The aim of this study was to describe peripheral vascular patients´experiences of quality of care in connection whith ambulatory care, and to identify if ambulatory treatment responded to patients´expectations..

Perifer vaskulär insufficiens innebär arteriell och/eller venös cirkulationssvikt i nedre extremiteter, vilket kan förorsaka bensår. Vaskulär insufficiens i benen är ett ökande hälsoproblem som ofta är ett mycket smärtsamt tillstånd och kan ha stora konsekvenser för den drabbade i dennes dagliga liv. Litteraturöversikt valdes som metod för att besvara syftet; att beskriva forskning om patienters upplevelser av hur perifer vaskulär insufficiens i de nedre extremiteterna påverkar det dagliga livet. Detta utifrån Carnevalis omvårdnadsteori om dagligt liv funktionellt hälsotillstånd. Stora inskränkningar i dagligt liv på grund av sjukdomen identifierades i litteraturen.

The purpose of this study was to investigate the presence of arterial insufficiency in patients undergoing CABG surgery and whether arterial insufficiency is a risk factor for postoperative wound infections in the harvesting leg. Patients who had CABG surgery were enrolled consecutively. A total of 144 patients participated in the study. During their hospital stay demographic data was recorded, as well as pre-, intra-, and postoperative tests and risk factors. The patients answered a questionnaire regarding postoperative wound infections 30 days after surgery patients answered a questionnaire regarding infections.

The purpose of this study is to, based on qualitative interviews, understand the home care staff's experiences of insufficiency and also which strategies they are using to deal with these experiences.The questions of this study are:In which situations are home care staff experiencing insufficiency?What copingstrategies do home care staff set out to deal with these experiences? Method: Interviews has been used as a method to gather empirical data.Theory: Theories of coping-strategies has been used as theory in the analyses of the empirical material.Results: The result of this study concludes that experiences of insufficiency mainly promotes in situations of lack of time for various reasons. The main strategies home care staff is using are planning, adapting, accepting, compensation, get themselves together, control and manage their emotions and understanding. Other situations that promote feelings of insufficiency are lack of competence and when the eldery person doesn't want to receive a planned effort. Other strategies they use are social support and changing the circumstances..

Myxomatous mitral valve disease is a common disease in older dogs of small- to medium-size breeds. The mitral valve, and less commonly the tricuspid valve may be affected which causes them to leak blood from the ventricle to the atrium of the heart during systole. With increasing severity of mitral valve leakage the forward stroke volume ejected into the aorta decreases, which may lead to an increase in blood pressure in the pulmonary vein resulting in pulmonary edema. A decrease in cardiac output may lead to a decrease in blood pressure, but the body may respond in order to normalize the blood pressure. Franzén showed in 2007 that the systolic blood pressure was increased in dogs with severe mitral insufficiency.

ABSTRACT This study is an exam work at the Department of Ecology at the Swedish Agricultural University, Ultuna, Uppsala. The field work was performed in the counties of Uppsala and Västmanland. Grassland areas, exposed to annual mowing, are known to host a variety of rare and red-listed vascular species. The area of these grassland are, however, decreasing in the landscape due to modern farming. The fact that roadside verges maintain regular mowing has proven to be a successful concept for many rare vascular plant species in this habitat. Vascular plants along roadside verges at the State road network were inventoried due to a government mandate during 1995 and 1996. As a result ?Species rich roadsides? were pointed out.

One of the main reasons for the massive loss in plant species diversity is the fragmentation of habitats. In Europe, open pastures and meadows are the habitats going through the most changes during the 20th century, according to the agricultural changes. In this study vascular plants were invented at five different islands in the Lurö archipelago, Vänern, Sweden. The aim of the study was to sort out whether the diversity of plants has gone through any changes in abandoned managed grasslands compared to continuous managed grasslands. The aim was also to study if a change in the landscape has made any differences for the species development or decline.

This retrospective study reviews and investigates type of dementia, related to co morbidity, symptoms of dementia, previus anaesthesia/surgery, intraoperative events and postoperative cognitive symptoms. The patient co morbidity was compared to occurrence in an age-matched population of 1095 individuals. Fifty-two patients with different types of dementia participated. Data was collected from patient journals.Compared to population, heredity for dementia, heart insufficiency, hypertension, depression and B12- deficiency was more frequent in the patients. B12- deficiency was common in vascular dementias and "burn-out syndrome" in early-onset AD.

