Early extubation of cardiac surgery patients has become increasingly important. The assessment of the patient before an early extubation is crucial and the intensive care nurses (ICU nurses) in this estimation is there for very important.The aim of this study was to examine critical care nurses' knowledge of early extubation, and what view ICU nurse has about factors that affect the time to extubation of cardiac surgery patients.A quantitative approach with descriptive and comparative design was used. Selection was all ICU nurses at a thoracic intensive care unit who were clinically active in patient care.The study showed that ICU nurses had good knowledge of why an early extubation was essential. However, the knowledge about the unit?s extubation criteria was low.

This study had two different aims. The main aim was to investigate the dynamics and impact of African swine fever (ASF) on a farm in Uganda during a recent outbreak through a case study. The second aim was to estimate the presence of two important differential diagnoses of ASF: Classical swine fever (CSF) and Porcine Reproduction and Respiratory syndrome (PRRS).The field and laboratory based case study of the farm level dynamics of ASF virus during a recent outbreak (October-December 2010) on a farm in the district of Mityana, Uganda, was conducted, using interviews, ELISA and RT-PCR. The financial impact on the farm was also estimated. The impact of the outbreak was profound.

Ever since Lipsky wrote about street-level bureaucrats in 1980 the main belief has been that certain characteristics of their jobs make it exceptionally difficult to severely reduce their discretion. However, discretion comes at a price and if public servants abuse their power the legitimacy of government is at risk and ultimately even the democracy.This thesis address this question by analysing the Swedish employment service which in the beginning of 2001 started a project called ?Af Sverige? trying to improve internal rule of law. By comparing two local and fairly equal jobcentres and how the street-level bureaucrats within use their discretion, I seek to find support for my hypotheses that organizing local jobcentres according to the principles of machine bureaucracy plays a significant part in reducing discretion.My findings show that a jobcentre characterised by strict rules, few units, good communications and a forthright manager who delegates formal power to the employees results in a stricter and more uniform application of regulations among the street-level bureaucrats. My conclusion is therefore unambiguous.

TIA är en kraftig varningssignal för att drabbas av en allvarligare hjärt-kärlhändelse, bland annat stroke. Hjärt-kärlsjukdomar är beroende av levnadsvanor, där låg nivå av fysisk aktivitet är en viktig faktor. Bland de viktigaste behandlingsmetoderna mot hjärt-kärlsjukdomar, både primär - och sekundärpreventivt, är förändring av levnadsvanor. Rådgivning om fysisk aktivitet bör bestå av individanpassade muntliga råd i kombination med skriftlig information och uppföljning. Sjukgymnaster som träffar TIA-patienter har möjlighet att informera patienterna om fysisk aktivitet men det är inte känt i vilken omfattning detta sker.

Since 2003 Saudi Arabia is under attack from domestic Al Qaida-cells which, by random shootings of westerners and bombings of compounds and official state buildings, is trying to challenge the stability of the royal regime. According to Al Qaida, the Royal family is attacked because of their friendly relations to the US and for not implementing Islam in the Saudi society as profound as they ought to. Political analyst finds it obvious that the Islamic Al Qaida-cells by terrorism is trying to erode the stability in the kingdom.An important foundation for stability for any government is legitimacy. The aim of this thesis is to examine the royal legitimacy strategy in the state bureaucracy of Saudi Arabia. The question at issue is: how has the royal family constructed the civil, military and religious bureaucracies to maintain and promote stability and legitimacy?The thesis focuses on the on three different units within these three bureaucracies and it surveys the way they are staffed and organized to strengthen and maintain legitimacy for the royal family.

Introduction: The complexity of the neonates? way of expressing pain is a difficulttask for the pediatric nurse. The Swedish national guidelines for prevention and treatmentof pain in the newborn infant is suggesting that departments regularly use structuredmethods, such as pain assessment instrument, for the assessment of pain in the neonatalperiod. Previous research shows that pain assessment instruments are only used in abouthalf of all pain assessments in Sweden. Neonate's cannot verbally communicate their pain,and are therefore dependent on the pediatric nurse to acknowledge the pain.

