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.

If one looks at physical planning in Sweden today one can see that while talking about densification of existing development, reduced emissions and careful use of important land, urban sprawl is a fact with development of sheer residential districts in the urban edges and shopping malls in each and every municipality. As sustainable development is an essential goal for physical planning to strive towards, it is worth questioning if the direction of today?s planning will lead to the goal. A sustainable development can be seen as an obvious to goal aim at. In reality the aim means a hard and complex work.

The aims of this project were to describe the circumstances around dogs being left alone in cars, to investigate owners? knowledge of the risks associated with leaving dogs in cars and the relevant legislation and, finally, to study how changes in the air temperature and air composition in the car affect the dog. The project consisted of a survey of the literature, a questionnaire part and an experimental part. An important conclusion is the importance of the level of knowledge of owners, since there are several ways in which an owner can prevent their dog from heat stroke and, in the case of an eventual accident, their action can have direct consequences in minimizing the long-term damage to the dog and even whether or not it survives. Fewer than half of the owners in the study knew that for a dog suffering heat stroke, the most important thing is to bring the body temperature down. Only a third of dog owners knew that if a dog is left in a warm car and showing signs of heat stress, then the police should be contacted and the dog quickly helped out of the car.

The Irish immigrants have been an important part of London throughout the centuries. Their presence can be found from the 17th century and onwards. Initially occupied as seasonal workers in agrarian fields the Irish later found alternative ways of supporting themselves as the Industrial Revolution transformed the whole of England. Despite their vital importance to the construction of what was to be known as "the modern Babylon" the Irish have been victims of both social prejudice and maltreatment. Some historians have imposed a comparison between the Irish in England and the African slaves in the United States.

The main aim of this study is to determine whether the monastery in Ny Varberg has been used as a hospital during its active years. The second aim has been to investigate weather the buried individuals at the monastery at Ny Varberg exclusively are deceased monks. Only individuals from the monastery's active years has been included in this study. A total of 16 inhumated individuals was analysed. Both men, women and children was shown to be present, as well as wide spread of children and adults.

Konsumenter vill gärna tro att de fattar rationella beslut utifrån en produkts faktiska egenskaper. Det har däremot visat sig att konsumenter inte alltid är helt rationella utan ofta influeras av en produkts yttre stimuli, som exempelvis pris och varumärke. Vetskapen om hur yttre stimuli faktiskt påverkar konsumenters upplevda kvalitet beroende på produkt är ytterst vital och kan bistå marknadsförare med värdefull information i sitt dagliga arbete. Syftet med uppsatsen att undersöka till vilken grad yttre stimuli i form av pris, varumärke och tidigare konsumenters produktbetyg påverkar konsumentens upplevda kvalitet för en dagligvara respektive en sällanköpsvara. För att besvara syftet har fem hypoteser sammanställts utifrån vald teori.

The Swedish governments goal for the public health is to operate for a society with good conditions to be healthy. Many people today are very conscious about their health, at the same time alcohol is a recurring element in many day-to-day situations. IOGT-NTO is an organization that is working towards making sobriety to be the rule rather than the exception. This work is linked together by the organizations communication, which is a vital part to be able to present a unified view outward. In order to do that, it is particularly important that there are common goals and strategies to work towards.

The increased frequency of reported Methicillin-resistant Staphylococcus pseudintermedius (MRSP) is of great concern to small animal healthcare due to limited options of antimicrobial therapy. The aim of this literature study is to investigate 1) characteristics and classification of S. pseudintermedius, 2) resistance mechanisms and emergence of MRSP, 3) risk factors for selection of MRSP, and 4) clonal distribution around the world. S. pseudintermedius is a skin and mucosal commensal in healthy dogs and cats, but can cause infections, including pyoderma. Beta-lactam antibiotics inhibit bacterial growth by binding to the penicillin binding protein (PBP), a vital enzyme in the synthesis of the bacterial cell wall.

ABSTRACTIntroduction: Postoperative wound infection is the third most common nosocomial infection in Sweden. The ever-growing problem of antibiotic resistance provides surgical departments a big challenge when it comes to preventing the spread of infection. Operating theatre nurses have a vital role in the prevention of infection. In addition, correct ventilation in the operating theatre is of great importance. The caregiver is responsible for quality assurance of ventilation in the operating theatre, but the work can be delegated to other staff within the department.

Suicid räknas till en av de mest tragiska händelserna i mänskligt liv. Det orsakar enormt stort lidande bland närstående såväl som stor ekonomisk förlust för hela samhället. Som sjuksköterska inom somatisk hälso- och sjukvård är det essentiellt att arbeta preventivt och identifiera suicidbenägna patienter. Syftet med litteraturstudien var att utröna faktorer som inverkar på vuxna patienters benägenhet för suicid och exemplifiera hur allmänsjuksköterskor inom somatisk hälso- och sjukvård kan förankra och tillämpa denna kunskap i praktiken. Arbetet har baserats på vetenskapliga artiklar sökta och funna genom databaserna CINAHL, PubMed, Science Direct och PsykINFO.

Flooding events are no longer rare, floods occur all over the world. Accordingly, it is vital for the society and different authorities to work with flood mapping. To meet the goal of Uppsala kommun to map the risks of floods in Uppsala län, a map of the different areas around Funboån which are inside the area of risk for flooding have been developed.In the work, cross sections and the water flow have been measured. Moreover, an echo-sounding have been carried out in Funboån to map the bottom topography. From the bottom map and laser scanned data covering the study area, a terrain model was created.

AbstractThe object of this study has been to analyze how companies within the music industry can successfully market their artists, this due to the complexity of today?s marketing environment, where technology has rapidly changed the way of communicating, and therefore contributed to a highly competitive market. The vast change of technology has resulted in several possibilities as well as difficulties breaking through, what could be seen as, a media sorl. Our purpose has been to outdo how companies market, as well as which factors that are vital, for a successful promotion of their artists. To be able to carry out our aim, we have created one key question; How can companies within the music industry market their artist to make them reach success?We have used a qualitative research approach for this study, this to be able to generate more depth concerning the chosen topic.

The radio is a medium we often listen to whilst doing something else. We wake up, do the dishes, cook or drive to work. Radio as a medium reaches many people, regardless of whether it is through conscious or unconscious listening. We thereby thought it was an important medium to scrutinize in our study. The focus of our study is on the gender representation in P3 Nyheters broadcasts.

The aim of this study is to investigate what kind of support unaccompanied children needs when arriving in Sweden, according to the staff that is receiving unaccompanied asylum seeking children in Sweden. The method is qualitative and is based on interviews and previous research. The result shows that the main subjects who were of interest from the interviews are elementary need, the support offered, security, ?parental gestalt?, education, leisure, obstacles in the work.All the interviewees describe young people's needs very different when it differs from person to person. The support children receive is the most important factor that unaccompanied children need to be developed and get a better and safer life.

Migration is a worldwide phenomenon that has occurred for thousands of years in a vast variety of species. The general knowledge of migrating animals is poor even though billions of animals from a range of different groups migrate every year. The human impact on migrating ungulates is high and many populations are declining globally due to direct and indirect causes. Hence it becomes vital to study the migration phase and the habitat and resources selected during migration. The objective with this study was to identify the habitat characteristics and resource selection of moose during migration and compare the selection between different seasons and utilization distribution (relative frequency distribution for the points of location of an animal over a period of time) categories.