SAMMANFATTNINGIntroduktionKommunikationen i ett vårdteam har stor betydelse för samarbetet kring en skadad patient. När kommunikationen brister kan det leda till sämre omhändertagande av en traumapatient. Ledaren för teamet har en betydande roll för teamarbetet. På Försvarsmedicincentrum i Göteborg tränas teamen med medicinsk simulering med fokus på teamarbete.SyfteSyftet var att undersöka hur kommunikationen erfors och påverkade samarbetet inom teamet under en medicinsk simuleringsövning.MetodFokusgruppintervjuer genomfördes av teamen efter en övning i medicinsk fullskalesimulering. Frågorna var semistrukturerade.

Background: In studies about Romani people?s health, it becomes clear that the Romani inseveral countries have a poor health and avoid seeking health care.Objective: The purpose of this study was to explore Romani men's experiences of treatmentin the Swedish health care.Method: A qualitative interview study was conducted with respondents about theirexperiences in individual interviews. Seven male Romanis were elected with a purposefulsample. A content analysis by systematic text condensation on the data obtained was made asdescribed by Granheim & Lundman (2004).Results: The summed up impressions of the responses was perceived to be good, however,many men believe that the information is inadequate. Staff at the emergency department inUppsala should listen more to patients.

I och med den utvecklade tekniska utrustningen överlever allt fler patienter som drabbats av trauma. Därför är det stor sannolikhet att vårdpersonal under sitt arbete kommer i kontakt med dessa patienter. När vårdpersonalen är i kontakt med patienter som drabbats av trauma är det många gånger omöjligt att själv bli påverkad. Detta kan leda till att vårdpersonalen själva får liknande symptom som patienten. För att undvika framtida obehag är det av överordnad betydelse att vårdpersonalen har kunskap om att omhändertagande av traumatiska patientfall på arbetsplatsen kan komma att påverka vårdpersonalens egen kropp och psyke samt hur vårdpersonalen kan lära sig uppmärksamma dessa symptom.

Known to be one of the most important resources, but also one of the most difficult ones to obtain, the workforce constitutes (consistence) the core of any organization. To find the right person for a particular position is not a trivial task. The recruitment of new staff members is important for any organization in general, but for treating organizations in particular. In order to provide the best service for its clients, it is, for a treating organization, vital to recruit nothing but highly qualified personnel. A well educated workforce can more easily stick to the treatment program and thus maintain treatment integrity.

Background: Ovarian cancer affects many women worldwide. Tumors that grow in the genitalia and pelvis have because of its placement a large threat to the sexual ability. Treatment for ovarian cancer may lead to the sexual possibilities inhibited. Sexual health is a state of physical, mental, emotional and social well-being related to sexuality. Sexual health can be experienced in spite of disease, dysfunction or infirmity.

Actinomycosis is a rare, deep-seated infection of the jaw of cattle that include the progressive enlargement of bone structures. It is caused by Actinomyces bovis, a gram-positive rod found as a normal commensal of the alimentary canal in otherwise healthy animals. This paper shortly describes Actinomyces bovis and its ability to cause "lumpy jaw" or actinomycosis in cattle. It will describe its pathogenesis, diagnosis, treatment and some clinical presentations. The incidence of symptomatic actinomycosis infection is quite low in Sweden today.

There are around 855 000 on-site sewage systems in Sweden and some 1 800 of these are located in the municipality of Sigtuna. The Sigtuna local authority has set the goal that all sewage systems with insufficient function should be improved before the end of year 2010. A malfunctioning on-site sewage system may cause three main problems: spreading of diseases, discharge of eutrophicating compounds and wastage of resources. The municipality strives to reduce these problems already at the stage of granting permits for installation of on site sanitation systems. The municipality has recently adopted new guidelines, which demands certain minimum reductions for different compounds. The guidelines also state that it is preferred that neighboring house-owners cooperate in jointly built and operated sewage systems and that the system should be able to recycle plant nutrients.

Total organic carbon (TOC) and chemical oxygen demand (COD) are two methods used for measuring organic pollutants in wastewater. Both methods are widely used but the COD method results in production of hazardous wastes, including mercury.The purpose of this study was to validate the method TOC that will replace COD and find a factor to convert TOC to COD. In this study 26 samples were analyzed from four sewage treatment plant in the municipality of Enköping.The results show that the COD method could be replaced by the TOC method.The factor for COD/TOC was between 3.1 - 3.3. Both methods will be used in parallel until 2013 when it will be forbidden to use the COD analysis..

