The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Effects of Menstrual Cycle and Oral Contraceptives on Sport Performance During the menstrual cycle, there is a variation of the female steriod hormones estrogen and progestogen. These hormones has mainly reproduktive functions, but do also affect other physiological systems, which may have an influence on athletic performance. The use of oral contraceptives among female athletes matches the use among the general population. There is a concern among female athletes and there coaches weather oral contraceptives can affect the performance. The purpose of this litterature review is to determine the effect of the menstrual cycle and the use of oral contraceptives on athletic performance.

This report is about finding the cooperative elements in games and making a boardgame based on them. I tested different computer games and boardgames to try and get the cooperative elements and then I make a boardgame based on what I found.What I found during testing is that to be a fully cooperative game all players on the same team must win or lose together and one player should not be able to finish the game by herself. There are of course some things that can change this for example what kind of players are playing.My best advice is that you should decide that the game is fully cooperative from the beginning and build the game from that..

The purpose of this study is to describe melanotic tumours and the pathogenesis of these tumours. The focus of this study is on differences between benign and malignant tumours as well as the prognosis one may expect when diagnosing this disease. The mechanisms responsible for the occurrences of the tumours are not yet fully understood. It is believed that factors such as chronic trauma, infections, medications and hormones affect the cell mechanisms in some way. Determinants of the malignancy of the tumour are not completely known.

Bakgrund: Amyotrofisk lateral skleros (ALS) ?r en neurodegenerativ sjukdom som g?r att muskler f?rtvinar och ger personen en successiv f?rsvagning i kroppen. Det leder bland annat till sv?righeter att r?ra sig, ?ta och tala. Sjukdomen ?r obotlig men bromsande medicinering och symtomlindrande behandling erbjuds.

Syftet med den här undersökningen var att ta reda på vad som händer i en systemförvaltning när Cloud Computing införs. Vilka roller och aktiviteter i systemförvaltningen som påverkas vid byte av IT-lösning. För att få svar på detta har vi utfört en fallstudie på ett företag som utvecklar och levererar tjänster baserade på Cloud Computing, där vi intervjuat två respondenter för att samla in information. En analys har utförts där informationen jämförts mot teoriramen. Därefter har slutsatser dragits utifrån arbetet.

The purpose of this study is to describe melanotic tumours and the pathogenesis of these tumours. The focus of this study is on differences between benign and malignant tumours as well as the prognosis one may expect when diagnosing this disease. The mechanisms responsible for the occurrences of the tumours are not yet fully understood. It is believed that factors such as chronic trauma, infections, medications and hormones affect the cell mechanisms in some way. Determinants of the malignancy of the tumour are not completely known.

Background: First Line Managers are expected to create a health promoting work environment. Research has shown that the prerequisites for accomplishing a health promoting leadership are not always the best. Aim: The aim was to elucidate the prerequisites for a health promoting leadership as First Line Manager at a University hospital in Sweden based on competence, role, support structures and own durability. Results: First Line Managers at the chosen hospital seems to have rather good conditions for conducting a health promoting leadership. All respondents did have a university degree and most thought that their competence corresponded well with the role.

Ambulansarbetet är ibland stressigt och som ambulanspersonal hanteras bland annat traumapatienter. Det kan upplevas svårt att finna tid till omvårdnaden kring patienten. En del av omvårdnaden är att informera patienten vad som händer för att de ska uppleva en delaktighet och trygghet i vården. I traumasituationer är det svårt att avgöra hur detaljerad informationen ska vara och hur mottaglig patienten är för information, även patientens medvetandegrad är avgörande. Syftet med studien var att beskriva vad ambulanssjuksköterskor anser om information och vilken information som gavs till traumapatienter.

För att företagen skall kunna bevara sin konkurrenskraft har en hög motivation hos deanställda fått en allt större betydelse. Jag har i denna studie studerat motivation och vad somkommer att påverka motivationsgraden hos de anställda mest. Detta med utgångspunkt fråntre olika aspekter, vilka är; ledarskap, lärande organisation och utvecklingssamtalet. Somteoretisk bas har jag använt mig av fyra olika klassiska motivationsteorier. Alla dessa teorierhar som utgångspunkt förklarat vad som gör individer motiverade, däremot saknade jag enbeskrivning hur en ledare skall agera för att skapa motivation hos sin personal.

In the spring of 2009 Silva Sweden AB was contacted for a collaboration within the scope of a MasterThesis project. The company had discussed the possibility to develop a device that monitors usermovement during different types of exercise. The objective of this Master Thesis has therefore been todevelop and design a multi training device that records the user?s physical performance during severalactivities. The purpose of the thesis project has been to use scientific methods for product development inorder to design a multi device that supplements Silva?s range of products.The project followed a product development process divided into four phases; Market Analysis, ConceptCreation, Concept Development and Construction.

Antalet kejsarsnitt, både planerade och akuta, har ökat markant i Sverige under de senaste åren. Syftet med denna examensuppsats var att undersöka hur kvinnor i Stockholm upplevde den psykologiska hjälp, bestående av deltagande i kejsarsnittsgrupper, som de blev erbjudna efter ett akut eller urakut kejsarsnitt samt hur de upplevde bemötandet inom vården. I uppsatsen sammanställdes enkäter som delats ut i kejsarsnittsgrupperna efter sista gruppträffen. Enkäterna handlade om upplevelsen av vården under graviditet, förlossning och sjukhusvistelsen efter förlossningen, samt vad kvinnorna tyckte om kejsarsnittsgrupperna. Enkäten bestod av öppna frågor.

The purpose of this paper was to examine social workers' experiences of integration of unaccompanied children. We aimed to study which factors in the individual and the community social workers experience affect the integration and how they, based on their understanding, work to promote integration. The essay has a phenomenological approach and focuses on the social workers' own experiences of the phenomenon. The empirical data was obtained from qualitative interviews conducted with five social workers, all administrators in cases involving unaccompanied children. The result shows that the social workers feel that the desire to integrate is the most important presumption that must be present in the unaccompanied children.

The study was performed based on a qualitative method using a hermeneutical approach used to interpret the semi-structured interviews. The study aimed to investigate the Multisystemic therapy (MST) team in Halmstad municipality perceptions on the treatment method multisystemic therapy for youths from the ages of 12-18 years old.The questions were: Does the MST therapists experience that the MST is a method that leads to an improved situation for young people who receive the method? What do the MST therapists describe as opportunities and obstacles in the work with the method?The study builds on previous research on MST and empowerment based on MST. The study shows three therapists and an MST leader's experiences of the treatment and how it is aimed at influencing the parents and the youth for a change. From therapists statements it highlights how the MST method is designed for the young people?s motivation to change by means of the internal and external networks.

Syftet med denna studie var att få mer kunskap om kvinnor som aktivt har deltagit i krig, hur det har påverkat deras dagliga liv, deras identitetsupplevelse och deras anpassning i det eritreanska samt i det svenska samhället. Ett ytterligare syfte var att få mer kunskap om vilka hanteringsstrategier kvinnorna använder sig av för att leva ett normalt liv. I studien ingick sju kvinnor. En av undersökningsdeltagarna hade diagnosen Posttraumatisk stressyndrom. Data samlades in med hjälp av halvstrukturerade intervjuer och bearbetades utifrån deduktivt och induktiv tematisk analys.