Auditory Neuropathy Spectrum Disorder (ANSD) is a collective term for a specific form of hearing loss within a heterogeneous population of patients with mutual audiological test-profile. Cochlear implantation in children with ANSD has been found to result in good outcomes. Previous research, however, has shown the existence of a subgroup of children with ANSD who do not benefit from cochlear implantation but instead are in need of alternative methods of communication. The aim of this literature review was to examine the possibilities to predict outcomes of cochlear implantation in children with ANSD by pre-, intra- or postoperative examinations/measurements and thereby evaluate in which cases cochlear implantation is an appropriate intervention within this group of patients. The material consisted of 10 scientific papers published between 2007-2014.

When protection zones for wells are delineated, it is important to acquire good knowledge about possible travel time from different points in the catchment area to the well. Often, simple analytical methods are used for estimating travel times and the assumption is made that the hydraulic conductivity is relatively homogenous within the aquifer. Nevertheless, many aquifers are strongly heterogeneous which may lead to differences between estimates and actual travel times. As a part of the process to develop improved methods for delineating protection zones for groundwater supply wells, a tracer experiment was performed in a glaciofluvial esker formation in Järlåsa. On the basis of the experiment, a numerical flow model was created for the test site.The purpose of this master?s thesis was to apply the flow model to an aquifer where the hydraulic conductivity shows great variability and should be described by a stochastic distribution.

The purpose of this study was to investigate patients self-rated ADL-function after a periprosthetic fracture, to view the demographics of the patient group and investigate any gender differences in ADL-function. Whether patients managed to return to previous housing after the fracture and reasons for this was also studied.This is a register-based retrospective and prospective cohort study with a quantitative approach. Demographic and anamnestic patient data was collected from the electronic health records. The participants were called for an interview where Katz ADL-index and EQ5D was used to describe the participants´ ADL functioning together with physical and mental functioning.The result shows that the majority of the participants rated themselves as independent in their ADL-function. No gender differences were noted in ADL-functioning.

Background: In 1994 came the general prescription law in force for the district nurses with specific training in pharmacology and pathology in Sweden. According to The National Board of Health and Welfare from 2004 follow-up of the use of the prescription law revealed that nearly half of the district nurses used their prescription once a week. According to previous research the district nurses and patients were positive to the district nurses administration of prescriptions. Doctors, contrariwise, were not as favorable to the district nurses administration of prescriptions. The responsibility of the heads of the health centers is to promote the district nurses to prescribe and make sure that it works in a satisfactory manner.

The purpose of this study was to describe how nurses, working in primary health care and responsible for diabetes care, reflected on patient information and education, its? content and experiences of providing it. The study had a descriptive design and seven nurses from seven health care units in the middle of Sweden participated in the study. Data were analyzed with qualitative content analysis. The results are presented in two main categories; ?The information? and ?The procedure?.

Background: The district nurses profession has traditionally been health promotion. In order to find patients with excessive alcohol intake, district nurses use AUDIT. Research shows that health professionals find it difficult to face alcohol abusers in primary care. AIM: The aim is to describe how district nurses work with AUDIT. Method: Semi-structured interviews with six informants were carried out.

The aim of this study was to compare perceived disability in daily activities, anxiety and depression for patients with chronic pain (>3 month), before and after rehabilitation. Another aim was to examine if there were any correlations between disability in daily activities and the extent of anxiety and depression before and after rehabilitation.For the measurements, Disability Rating Index (DRI) that measures disability in daily activities, and Hospital Anxiety and Depression Scale (HADS) ) which measures the extent of anxiety and depression were used. The study was carried out with 50 patients who had suffered from chronic pain and with the objective to return to work after rehabilitation. Of these, 90 % were female. The measurements were carried out at three measure points; before rehabilitation, seven weeks after rehabilitation and one year after rehabilitation.The main result did not show any statistically significant improvement in ability to perform daily activities.The only significant difference that emerged was an improvement in anxiety seven weeks after rehabilitation compared with before.

Aim. The aim of the study is to highlight Dutch nurses? opinions about assisted death. Background. Since 2002 it has been legally justified for physicians to assist a patients? death in the Netherlands.

