden unexpected complications on the cardiovascular system that leads to a deadly outcome normally within the first hour of onset of symptoms and the cause is some sort of underlying cardiovascular disease that gets triggered by physical activity.Normally athletes gets divided into two groups dependent on age, over and under 35 years, and this studies focus is on the younger group since it is often during this period athletes are at the elite level. It is also in this category the most unexpected sudden deaths occur that is not due to coronary atherosclerosis, which is the dominant cause of death, and drastically increases, for people over 35 years old.AimThe aim of this study was to scientific and unbiased analyze peer-reviewed clinical articles todescribe the pros, cons and cost to implement an ECG-screening as a standard before physicalactivities for specifically defined elite athletes.MethodA systematic review was performed and after all data collection 21 articles was chosen to beused as a base for both background and analyze. At the end 10 articles was fulfilling the criteria to be used at the analyze and later the results.ResultsThe implementation of ECG-screening has reduced SCD in Italy by 89 % between the years 1979-2004.

I vår tid växer nya generationer upp i ett samhälle med hög förändringstakt. Ur ett personsäkerhetsperspektiv innebär förändringsintensiteten en osäkerhet gällande vilka potentiella risker vi utsätts för. Risker kan identifieras och hanteras genom ett systematiskt säkerhetsarbete. Det kräver en god säkerhetskultur som bland annat innebär att samtliga individer inom en organisation vet hur det ska påtala risker för sin arbetsgivare och känner sig trygga att göra det (Reason, 1997; Power, 2007). Arbetsmiljölagen (1977:1166) föreskriver att risker ska identifieras och hanteras i ett systematiskt arbetsmiljöarbete.

The research group Soil and Water Management at the department of Soil and Environment at theSwedish University of Agricultural Sciences in Uppsala are studying greenhouse gas emissions fromcultivated peat soils. To measure carbon dioxide emissions from peat soils in the field the researchgroup are now using two portable carbon dioxide meters (Vaisala GMP343). For practical reasons,they plan to acquire a new type of automated field meter. The aim of this study is to evaluate thepresent meters to see how environmental conditions and instrument settings affect the results,which is meant to facilitate the introduction of the new field meter when the meters needs to becompared. As a part of the study the relationship between groundwater level and carbon dioxideemissions from peat soils will be investigated.The evaluation of the two carbon dioxide meters was made by connecting them to one single airtightsystem, with the aim of creating identical measurement environments.

Background: Various follow-up studies show that there are deficiencies in the care of patients affected by stroke. In order to provide good care according to the National Board of health and welfare and national guidelines for stroke care systematic quality audits need to be carried out.Purpose: To investigate if the local guidelines for stroke care in Örebro County are followed and to explore how people with stroke experience care and rehabilitation in hospital, primary care and community.Method: Primary health care records were reviewed using quality indicators in the local stroke guidelines. Samples of patients were obtained from the County´s three hospitals. Differences between men and women, younger and older, were analysed with chi-squared test. Eleven people were interviewed about their experiences of care, rehabilitation, support and participation.

My thesis is a combination of theory and practice, where theory is meant to create a context and a background for my interpretation proposal. I wanted to ?access? the ideas that are always in the background of the reasoning which underlies both planning in a larger scale, and the design of a place. I wanted to make a ?work of ideas.? In the process of shaping the proposal, I wanted to be deleted from the site itself.

Syfte: År 2005 infördes en ny lag, att företagen som gjorde avsättningar till periodiseringsfonder var tvungna att beskatta en schablonintäkt som erhölls från de gjorda avsättningarna. Problemet som uppsatsen berör är huruvida användandet av överavskrivningar hade förändrats efter att lagen tillkom för periodiseringsfonder jämfört med tidigare. Dessutom fokuserades det också på vilka konsekvenser obeskattade reserver har fått före och efter att lagen trädde i kraft. Syftet med examensarbetet är att kartlägga hur företagens vanor kring avskrivningar över plan förändrades efter införandet av schablonintäkten på periodiseringsfonder, och om överavskrivningar kan anses som ett substitut till periodiseringsfonder istället för ett komplement. Metod: En undersökning gjordes på företagen som är listade på börslistan ?large cap?.

The purpose of the study is to analyse the representations of Jewish festivals and how they affect the teaching in three textbooks for Religious Education 1 in Secondary Upper Education. The textbooks are Religion och livet (2007) written by Börge Ring, Religionskunskap för gymnasiet (2009) written by Lars-Göran Alm and Religion 1 för gymnasiet (2012) written by Lennart Göth, Katarina Lycken Rüter and Veronica Wirström. The basis for the study is the phenomenological perspective as described by Émile Durkheim and in particular Carl-Henrik Grenholm and Karl-Johan Illman. It tells that religion cannot purely be understood as a religious belief without its rituals. This phenomenological perspective on religion both the curriculum and syllabus encourages.

Sahlgrenska Academy at University of Gothenburg Department of Internal Medicine and Clinical NutritionAbstractTitle: Can probiotics prevent atopic dermatitis in children with high risk?Author: Laura Pienihäkkinen and Max OlinSupervisor: Heléne Bertéus ForslundExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2012Background Allergic disease is today common, this including atopic dermatitis, which is the most common inflammatory skin disease in the world. Heredity has been shown to play a major role in the development of this disease. It is therefore of high interest for both the individual and society to find effective methods for preventing atopic dermatitis in individuals with high risk profile. Probiotics are beneficial for the bacterial profile in the intestine and it is therefore of interest to study if they through their anti-inflammatory effect could prevent atopic dermatitis.Objective The aim was to study whether administration of probiotics to the mother and the child (directly or via breast milk) could prevent atopic dermatitis in children with high risk profile (at least one first degree relative with a diagnosed allergic disease).Search strategy A systematic literature search was done in databases PubMed and Scopus with search terms maternal, prenatal, probiotics, allergy, atopic dermatitis, prevention, and children.Selection criteria Randomized, controlled human studies and original articles in English were included.

ECG-Screening for young elite athletesAbstractBackgroundSudden cardiac death (SCD) during physical activity is a frightening and emotional tragedy that draws huge media attentions when it occurs. Fortunately it is a relatively uncommon occurrence but happens nonetheless to young athletes who often seems to be in perfect health. SCD is used as a term for sudden unexpected complications on the cardiovascular system that leads to a deadly outcome normally within the first hour of onset of symptoms and the cause is some sort of underlying cardiovascular disease that gets triggered by physical activity.Normally athletes gets divided into two groups dependent on age, over and under 35 years, and this studies focus is on the younger group since it is often during this period athletes are at the elite level. It is also in this category the most unexpected sudden deaths occur that is not due to coronary atherosclerosis, which is the dominant cause of death, and drastically increases, for people over 35 years old.AimThe aim of this study was to scientific and unbiased analyze peer-reviewed clinical articles todescribe the pros, cons and cost to implement an ECG-screening as a standard before physicalactivities for specifically defined elite athletes.MethodA systematic review was performed and after all data collection 21 articles was chosen to beused as a base for both background and analyze. At the end 10 articles was fulfilling the criteria to be used at the analyze and later the results.ResultsThe implementation of ECG-screening has reduced SCD in Italy by 89 % between the years 1979-2004.