Bakgrund: Årligen genomförs cirka 740 000 kirurgiska ingrepp inom slutenvården i Sverige som resulterar i postoperativ smärta. Postoperativ smärta är en typ av akut vävnadsskadesmärta som upplevs till följd av kirurgiskt ingrepp. Om obehandlad kan postoperativ smärta resultera sig i kronisk smärta, försämrad livskvalitet och ökad mortalitet. Musikterapi är en biverkningsfri och icke farmakologisk metod som kan implementeras i vården som ett komplement till traditionell behandling för att lindra postoperativ smärta samt öka patienternas välbefinnande.   Syfte: Att undersöka vilken påverkan musik har på postoperativ smärta och de fysiologiska reaktioner som uppstår vid postoperativ smärta.   Metod: Denna studie är en beskrivande allmän litteraturstudie med kvantativ ansats. Artikelsökningarna genomfördes i PubMeds– och CINAHLs databas med hjälp av MeSH genererade söktermer, där elva originalartiklar valdes att inkluderas i studien. Utav dessa var det en artikel som efter kvalitetsgranskning exkluderades, då dess kvalité inte var av medel eller högre kvalité. Resultat: Sju av tio studier visade att musik sänkte smärtintensiteten hos patienter som genomgått thorax- eller abdominal kirurgi. Ingen tydlig påverkan på fysiologiska reaktioner postoperativt kunde ses hos samtliga studier. Slutsats: Musik kan användas som en komplementär behandling till sedvanlig vård för att sänka smärtintensiteten hos postoperativa patienter och öka delaktigheten och självbestämmandet hos patienten. Musikterapi är varken kostsamt eller innehåller biverkningar och kan därför implementeras ute i samhället såväl som inom vården. Mer forskning behövs däremot för att se om musik har en påverkan på de fysiologiska reaktionerna som uppstår vid smärta. / Background: Approximately 740,000 surgical procedures are performed every year in Sweden, resulting in postoperative pain. Postoperative pain is a type of acute tissue injury that is experienced as a result of a surgical procedure. If not treated properly, postoperative pain can result in chronic pain, worsened quality of life and increased mortality. Music therapy is a cheap non-pharmacological method without side-effects that could be implemented in healthcare as a complement to traditional treatment, to alleviate postoperative pain and increase the well-being of patients.   Purpose: To investigate the impact music has on post-operative pain and the physiological reactions that arise from postoperative pain.   Method: A descriptive literature study using quantitative methods. The search for articles was done in the database of PubMed and CINAHL with the help of MeSH generated terms. Eleven original articles were included in this study, whereas one of them were excluded later on by not passing the criteria of the quality control.   Results: Seven out of ten studies showed that music reduced the pain intensity in patients that had undergone either thoracic- or abdominal surgery. No clear influence on physiological reactions could be seen postoperatively.   Conclusion: Music can be used as a complementary treatment to conventional care, to reduce the pain intensity of postoperative patients, and to have patients partake more in their treatment. Since music is cheap och does not involve any side-effect, it can be involved as a analgesic complementary method in society as well as in hospitals. Though more research is needed to see if music has an impact on the physiological responses resulting from pain.

The nursing practice of monitoring patients in the post-operative (PO) phase upon returning to the general ward setting has traditionally consisted of the systematic collection of vital signs and observation of other aspects of the patient's recovery. For the most part the primary focus of this monitoring has been the detection of post-operative complications. There is a need for more substantive evidence to support an appropriate frequency of post-operative observation. The aim of this research was to identify if the current practice of PO vital sign collection detects PO complications in the first 24 hours after the patient has returned to the general ward setting. Due to the complex world in which nurses practice the research was undertaken using a combination of methods within a triangulated approach to collect data. A survey of 75 hospitals providing a surgical service enabled a description of the current models of PO monitoring as found in policy documents to be made. The majority of hospitals (91%) described a variety of regulated regimens for the collection of PO observations, with the most common for vital sign collection (27%) as hourly for the first four hours and then four hourly. An observation of 282 patient hours in two surgical wards identified the current practice of PO monitoring involved nurses collecting vital signs hourly for the first four hours, three hourly for the next eight hours and then every four hours. This was despite the existence of different models being described in the policies. The records of 144 patients were audited to identify what, if any, nursing interventions detected changes in a patient's recovery and to determine whether a relationship existed between vital sign collection and the detection of complications. It was found that the complications that occurred were minor in nature, occurred infrequently, and did not have a relationship with changes in vital signs. This research found that there was no relationship between the frequency of the collection of vital signs and the occurrence or detection of complications. PO observations were collected by nurses based on traditional patterns, were collected routinely, were ritualised and were not determined by individual clinician expertise or the needs of the individual patient. Recommendations are made regarding the need for a systematic program of research and alternative models of patient observation that focus on patient need rather than organisational need and that provide more efficient and effective practice in monitoring PO patient progress. / Thesis (Ph.D.)--School of Medicine, 2003.