Heart failure is an illness that requires life-long treatment and often affects everyday aspects of a person?s life. Self-care is a significant part of the treatment. Good self-care resources make it possible for people with heart failure to make the lifestyle changes they often need to maintain or improve their level of health. Self-care means having knowledge of and being able to recognize the symptoms and signs of deterioration that can occur with heart failure, so that the person can take appropriate measures ? and it also means knowing when it is time to seek professional help.

Chile and Santiago are struggling with heavy environmental problems as a consequence of urbanisation and industrialisation. In the Santiago region the air is seriously contaminated and most of the rivers are classified as heavily polluted.The aim of this thesis is to survey the industrial fluid waste situation in the Santiago region and to make suggestions on technological improvements or process changes. The purpose is also to study five different enterprises more closely and to give more detailed suggestions for improvement. Another purpose is to summarize relevant Chilean legislation.Information, provided by the supervisory authority, about the release of industrial wastewater to rivers has been analysed. Deep interviews have been made with authorities and consultants.

Automatic milking systems (AMS) provide the opportunity for less manual labour and an increased milking frequency. But in order to reach an optimal milking frequency a well-functioning cow traffic is crucial. There are many factors affecting cow traffic but one factor that has not been studied thoroughly yet is the effect of different light intensities during the night, 22.00 h to 05.00 h. Therefore the aim of this study was to determine the effect of different light intensities during the night on number of selection gate passages (GP), milking frequency and milk yield. The study was conducted as a Latin square were three light intensities were applied: LOW (11 ± 3 lux), INT (33 ± 1 lux) and HIGH (74 ± 6 lux), in three different herds.

Jönköping Small Animal Hospital is today the only clinic in Sweden to offer radiation therapy as a treatment of tumours. The body contains of billions of cells that all have to obey the regulations that are established. If a cell is exposed to a harmful substance, for example a chemical, it can be transformed into a tumourcell. Normally the body has a good defence but the tumourcell can survive and start to divide unrestrained. A tumour is starting to develop.

Trauma är idag den vanligaste dödsorsaken för människor under 45 års ålder och innebär en skada på vävnader och organ till följd av en olycka. Inom svensk traumasjukvård arbetar läkare och sjuksköterskor efter ett strukturerat arbetssätt, ATLS-konceptet, i det initiala traumaomhändertagandet. Intensivvårdssjuksköterskans kompetens och kunskap har visats fördelaktig för behandlingsresultatet vid omhändertagandet av traumapatienter på akutmottagningens traumarum, vilket även tidigare studier påvisar. Därför är det av intresse att undersöka om intensivvårdssjuksköterskan är en del av traumateamet på svenska sjukhus. Studiens syfte är att beskriva intensivvårdssjuksköterskans roll vid det initiala omhändertagandet av traumapatienten.

The purpose of this thesis is to investigate the view on the personal encounter between staff and visitors in public libraries in order to detect possible differences between the two groups in order to see if the personal encounter as such could be used in order to market libraries. We believe that social competence must interact with the initial personal encounter in order for the visitor to experience the visit as positive. We have based the theoretical framework on Erving Goffman?s theory on social interaction, as well as on Christian Grönroos? theory on quality of service and marketing. We use the following questions: How do library staff view the personal encounter? How do library visitors view the personal encounter? How does the library staff?s treatment affect the visitor?s view of the library?Are there any differences in view between visitors and staff concerning the personal encounter? If so, what kind of differences are they? Using qualitative interviews, we have interviewed nine visitors and six staff members at two public libraries.

Methane (CH4) is a greenhouse gas (GHG) that contributes to the global warming. One of the largest sources of methane is livestock, preferably ruminants which alone counted for 30% of the total agricultural anthropogenic methane emissions in the year of 2000. The reason to why ruminants are such large contributors of methane are that the gas is produced in the rumen by enteric formation and leaves the animals by belching, exhaling or by the excreta.Diets high in concentrates can result in a lower emission of methane. Also diets with a high content of starch, such as alfalfa-grass, have a methane-decreasing. It is profitable to reduce enteric methane formation since that form of methane is unavoidably lost.