Syftet med denna systematiska litteraturstudie var att ta reda på vilka mätinstrument som används för att identifiera patienter med risk att utveckla trycksår samt beskriva vilka omvårdnadsåtgärder som har betydelse för trycksårsprevention och sårläkning. De vetenskapliga artiklarna (n=16) som ingick i denna studie söktes i databasen Elin@dalarna. Sökorden som användes var pressure ulcer i olika kombinationer med nutrition, activity, skin, Norton, treatment och hydrocolloid. Inklusionskriterierna var att artiklarna skulle vara publicerade mellan åren 1999-2006 och vara i fulltext samt svensk och/eller engelskspråkig. Resultatet visade att patienter borde riskbedömas för trycksår så snart som möjligt efter att de anlänt till vårdinrättningen.

BACKGROUND: Today?s societal changes, including high rate of change and increasing information flows, are increasing the demand on the individual mental capacity. It becomes increasingly difficult to analytically process all the different dilemmas and everyday decisions as individuals have a limited mental capacity available to make these decisions. Thus, it has been suggested that ego-depleted relies more heavily on intuition, which is less burdensome, when making decision. However little is known about to what extent intuitive decisions differ from analytic.

Bakgrund: Oavsett om döendet äger rum i hemmet, på sjukhus eller hospice så har sjuksköterskan ett stort ansvar. Således krävs det att hon eller han har ingående kunskap om vad det kan innebära att vara svårt sjuk och vårdberoende för att kunna leverera en optimal vård. Den som bäst kan hjälpa oss som sjuksköterskor att förstå upplevelser av att vara döende; är patienten. Syfte: Belysa vad patienter i palliativ vård upplever som viktiga aspekter för sin omvårdnad. Metod: Litteraturstudie av åtta stycken kvalitativa vetenskapliga artiklar.

Bakgrund: Palliativ vård är en aktiv holistisk vård som utgår från den enskilde patientens livssituation. WHO definierar palliativ vård som ett förhållningssätt som syftar till att förbättra livskvaliteten för patienter och deras närstående som drabbats av livshotande sjukdom. Sjuksköterskans roll i denna vårdkontext kan beskrivas som relationsskapande, stödjande, kommunikativ och koordinerande. Patienten i palliativ vård befinner sig i en utsatt situation och dennes behov består i att upprätthålla god livskvalitet genom smärtlindring och existentiellt stöd. Denna situation ställer krav på sjuksköterskor att ständigt skapa och upprätthålla vårdrelationer med patienter som senare dör, vilket kan vara en utmaning för sjuksköterskan.Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av att vårda patienter i palliativ vård.Metod: Litteraturöversikt baserad på åtta vetenskapliga kvalitativa artiklar hämtade från databaserna CINAHL och MEDLINE.

The purpose of this study is to investigate how the legal protection against sexual harassment at work functions, and where to draw the line. The study is limited to focus on the sexual harassment directed at women from men, because it usually occurs that way even though only a few report the incidents. The results are discussed from a gender perspective on how the distribution of power is between men and women as a way to explain sexual harassment.Sexual harassment is currently protected by the discrimination law and the EU principle of equal treatment for men and women. For a behavior to be considered as sexual harassment it has to be unwanted by the receiving party and the person practicing the harassments must be aware that the behavior is perceived as offensive. The behavior shall be of a sexual nature and contribute to a disadvantage for the victim in the form of a violation of that persons integrity.It is the victim that determines whether the behavior is perceived as sexual harassment or not, what one person believes is a friendly behavior may be perceived as offensive by another.

Background: Previously research shows that people treated conservatively can have reduced foot function after Achilles tendon rupture. However, there are few qualitative studies in the subject, so this essay is written to provide a deeper understanding of how these people feel about their foot function one to two years after the injury.Purpose: Investigate how people perceive their foot function after conservative treatment one to two year after Achilles tendon rupture and if they have an avoidance behavior in their everyday lives.Method: Four people who suffered from Achilles tendon rupture participated in this qualitative study. The study was conducted with semi-structured interviews, which in turn were processed using qualitative content analysis.Results: The perceived foot function is today varied in terms of mobility, strength and pain according to the participants. They feel difference in their everyday life in comparison with before the injury. It appears that participants have avoidance behavior when it comes to the situation of injury.

Hallsta paper mill uses large amounts of water during the pulp and paper making processes. The wastewater is treated in two separate activated sludge processes referred to as BIO 1 and BIO 2. The main aim is to reduce the organic substance content, measured as COD (Chemical Oxygen Demand) before the wastewater is released into the environment. Since the effluent produced is very rich in organic substances, the addition of nitrogen (N) and phosphorus (P) are necessary to give satisfactory treatment results. Problems with sludge bulking sometimes occur which lead to increased levels of suspended matter and nutrients in the effluent.

Background: Testosterone is the most important androgenic hormone in the male. Aging is closely associated with reduction of serum testosterone which can lead to reduced muscle mass, muscle strength, bone density, and depression. These symptoms may be counteracted by administration of testosterone. Objective: The purpose of this study was to examine the effects of hormone replacement in men with age-related testosterone deficiency. Method: We performed a systematic review using Randomised Controlled Trials (RCT).