Ce travail s’est intéressé aux liens existant entre la stratégie d’exploitation développée par un crustacé ectoparasite et son comportement reproductif. Le crabe Pinnotheridae Dissodactylus primitivus exploite deux espèces Spatangidae vivant dans la Mer des Caraïbes, Meoma ventricosa et Plagiobrissus grandis. Des approches comportementales, démographiques et génétiques ont été adoptées afin de mettre en lumière le fonctionnement et la biologie de cette symbiose. Par son comportement alimentaire, le crabe occasionne des lésions tégumentaires sur ses hôtes. Celles-ci affectent la fitness de M. ventricosa, au travers de son développement gonadique. Dissodactylus primitivus exploite ses deux espèces hôtes de façon asymétrique. La reproduction des parasites se déroule sur les deux hôtes, alors que le recrutement ne s’effectue que sur M. ventricosa. Ce cycle vital asymétrique du crabe serait stabilisé par la qualité et la rareté de P. grandis. En outre, Le comportement sexuel du crabe sur M. ventricosa répondrait aux critères de la polygynandrie à femelles mobiles. Selon ce modèle, les mâles et les femelles se déplacent entre les hôtes à la recherche de partenaires multiples. Lors de ces déplacements, le crabe s’aiderait de son aptitude à localiser chimiquement ses hôtes. Néanmoins, ce mécanisme s’avère plastique et pourrait refléter l’asymétrie du cycle vital. En effet, cette différence n’a pas d’origine génétique, car les crabes vivant au sein du site d’étude constituent la même population quelle que soit l’espèce hôte considérée. Les marqueurs moléculaires microsatellites mis au point dans ce travail permettront lors de futurs travaux d’affiner les observations sur les modalités d’accouplement du crabe et d’estimer sa capacité de dispersion. This work aimed to highlight the relationships between the host exploitation strategy of an ectoparasite crustacean and its mating system. The pea crab Dissodactylus primitivus exploits two Spatangidae species living in the Caribbean Sea, Meoma ventricosa and Plagiobrissus grandis. Behavioural, demographic and genetic approaches have been conducted to examine the functioning and biology of this symbiosis. Owing to its feeding behaviour, the crab wounds the host tegument. The wounds negatively affect M. ventricosa's fitness through its gonadic development. Dissodactylus primitivus asymmetrically exploits its two host species. The reproduction of the parasites happens on each host, but the recruitment only takes place on M. ventricosa. The asymmetrical life cycle would be stabilised par the quality and the scarcity of P. grandis. The mating system of crabs living on M. ventricosa would correspond to the Pure-search polygynandry of mobile females criteria. According to this model, the males and the females practice the host switching behaviour to find several sexual partners. During these movements, the crab could use its chemodetection ability to locate its hosts. However, this mechanism is plastic and presumably reflects the asymmetrical life cycle of the crab. This difference has indeed not a genetic cause because the crabs living inside the investigated region belong to the same population, whatever the regarded host species. In future studies, the microsatellites markers developed for this work could be used to test the mating system of D. primitivus and to estimate its dispersion ability.

The effects of occupational sex segregation on wage differentials and poverty, and the factors behind the differentiation on occupational choices are analyzed in various studies. There are also recent studies analyzing Turkish case. However, there are limited attempts combining both segregation and occupational decision in Turkish labor market. This thesis wants to fill this gap and as well as contribute the literature of Turkish labor market and OSS, with analyzing the most current data of Household Labor Force Survey (HLFS) 2004-2010. It is expected to find stability in segregation in the period under consideration as verified by the thesis. It is found that the contribution of different occupations to the extent of segregation also differs. In addition, differentiation with regard to factors on occupational choices of men and women are also found. Further analysis should be carried to make relevant and effective policies to reduce occupational sex segregation.