Velopharyngeal insufficiency may affect resonance, articulation and thus how speech is perceived by other listeners. Velopharyngeal insufficiency is frequently found in the cleft palate population due to structural abnormalities of the palate. The pharyngeal flap is the most commonly used operation designed to improve velopharyngeal function. The aim of the present study was to compare speech before and after pharyngeal flap surgery by perceptual evaluation regarding nasality, articulation and deviant speech. The study includes preoperative and postoperative speech samples of 28 patients who underwent pharyngeal flap surgery at the University Hospital in Linköping between 2002 and 2007.

At night, the visibility is reduced and the demands on the driver increase. A safety system that enables the driver to discover warmer objects in the surroundings when the visibility are reduced, such as the Vision Enhancement System (VES) contributes to safer night-time driving. Since the benefits of this system are established, it is of interest to investigate different design aspects. The VES display has in earlier studies been positioned in front of the driver but different display positions such as peripheral placement should be evaluated. The present simulator study is an investigation of the effects of different display positions inside the car.

Aortic insufficiency is a very common valve problem in horses and most often affects older individuals, but nevertheless existent within younger ones. The root cause for aortic insufficiency can be varied, for example; endocarditis, ventricular septum defect or congenital valve disease but the most common are progressive valve degeneration or elite competition. Depending on the root cause, different changes can be observed on the aorta valves, but they do all have the same effect, the valves do not seal properly and blood leaks backwards. Many horses can, even with this deficiency, perform highly without any visible impacts and there is therefore no need to treat those subjects. Most often the symptoms arise at a later stage in life and they are, more often than none, put down for other reasons. In the occurrence of the clinical symptoms showing, treatment guideline is to inhibit these symptoms since the valve degeneration is presently irreversible.

The thesis strives to reveal the dynamics between a central and a peripheral shopping area in Kalmar, Sweden. The establishment of larger shopping centers has become a hallmark of postindustrial cities. Cities globally are at risk of creating an urban economic rift between the central and peripheral shopping areas. By establishing major shopping venues around the traditional central business districts, cities hope to create a larger customer hinterland and thereby also increased economic growth. The aim of this thesis is answered by two research questions regarding collaboration and competition between two shopping areas; the central Kvarnholmen and peripheral Hansa City Mall.

During the past few years there has been an observed decrease in physical fitness within different patient groups. As a part of the rehabilitating physiotherapy treatment it is important to acknowledge the physical condition of the patient. Physical fitness testing might be difficult due to physical limitations within different patient groups. A broad range of exercise tests is therefore of importance in clinical practice. The aim of this overview was to describe exercise tests used in rehabilitation contexts, and to define areas of use and restrictions.

Under de senaste åren har olika former av kognitiv distraktion, till exempel att tala i mobiltelefon med handsfree, relaterats till en betydande mängd olyckor i trafiken. Av den anledning finns det ett stort intresse i att ta fram olika tekniska system för att upptäcka förare som är distraherade. Målet med denna studie var att ta ett steg tillbaka och undersöka människors förmåga och metoder för att avgöra distraktion hos andra. Då det saknas tidigare forskning är upplägget en explorativ förstudie bestående av två delar. Under den första delen samlades material in på distraherade bilförare i simulerad förarmiljö.

Background: Vacuum assisted closure, VAC, is a method which can benefit wound closure. There are not many reliable studies about the effects of VAC in different types of wounds. Previous studies have shown that patients have experienced pain during dressing changes.Aim: The aim of the study was to survey in what kind of wounds the vascular surgery ward have been using VAC, to study the treatment process of VAC and how it has been documented and also to investigate if patients with VAC experienced pain during dressing changes.Method: The patients were chosen from a ledger, which contained 77 patients that had been treated with VAC on the vascular surgery ward. Data were collected with a journal survey protocol.Results: The result is based on 67 patients with a total of 79 wounds. VAC was shown to have a good effect on wound healing and infected surgical wounds were the most commonly wound category undergoing treatment with VAC.