During pulp and papermaking process a huge amount of water is used. The wastewater contains a large amount of pollutants and has to be treated before it reaches the recipient. In March 2004 a new bleaching plant was started up at SCA Graphic Sundsvall AB, Ortviken?s paper mill using peroxide. The production of bleached thermo mechanical pulp and thus the load to the wastewater plant increased.

In some herds it has been observed that extremely short teats have become a problem; with a negative influence on the milking performance. The aim of this study was therefore to investigate to what degree the quality of the teats and the milk in cows with short teats is affected as compared with cows with normal teat length and furthermore if the milking performance could be improved by using a liner adapted to short teats. This study was divided in two parts. In the first part, it was examined if there were any differences between short teats and teats with normal length with reference to the milking performance, udder emptying, teat treatment, milk quality, and udder health. 11 pairs of cows were used and in each pair of cows one cow had teats shorter than 40 mm while the other cow had teats longer than 50 mm.

The aim of these two studies was to investigate the possible physiological, behavioural and emotional changes that appear after human-horse interactions and also to find an explanation to why they occur. One aspect that is discussed is whether the wellbeing of humans can be coupled to interacting with horses and of how the animals respond to the interaction. The first study was performed on 9 horses and their owners, both parts being subjects to registrations during 4 different interaction treatments. The second study was performed on 6 horses with registrations only being performed on the horses during 2 different treatments. Nine horses underwent 3 different treatments all performed by their owners (H = stroking of the horses forehead, B = brushing and M = stimulation of the withers) in addition to a control round (K). Each treatment lasted for 4 minutes but observations were performed until after 45 minutes from start.

The purpose of this study was to evaluate the different substrates that enter the digestion on Sundet wastewater treatment plant for production of biogas.This work have done an analysis of data about the biogasproduction from January 2012 to feburari 2013, this showed that the food substrates has a greater gas production than internal sludge.Through laboratory test the VS, TS and COD values for all the substrates used in the biogas production could be determinded. But the COD-method was less optimal for analysis of fat and food, therefore it optimized the method for fat but due to time constraints, this could not be done on the food substrates..

Collaboration is a form of organization on the rise in Sweden. For health care, it is ofinterest to collaborate with industry to ensure that needs for specialist education andtraining are met and that products developed meet the relevant requirements.Conversely, industry actors have an interest to have a close collaboration with healthcare in order to gain insight into customer needs, provide information about theirproducts and to test products in development.The starting point of this study is an agreement and regulatory framework for formsof collaboration between public health care in Sweden in general and thepharmaceutical industry, the medical device industry and the laboratory technologyindustry. The research questions concerns how this agreement has evolved and theprocess surrounding its emergence may contribute to knowledge about collaborationas a form of organization and the relationship to concepts such as legitimacy,corruption and institutional theory.By tracking the emergence of the current regulatory framework genealogicalthroughout history, the study uncovers how the agreements have played a role in andcontributed to the legitimization and institutionalization of collaboration practices andhow crises have changed the shape of the practices. A theoretical treatment ofrelevant concepts such as legitimacy, institutionalization of practices, corruption andstigmatization of organizations form the basis for an interpretation and analysis of theprocess.The conclusions of the examination of the historical process that led to the currentagreements contribute to empirical knowledge of how crises and stigma affect thelegitimacy of collaboration practices and how the repair of legitimacy can be donesuccessfully after a crisis. The treatment of the empirical material is also a historicalsource for the development of ethics agreements between public health care andpharmaceutical industry and the medical industry in Sweden..

Religiositet och andlighet tycks ha samband med fysisk och psykisk hälsa. I uppsatsen undersöks sambandet mellan andlighet och utbrändhet, två grupper behandlare jämförs och mätegenskaper hos skalorna Spirituality, Religiousness and Personal Beliefs Field-Test Instrument (WHOQOL-SRPB), Spiritual Involvement and Beliefs Scale (SIBS), Maslach Burnout Inventory ? Human Service Survey (MBI-HSS) och Utbrändhet i arbetet (UA) undersöks. Studiedeltagarna var 38 programledare för kriminalvårdens tolvstegsprogram och 39 behandlare i ett psykoterapinätverk inom beroendevården (svarsfrekvens 61,5%). Andlighet korrelerade med personlig prestation (personal accomplishment; r = 0,315, p < 0,05).

Bakgrund: Oavsett om döendet äger rum i hemmet, på sjukhus eller hospice så har sjuksköterskan ett stort ansvar. Således krävs det att hon eller han har ingående kunskap om vad det kan innebära att vara svårt sjuk och vårdberoende för att kunna leverera en optimal vård. Den som bäst kan hjälpa oss som sjuksköterskor att förstå upplevelser av att vara döende; är patienten. Syfte: Belysa vad patienter i palliativ vård upplever som viktiga aspekter för sin omvårdnad. Metod: Litteraturstudie av åtta stycken kvalitativa vetenskapliga artiklar.