Bakgrund: Smärta är en individuell upplevelse som kan vara svår att förmedla till andra men är ett oundvikligt fenomen efter kirurgiska ingrepp. Sjuksköterskor ska utifrån ett helhetsperspektiv bedöma patientens postoperativa smärta. Studier visade att det finns en skillnad mellan sjuksköterskors bedömning och patienters upplevelse av smärta. Smärtbedömningen kan försvåras av flera faktorer.Syfte: Syftet med denna litteraturbaserade studie var att beskriva faktorer som påverkar sjuksköterskors bedömning av postoperativ smärta hos patienter. Metod: En litteraturöversikt som baserades på 15 kvalitetsgranskade och systematiskt valda vetenskapliga artiklar.Resultat: Patienterna upplevde att deras smärta ofta underskattades av sjuksköterskorna.

En del av sjuksköterskans grundläggande arbete är att identifiera olika faktorer som kan påverka patienters upplevelse av smärta och smärtuttryck. För att en sjuksköterska skall kunna se en balans mellan effekt och biverkningar samt använda sig av nödvändig övervakning av smärtlindringen behövs kunskap. Föreliggande studies syfte var att belysa hur sjuksköterskor upplever sina kunskaper om och erfarenheter av intravenös smärtbehandling. I studien besvarade 35 sjuksköterskor arbetande på kirurgiska vårdavdelningar på ett sjukhus i södra Sverige, en enkät med såväl öppna som slutna frågor. De öppna frågorna analyserades med hjälp av manifest innehållsanalys.

SammanfattningBakgrund: Långvarig smärta är en individuell upplevelse och kan orsakas av skador eller sjukdomar, och är ihållande mer än tre månader. Detta kan innebära att det blir svårt att klara av sina vardagliga aktiviteter då funktionsförmågan kan försämras, vilket kan medföra ett lidande för individen.Syfte: Syfte med studien var att belysa individers upplevelser av långvarig smärta.Metod: En systematisk litteratur studie genomfördes och 14 kvalitativa studier kvalitetsgranskades utifrån Forsberg och Wengströms (2013) checklista för kvalitativa studier. Artiklar analyserades enligt Axelssons (2012) metod som innebär att gå från helhet till delar och till slut komma fram till en ny helhet, detta resulterade sedermera i sex teman.Resultat: Att leva med långvarig smärta kunde påverka och begränsa individens liv både fysiskt, psykiskt och socialt. Smärtan gjorde att individerna försökte anpassa sin vardag genom att hitta strategier för att hantera sin smärta. En del beskrev bristande förståelse från både anhöriga och vårdpersonal.Slutsats: Genom att lyssna och vara lyhörda kan sjuksköterskor öka sin förståelse för hur individer upplever långvarig smärta.

The aim of this study is, from a norm-critical approach, to find, investigate and analyse human representation in the visual culture of one preschool in order to understand if the children enrolled are represented or not. The research questions are: In what ways is there imagery of human representations in images and materials designed for play? What skin-colors and origins are dominant in the data collected?We carried out a qualitative study in the form of visual ethnography. This method allowed us to use a combination of different data collection tools such as photography and ethnographic field notes to collect our data. The photographs we took of images and material used for play, was then analysed through semiotic picture analysis.

Th is thesis is about how to create communicative images. It is mainly for landscape architects. With communicative images, I mean images created with the purpose to communicate a proposal or idea in a direct way to. By only looking at the image, the viewer should get an idea of what the proposal entails. A communicative image should also create an interest in the proposal.

Introduktion: Smärta, smärtskattning samt smärtbehandling är centrala begrepp inom hematologin. Intresset att genomföra en studie huruvida kvalitetsmål för smärtbehandling som finns utarbetade på Akademiska sjukhuset (AS) i Uppsala följs, väcktes med anledning av detta. Syfte: Författarna valde i denna uppsats att undersöka om gällande kvalitetsmål för smärtbehandling uppnås på hematologen på AS för patienter med maligna blodsjukdomar. De mål som undersöks är dokumentation, kunskap hos behandlande personal på avdelningen, smärtskattning samt smärtbehandling.Metod: Studien är en journal- och enkätstudie med deskriptiv design. 30 journalers dokumentation på inneliggande patienter från november 2008 har granskats under en period med fokus på smärta.

Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionABSTRACTTitle: The connection between IBS and FODMAPsAuthor: Helena Hautamäki and Rebecka BertilssonSupervisor: Sofia KlingbergExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2013-04-10Background: IBS (Irritable Bowel Syndrome) is a functional gastrointestinal disorder, and is acommon disorder in the western population. The predominant symptoms are diarrhoea,abdominal pain, bloating, constipation, and excessive flatus. Today there are no evidence basedrecommendations concerning dietary factors for patients diagnosed with IBS, but recently certainfactors in the diet that seems to trigger the symptoms have been identified. These factors areshort-chain carbohydrates, Fermentable Oligosaccharides, Disaccharides, Monosaccharides, andPolyols (FODMAPS), which are not completely absorbed in the lumen.Objective: The purpose of this systematic review article is to examine whether there are anyevidence that a diet low in FODMAPs may induce improvement of symptoms in patientsdiagnosed with IBS.Search strategy: The literature search was performed in the databases PubMed, Scopus,Summon and Google Scholar. The keywords were ?Irritable bowel syndrome + FODMAPs?,?Irritable bowel syndrome + diet? and ?FODMAP and diet?.Selection criteria: The inclusion criteria were patients diagnosed with IBS between the ages 18and 69.