Understanding what influences movement patterns in animals is important to the understanding of colonization, range expansion, and sourcesink dynamics. Rosss geese (Chen rossii) have been expanding their nesting range eastward, and, as recently as 1994, have been nesting in large numbers in such newly colonized areas. I sampled nests at the McConnell River Migratory Bird Sanctuary (MCR), the largest known Rosss goose nesting colony outside the Queen Maud Gulf Migratory Bird Sanctuary (QMG) to estimate its nesting population size. To understand whether immigration by Rosss geese to a new colony located outside traditional nesting areas has an adaptive basis, I compared nutritional, nesting, and survival metrics between geese nesting at the MCR and those nesting at Karrak Lake (KAR) in QMG. I hypothesized that because of longer nesting season, Rosss geese at MCR would have more fat and protein reserves, larger clutch sizes, and greater nest success than those at KAR. Additionally, I hypothesized that population change at MCR was due largely to in situ recruitment. To better understand factors motivating dispersal, movement by Rosss geese between nesting attempts at MCR was measured between years. I hypothesized that dispersal distance of nesting females between years t, and t+1 was a function of both a females own reproductive success as well as that of her neighbours.<p> In 1997 over 23,000 Rosss geese were counted at MCR. By 2007, population estimates (± SE) had increased to 81,408 (±12,367). Survival of both juvenile and adult geese marked at MCR was similar to those nesting at KAR; however, recovery rate estimates were greater than those for KAR. On average, Rosss geese arrived and initiated nests at MCR seven days earlier than at KAR. Abdominal fat was lower when nest initiation date was later in both areas, but was generally greater in geese nesting at MCR. Similarly, there was more indexed protein in geese at MCR than those at KAR in 2 of 3 years. Nesting indices such as clutch size and nest success did not show a consistent area effect, which interacted with a year effect.<p> Rosss geese at MCR did not appear to use individual or conspecific reproductive success when deciding if or how far to disperse between years, and temporary emigration rates also did not vary based on reproductive success the previous year. Instead, variables other than prior individual or neighbour nest success influenced Rosss goose nest site selection and colony fidelity. The number of Rosss geese nesting at MCR increased at an average rate of 11.4% per year from 20032007, despite no increase (0%) from 2006 to 2007. Vital rate information gathered during this time suggests that immigration may have contributed to this growth; however, with few assumptions it can be concluded that MCR is a sustainable population. As a result, studies of geese breeding at MCR provide evidence that arctic geese are capable of successfully colonizing nesting areas great distances beyond historic range.

Failure to recognize changes in a patient’s clinical condition is a barrier to the effectiveness of CCRT outreach programs. The development of a vital signs capture and decision system could alert care providers and CCRTs when a patient’s clinical condition deteriorates. However, point-of-care vital signs capture and documentation is often problematic in clinical practice. Ethnographic research was conducted to understand the difficulties of replacing pen and paper charts and barriers to electronic nursing documentation systems. Analysis of workflows directed the design of two solutions; 1) Apple iPhone facilitated manual vital signs entry, 2) Motorola MC55 enabled automatic data capturing from physiological monitors. Nurses participated in high-fidelity usability testing, comparing the traditional method of paper documentation with the two electronic solutions. As a result of user-centered design process, both solutions were comparable to the efficiency of paper methods, were found acceptable to nurses, and could be successfully incorporated into current workflows.

Failure to recognize changes in a patient’s clinical condition is a barrier to the effectiveness of CCRT outreach programs. The development of a vital signs capture and decision system could alert care providers and CCRTs when a patient’s clinical condition deteriorates. However, point-of-care vital signs capture and documentation is often problematic in clinical practice. Ethnographic research was conducted to understand the difficulties of replacing pen and paper charts and barriers to electronic nursing documentation systems. Analysis of workflows directed the design of two solutions; 1) Apple iPhone facilitated manual vital signs entry, 2) Motorola MC55 enabled automatic data capturing from physiological monitors. Nurses participated in high-fidelity usability testing, comparing the traditional method of paper documentation with the two electronic solutions. As a result of user-centered design process, both solutions were comparable to the efficiency of paper methods, were found acceptable to nurses, and could be successfully incorporated into current workflows.