Jag har i detta examensarbete analyserat behovet av väg- och trafikinformation i samband med skogstransporter och jämfört behovet med den information som Vägverket tillhandahåller. Arbetet har utförts på uppdrag av Vägverkets ITS-sektion, den avdelning som ansvarar för Vägverkets uppdrag att öka användningen av IT i trafiken. Målet med arbetet har varit att undersöka hur väg- och trafikinformation kan bidra till bättre skogstransporter och bättre trafik. Syftet har varit att ta reda på hur en perspektivväxling mellan trafik och transport påverkar tjänsteutvecklingen när det gäller väg- och trafikinformation. De metoder jag har använt har varit kvalitativa intervjuer, litteratur- och dokumentstudier samt komponenterna problem- och målanalys i metoden Förändringsanalys enligt FA/SIMM.

Background: Several patients wish to die at home and relatives often become thecaregivers. This task can be a burden and the opportunity for the patient to die at homecan be overshadowed by obligations and responsibilities. Participation of relatives isoften the prerequisite to offer palliative care in the home environment. The purpose: The purpose of the study was to illuminate relatives? need of support during palliativecare in the home based care.

ABSTRACTIntroduction: Scientists have over the last centuries realized that presurgical reduction of bacterial skin flora decreases the surgical site infections. Sponges, showers and washing with Chlorhexidine is today a standard procedure. Purpose: The purpose of the study was to describe the patient?s experience of the information given to them about the preoperative showers with hibiscrub. Method: Semi-structured interviews were used to collect the data, and content analysis was used to analys the data.

AimThe aim of this study has been survey the possibilities for short-term stays in the Stockholm Archipelago for people without their own means of transport, own equipment and/or experience of outdoor life.To fulfil this aim, the following questions were formulated:? What communications are available to chalet parks in the Stockholm Archipelago?? What overnight accommodation is available in the chalet parks in the Stockholm Archipelago?? What activities can be pursued in the Stockholm Archipelago?? What is the financial cost of travelling to and staying in the Stockholm Archipelago for a week?MethodWe chose to use six interviews and three observations in order to gain as much insight as possible. Interviews were conducted with Claes Petterson at Waxholmsbolaget, a company that provides transport services in the Archipelago, and with managers for five chalet parks: Rolf Andersson for Finnhamn, Per Englund for Grinda, Arne Johansson for Rånö, Pär Hjärtström and Peter Hösöyen for Gålö and Anders Bedinger for Gålö and Nåttarö. The interviews were recorded in writing and on tape. Observations were carried out at three chalet parks, i.e.

Purpose ? The purpose of this thesis is to develop a total cost model for container transports and create a tool that calculates a suitable transport quantity from an economic view, which fulfills the demands on delivery service. To achieve this purpose the following questions will be answered:Which costs are affected by the decision between the two transport alternatives LCL and FCL?   How does the decision of sending product LCL or FCL influence the delivery service?  How can a tool be constructed to simplify the decision-making process regarding the choice of sending products LCL or FCL?  Method ? A total cost model was developed. This model is supported from existing literature.

Patients in intensive care are often intubated, and therefore unable to speak, which leads to difficulties in communication. The ICU is a very stressful environment and can be experienced as foreign and frightening by both patients and their close ones. The ICU nurse?s caring responsibilities includes both the care of the critically ill patient and the support of relatives who are often in shock. This balance is not always straightforward, and acting professionally in both instances can lead to problems.

Bakgrund: Postoperativa s?rinfektioner ?r en av de vanligaste komplikationerna efter operation och hotar miljontals liv v?rlden ?ver varje ?r. Som operationssjuksk?terska ?r en stor del av arbetet att jobba infektionspreventivt vilket innefattar att f?rebygga postoperativa s?rinfektioner. Dessa infektioner p?verkar patienter i olika grader och ?kad f?rst?else f?r deras upplevelser kan leda till mer personcentrerad och patients?ker v?rd. Syfte: Syftet med detta arbete ?r att sammanst?lla och belysa patienters upplevelser och erfarenheter av att drabbas av postoperativa s?rinfektioner. Metod: Detta ?r en systematisk litteratur?versikt med kvalitativ ansats.