In this thesis a method for evaluating investments in small scale hydro power is presented. An analysis of the future position that small scale hydro production will have on the Nordic electricity market is also carried out. This is done by an inventory of technology and economic and environmental aspects. The inventory is also a guide as to how the project should be implemented.Hydrolyzer is the name of the Excel tool developed to evaluate investments. The tool requests input data from the user and then evaluates the investment and generates a sensitivity analysis.

This thesis investigates if a system for small scale electricity production located in anurban environment can be profitable. The work has been divided up into two parts,one extensive literature study and one case study. The purpose of the literature studywas to investigate the area, resulting in a choice of which technology to be studied indepth in a case study.In the case study a system containing small scale wind turbines and photovoltaicsmounted on Gränby Centrums roof was examined. From data containing wind power,wind direction and total irradiation, possible production from a system weresimulated. Three products of each technology were examined in the simulations.From the simulated production an economic analysis was carried out, this toinvestigate if a system is profitable.

The purpose of this thesis was to create a visual identity to the café Trädgårdscafét. This was to increase the awareness of the cafe among the population of Borlänge. To make the company's visual identity visible, we also organized a guerrilla marketing. The outcome of the guerrilla marketing were then measured by calculating the number of guests during a certain period of time and also through a survey conducted in Borlänge.Graphic material, such as a graphic identity, business cards, feel good-cards, store signs, standing information folders to place on the tables and pavement board was created. Flyers and posters were also created for the guerrilla marketing.

The purpose of this master's thesis is to examine how the public library communicates with young users through the library web sites. Four Swedish public library web pages for children are analysed. In the analysis the web pages are treated as a combination of semiotic resources that, communicating as a whole, hold a meaning potential. In order to identify the underlying meaning of the whole I have applied the tools of Kress' & van Leeuwen's visual social semiotics to the chosen web pages.The information value, the framing and the salience of each composition is examined and analysed, as is the size of frame, the perspective and the vertical angle of a selection of images from each web page. The results of the semiotic analysis are then discussed and related to Jochumsen et al:s four space-model and the notion of ?child perspective? and ?empowerment?.The results show that the child perspective is strongest on the web pages that represent the performative space as dominating and that empowerment is mainly represented as ?doing?, ?participating? and the ?free choice?.

A unified model of stress and affect consciousness was proposed. The connection between affect consciousness and perceived stress was studied. Teachers (n = 19) were interviewed using Monsens affect interview, followed one month later by a questionnaire containing Perceived Stress Scale (PSS), State-Trait Anxiety Inventory (STAI-S, STAI-T) and Twenty Item Toronto Alexithymia Scale (TAS-20).Statistical analysis showed no connections between level of total affect consciousness and perceived stress. Though there were some indications of a negative relationship between affect consciousness and trait anxiety. There were also indications, using a complementary analysis, of a connection between level of affect consciousness on the subscale distress in the interview and perceived stress.

Cambodia, in Southeast Asia, has tropical monsoonal climate with distinct dry and rain seasons. Many people are poor and live in rural areas. Farmers mainly culture rice, and raise pigs, cattle and poultry as well. During two months, a minor field study was performed in Cambodia. The main purpose was to evaluate the impact of contributions done by projects that started in 2005 and were managed by the local organization CelAgrid.

Syftet med studien var att ta reda på om det går att predicera medarbetares livstillfredsställelse, psykosociala välmående och upplevd relation till närmaste chef utifrån chefers emotionsperception och emotionsreglering. Detta gjordes genom att 38 chefer utförde ett datorbaserat emotionsperceptionstest samt besvarade Emotional Regulation Questionaire. Deras närmaste medarbetare bestående av totalt 213 stycken fick sedan besvara en enkät bestående av delar från Satisfaction With Life Scale, SF-1 och QPS Nordic. Studiens huvudresultat visade att generaliserat kan resultatet från emotionsperceptionstestet och det självrapporterade användandet av omvärdering av känslor hos chefer förklarar 28 % av skattningarna på Satisfaction With Life Scale hos medarbetarna. Resultaten diskuteras i termer av att chefer skapar en positiv atmosfär på arbetsplatsen, identifierar sociala problem och löser konflikter effektivare när de är skickliga på emotionsperception och omvärderar sina känslor..

The purpose of this study was to examine how local producers in the food and confectionery segment in Västernorrland, Sweden, working to communicate that the product is locally produced through its packaging design. We have chosen to look at how they work with the right packaging design because it is such an important part of the product marketing. A further aim was to examine how consumers perceive the packaging design of the locally produced products and how they consider that the packaging design communicates the product as locally produced. We have also analyzed the graphical elements contained in the locally produced product packaging through a semiotic analysis.The theoretical framework is based on theories in brand communication and Visual Communication, specializing in packaging design?s visual elements.The method used in this study is a qualitative method.