El presente estudio aborda los constructos de Perspectiva Temporal Futura (Nuttin, 1985), en sus diferentes dimensiones (Metas, ubicación temporal de las metas y Actitudes Temporales) y de Satisfacción con la vida (Pavot y Diener, 1993), desde la adolescencia hasta la adultez tardía.A través de un diseño no experimental, evolutivo transversal, se evaluó a 570 personas de ambos sexos entre los 16 y los 65 años, de dos niveles socioeconómicos de Lima, Perú. Los instrumentos utilizados fueron el Método de Inducción Motivacional (MIM) y la Escala de Actitudes Temporales (TAS) de Nuttin (1985) y la Escala de Satisfacción con la vida (SWLS) de Pavot y Diener (1993), además de una entrevista semiestructurada que se realizó a 32 personas.Los resultados confirman la utilidad del modelo y los instrumentos de Nuttin para la evaluación de la Perspectiva Temporal Futura. La coherencia del modelo se expresa en las correlaciones entre los instrumentos utilizados y en la consistencia entre los mismos y la información recogida mediante las entrevistas. Asimismo, las asociaciones entre Satisfacción con la vida y PTF, dan cuenta de constructos estrechamente ligados entre sí. La Satisfacción con la vida está asociada a la elevación de metas de Contacto interpersonal y negativamente asociada a las metas sobre Sí mismo. Las correlaciones más significativas se presentan entre Satisfacción con la vida y Actitudes temporales y especialmente con la actitud hacia el Presente. El grupo en conjunto se encuentra predominantemente satisfecho con su vida, presenta una actitud positiva frente al futuro y ubica sus metas preferentemente en Contacto interpersonal, Sí mismo y Autorrealización. Los diferentes componentes de la PTF y la Satisfacción con la vida, se modifican a lo largo del desarrollo. Así, el interés en el Contacto interpersonal en general y en particular por los Otros, por la Familia, por los Hijos, por la Sociedad y por la Humanidad, se incrementan con la edad, lo mismo que la preocupación por la Autopreservación y la necesidad de Trascendencia, conjuntamente con la búsqueda de mayor Diversión o disfrute. El interés por el Contacto íntimo, la Pareja, los Padres y los Amigos disminuye con la edad, lo mismo que las metas sobre el Sí mismo, el Autoconcepto, la Autonomía, la necesidad de Realización y Autorrealización y el interés por los Estudios.A medida que las personas se hacen mayores, se incrementan las metas localizadas en el Presente abierto y disminuyen las ubicadas en el Futuro distante. La actitud hacia el Pasado, se hace más positiva, disminuye la idealización del futuro y aumenta la Satisfacción con la vida. La variable género, no muestra mayores diferencias en el grupo en general. Unicamente se encuentra que las mujeres presentan mayor interés en el Contacto interpersonal y que los varones muestran mayor interés en temas vinculados a la Sociedad. La influencia del género en la PTF parece restringirse especialmente a la adolescencia y a la adultez media. El nivel socioeconómico sí marca diferencias importantes, así, en el NSE alto predominan las respuestas de Autorrealización en general y Profesional en particular y las metas de Exploración. Son los que presentan una PTF más larga, una actitud más positiva hacia el Presente y una mayor Satisfacción con la vida. En el NSE bajo, en cambio, surge un mayor interés por las Posesiones materiales y una mayor preocupación por los Padres. Este grupo muestra una mayor cantidad de metas en el Futuro cercano, una PTF más restringida y menor Satisfacción con la vida.Palabras clave: Perspectiva Temporal Futura, Actitudes temporales, Satisfacción con la vida, Ciclo vital / The present study focus in the concepts of Future Time Perspective (Nuttin, 1985) in its different dimensions (goals, temporal location of goals and temporal attitudes), and satisfaction with life (Pavot & Diener, 1993) since adolescence through elder ages. Through a non-experimental transversal evolutionary design, 570 males and females from 16 to 65 years of age, from two different socioeconomic levels were evaluated in Lima, Peru. The used tools were the 1985 Nuttin Motivational Induction Method (MIM) and Temporal Attitudes Scale (TAS) and the 1993 Pavot and Diener Satisfaction with Life Scale, besides an interview applied to 32 people.The results confirmed the utility of Nuttin´s model and instruments in the evaluation of the Future Time Perspective. The coherence of the model is shown by the correlation between the utilized instruments, and the consistency between them and the information gathered though the interviews. In the same way, the associations between the Satisfaction with Life and the FTP give account of tightly link constructs. The Satisfaction with life is associated to increase Interpersonal Contact goals and negatively associated to Self-goals. The more significant correlation is between Satisfaction with life and Temporal Attitudes, especially attitude toward the present.The study group as a whole is predominantly satisfied with their life, have a positive attitude toward the future, and place their goals preferable in Interpersonal Contact, Self and Self realization.The different components of the FTP and the Satisfaction with life change with age. Thus, the interest for Interpersonal Contact in general, and in particular the interest for the Others, the Family, the Offspring, the Society and the Humanity, increases with age, the same tan the preoccupation for de Self preservation and the Transcendence need together with the search of more entertainment or pleasure. On the other hand, the interest for Intimate Contact, the Partner, the Parents and the Friends decreases with age, the same than the Self-goals, the Self-concept, the Autonomy, the need of Realization and Self-realization and the interest for the Studies.As persons grow older, there is an increase of the goals located in the Open present, and a decrease of those located in the Distant Future. The attitude toward the Past turns more positive, the idealization of the Future decreases and the Satisfaction with life increases.In general, there are no major gender differences in the group, except for the observation that women show more interest in Interpersonal Contact and men in themes related to Society. The influence of gender in the FTP seems to be restricted to adolescence and middle adulthood. However, there are important differences according to the socioeconomic level. Thus, in the high socioeconomic group Self realization in general and professional in particular as well as Exploration goals are predominant. This group presents a longer FTP, a more positive attitude toward the present and higher Satisfaction with life. On the contrary, in the low socioeconomic group there is more interest for material possessions and a higher preoccupation for Parents. This group shows more goals in the Near future, a more restricted FTP and lower Satisfaction with life. Key words: Future Time Perspective, Temporal attitudes, Satisfaction with life, life span.

