Endast ett fåtal personer drabbas varje år av en traumatisk ryggmärgsskada. Den akuta vården av dessa patienter utövas på endast sex sjukhus i Sverige. Vårdbehovet för personer med en ryggmärgskada är stort eftersom en traumatisk ryggmärgsskada medför såväl fysiska även som stora psykiska omställningar i livet. När dessa personer senare i livet behöver vård saknas kunskapen om dessa patienters specifika omvårdnadsbehov utifrån ett personcentrerat förhållningssätt hos allmänsjuksköterskor. Syftet med studien var att belysa patienters upplevelse av livskvalitet efter en traumatisk ryggmärsskada.

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.

 Nordic Cab AB är ett företag som säljer multifunktionella barnvagnar. Dessa barnvagnar har utbytbara delar vilket gör att man kan omvandla dem till en jogging-, cykel-, skid-, hund- eller vandringsvagn.Syftet med denna uppsats är att prissätta Nordic Cab AB:s multifunktionella barnvagn. För att uppnå detta beskriver vi först hur olika faktorer påverkar Nordic Cab AB:s prissättning. Dessa faktorer är företagets mål, kostnader, efterfrågan och konkurrenter. Utifrån dessa faktorer och intervjuer med återförsäljare av multifunktionella barnvagnar och VD:n för Nordic Cab AB kommer vi fram till att Nordic Cab AB borde använda sig av en prissättningsmetod som baseras på upplevt kundvärde.Genom att låta återförsäljare av multifunktionella barnvagnar betygsätta hur viktiga olika egenskaper hos dessa är för kunden och hur bra de olika företagen på marknaden är på att tillgodose dessa egenskaper kan vi presentera ett kundvärde för Nordic Cab AB och två av deras konkurrenter.

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.

In modern health care, the quality registry is anexcellent tool to monitor everyday work. Collected data forms a foundation, presented as online reports, from which local work efforts to refine care quality can be performed. All reports are coded manually by specially trained developers. This is a tedious process and hence becomes a bottleneck in the strive for improvement.This thesis evaluates whether an extended way of dealing with reports can fit into the existing work situation, with main focus on the idea of creating custom reports directly within a quality registry. It provides a set of conclusions regarding today's usage of reports as well as the users' general and specific needs within the area.

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.

The thesis analyzes the making of Nordic identity after the cold war which brought an end to Nordic exclusiveness of emphasizing ?soft power?. A need for a revitalization combined with an effort to enter History as an active subject, created constructivist project of a narrative style.My study relies on contemporary literature, focusing mainly on the construction of Nordic identity and regional cooperation in the 1990: s.I argue that Nordic identity was, and still is, determined of its comparable weakness in regard to the superpowers of the cold war, and, nowadays, to the EU.The architects of establishing a new Nordic identity, able to challenge a new Europe, fails in their effort, and what is left of their endeavour are separate states, each following their own agenda..

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.