År 2003 introducerades en checklista för patienters kliniska status och vårdplats påneurointensivvårdsavdelningen (NIVA) på ett universitetssjukhus i Mellansverige.Studiens syfte var att utvärdera denna checklista som verktyg i klinisk verksamhet med fokuspå brister, åtgärder och användarvänlighet.Studien består av tre delar och är deskriptiv med kvantitativ ansats. En observationsstudie avtvärsnittskaraktär där funna brister och åtgärder studerats, en journalgranskning däranvändarvänlighet studerats och en enkätstudie avseende intensivvårdssjuksköterskornaserfarenheter och upplevelser.Resultatet visade att checklistan var användarvänlig med nyttjandefrekvens på 100 %.Intensivvårdssjuksköterskorna ansåg att checklistan inverkar positivt på arbetet, utgör ett stödoch bidrar till ökad patientsäkerhet. Den vanligast funna bristen var larmgränser. Totaltpåträffades brister i 38 % av fallen och dessa gav en åtgärdsfrekvens på 77,5 %. Ensignifikant skillnad avseende åtgärdsfrekvensen påträffades mellan dag- och nattpass.Slutsatsen är att checklistan bidrar till att brister upptäcks och åtgärdas, den är användarvänligoch personalen är positivt inställd till den.

The purpose of this masters thesis is to evaluate bookmobile service as a decentralised library service. I have made a qualitative interview survey, with seven Swedish municipalities participating, all providing bookmobile service in their rural parts. The purpose with the interviews is to examine their bookmobile service. I have also studied articles on bookmobile service, and decentralisation through small library units in library journals, to get an insight into how the work with decentralised library service is done in Swedish municipalities. In this thesis answer is sought to the following questions: - Which decentralised library services are suitable for inhabitants and institutions in sparsely populated areas, considering factors such as number of inhabitants, proportion of old people and children, demographic changes, economy, possibilities to cooperate with other municipalities? - What is the current bookmobile service situation in Sweden, taking seven municipalities in the region of Småland as a starting point? My conclusions are that each municipality must decide which decentralised library services that best suites their needs.

The thesis presents an optimally designed kinematic structure for a new 6-DOF haptic devicebased on TAU configuration. The configuration of the TAU-2 proposed by Suleman Khan andKjell Andersson [1] was modified and its mobility was verified by using Grübler criterion tohave a 6 DOF. Analytical kinematic models for the inverse and forward kinematics weredeveloped for the haptic TAU configuration to determine a set of optimal design parameters.Kinematic performance indices such as volume of the workspace, kinematic isotropy and payload index, were defined based on the singular values of the Jacobian matrix. The Jacobianmatrix was scaled to homogenize the physical units. The Jacobian matrix dependent on theposition and orientation of the end-effector gives local isotropy and pay load index, so globaldesign indices were defined, which represent the performance of the mechanism in the wholeworkspace.

Sweden, being a multicultural society, has an increased need for transcultural care. The purpose of this literature review is to provide, through Madeleine Leinger's Culture Care-theory and her Sunrise model, a greater knowledge to nurses and to other professions within the health care units in meeting with circumcised or genitally mutilated girls or women. The result is based upon two scientific dissertations and nine scientific studies. It emerged mainly the etic (outsider) perspective. To underline the emic (insider) perspective, pure literature and fiction have been used.

Att sälja en journalist ? Hur dagstidningar marknadsför sina journalisterWritten by: Jonatan Fjelstad & Viktor MölneBachelor´s degree of JournalismDepartment of Journalism, Media & Communication.Autumn term 2013University of GothenburgThe purpose of this study is to determine if Swedish newspapers has increased the visibility of their own journalists between the years 2000 and 2012 and if that?s the case how they have done so. By doing so we hope to shed some light on how individual journalists are increasingly personalized and how this can be part of the newspapers branding strategy. The journalist?s personal brands have been the subject of more research lately.

This essay looks in to the logistics operational significance during the Korean war,1950-1953. The purpose is to give an orientation about how the logistical functioninfluenced the events during the Korean war. Aiming on the investigation anddescription of the logistical organisation and it?s consistency on operations. To achievethe purpose the author searched the answer to two main questions during the analyse ofthe different texts.

Title: Studies on the development section in symphonies composed by W.A. Mozart ? An attempt to concretize musical form. This study, which has an earlier work by the author as its starting point, aims to concretize the development section by examining symphonies composed by W.A. Mozart.

Schools inspections investigation has shown that most pedagogues are experiencing significant challenges to stimulate students and to invite students to participate and to influence the teaching structure and content. This study is based in the school inspections school questionnaire from 2013 which shows that Vallentuna high school results in two categories stimulation as well as participation and influence gets a low index value compared to all participating school units. Previous research has shown that the field studies creates greater amount of stimulation, increases students? participation and provide experience of a bigger influence. Careful preparations are also important and the right form of field studies.

With an increased demand for biomass based energy and with development of better technique harvest biomass, new possibilities open up. With the possibility to combine traditional cleaning of road?s right of way with biomass harvesting, the work of suppressing tree vegetation could become profitable or at least decrease the road maintenance cost. However, knowledge about productivity and profitability in mechanical biomass harvesting in roads? right of ways are still limited.