In this paper the concept of a ?human right? is analysed and clarified. Some justifications for human rights ? such as natural rights theory, contractarianism, utilitarianism and rights as vital interests ? are explored with respect to their emphasis on rights as protected choices or protected interests. Finally, a vital interests view is defended in which the rights to subsistence, security, and liberty of movement and political participation form the set of our basic rights without which we cannot enjoy our other rights.

Understanding what influences movement patterns in animals is important to the understanding of colonization, range expansion, and sourcesink dynamics. Rosss geese (Chen rossii) have been expanding their nesting range eastward, and, as recently as 1994, have been nesting in large numbers in such newly colonized areas. I sampled nests at the McConnell River Migratory Bird Sanctuary (MCR), the largest known Rosss goose nesting colony outside the Queen Maud Gulf Migratory Bird Sanctuary (QMG) to estimate its nesting population size. To understand whether immigration by Rosss geese to a new colony located outside traditional nesting areas has an adaptive basis, I compared nutritional, nesting, and survival metrics between geese nesting at the MCR and those nesting at Karrak Lake (KAR) in QMG. I hypothesized that because of longer nesting season, Rosss geese at MCR would have more fat and protein reserves, larger clutch sizes, and greater nest success than those at KAR. Additionally, I hypothesized that population change at MCR was due largely to in situ recruitment. To better understand factors motivating dispersal, movement by Rosss geese between nesting attempts at MCR was measured between years. I hypothesized that dispersal distance of nesting females between years t, and t+1 was a function of both a females own reproductive success as well as that of her neighbours.<p> In 1997 over 23,000 Rosss geese were counted at MCR. By 2007, population estimates (± SE) had increased to 81,408 (±12,367). Survival of both juvenile and adult geese marked at MCR was similar to those nesting at KAR; however, recovery rate estimates were greater than those for KAR. On average, Rosss geese arrived and initiated nests at MCR seven days earlier than at KAR. Abdominal fat was lower when nest initiation date was later in both areas, but was generally greater in geese nesting at MCR. Similarly, there was more indexed protein in geese at MCR than those at KAR in 2 of 3 years. Nesting indices such as clutch size and nest success did not show a consistent area effect, which interacted with a year effect.<p> Rosss geese at MCR did not appear to use individual or conspecific reproductive success when deciding if or how far to disperse between years, and temporary emigration rates also did not vary based on reproductive success the previous year. Instead, variables other than prior individual or neighbour nest success influenced Rosss goose nest site selection and colony fidelity. The number of Rosss geese nesting at MCR increased at an average rate of 11.4% per year from 20032007, despite no increase (0%) from 2006 to 2007. Vital rate information gathered during this time suggests that immigration may have contributed to this growth; however, with few assumptions it can be concluded that MCR is a sustainable population. As a result, studies of geese breeding at MCR provide evidence that arctic geese are capable of successfully colonizing nesting areas great distances beyond historic range.