<p>Syfte: Att undersöka hur det balanserade styrkortet fungerar som styrinstrument på några kliniker inom sjukvården.</p><p>Metod: Studien tillämpar en kvalitativ undersökningsmetod.</p><p>Teoretiskt perspektiv: Det teoretiska perspektivet utgörs av Kaplan och Nortons grundmodell och Aidemarks modell av det balanserade styrkortet.</p><p>Empiri: Det empiriska materialet består av information som samlats in genom intervjuer med personer i ledande ställning vid ett av sjukhusen inom Region Skåne.</p><p>Slutsatser: Det undersökta sjukhuset valdes på grund av att man där påstod sig ha infört det balanserade styrkortet (BSC) på flera avdelningar. Njurmedicinska enheten valdes efter förfrågan och Ögonmottagen valdes ut av ekonomichefen. Det visade sig emellertid att BSC inte i praktiken har blivit infört på Njurmedicinska enheten eller Ögonmottagningen på det sätt som sjukhusledningen var övertygad om.</p> / <p>Purpose: To examine how the balanced scorecard is used in the control of some hospital units.</p><p>Methodology: This essay uses a qualitative research method.</p><p>Theoretical perspective: The theoretical perspective consists of a model made by Kaplan and Nortons base model of the Balanced Scorecard and Aidemark.</p><p>Empirical foundation: The empirical study consists of information collected from persons in leading position in one of the hospitals in Region Skåne.</p><p>Conclusions: The hospital was chosen because the hospital management claimed that the Balanced Score Card (BSC) was introduced in several of the wards. The kidney medical unit was chosen after inquiry and the eye unit was chosen by the financial director. However, the BSC is not implemented in the kidney medical unit or the eye unit as the hospital management was assured.</p>

Artwork / Streetlives is a community-based, arts-informed, research project which addresses harm reduction amongst street youth in Thunder Bay, Ontario. Nine street-involved participant researchers (supported by a team of researchers and community organizations) used art making and storytelling as ways of understanding the risks specific to street-involved youth in Thunder Bay. Due to the heterogeneous nature of the participant researcher group and a majority of Aboriginal research participants, a novel approach was used to create principles of research collaboration, in pursuit of the principles of ownership, control, access and possession for ethical research with Aboriginal peoples. The participant researchers found that their most common experience was their vulnerability to governmental social services and law enforcement personnel and policies. They further agreed that the risk of losing their children to child protection services is a source of increased vulnerability and a barrier to accessing treatment. They all agreed that the process of art making was fruitful and were surprised by the clarity and evocative nature of their artwork, finding that meeting weekly to do art is gratifying and therapeutic. They were interested to discover that the art they created, just by telling their stories, contained strong prevention messages they would have been influenced by as younger people. As such the participants want to continue making art, and showing their work, particularly to young people, social service providers, and law enforcement officers, who they think are in the best position to learn from it. This project is building capacity in the community (by teaching artmaking, group work, organizing, critical thinking, and presentation skills), is contributing to scholarship, and significantly and positively impacting the lives of the participant researchers. This work is represented in traditional academic prose and as collaborative fiction.

A relatively high percentage of porcine <i>Escherichia coli</i> isolates from cases associated with neonatal and post-weaning diarrhea are positive for the gene encoding the adhesin involved in diffuse adherence I (AIDA-I). This gene and its corresponding protein were first identified and characterized in <i>E. coli</i> strain 2787 isolated from human infantile diarrhea. Little is known about the role of the AIDA-I protein in pathogenesis of porcine enteric disease caused by AIDA-I positive E. coli and the properties of AIDA-I protein expressed by porcine AIDA-I positive <i>E. coli</i> isolates and its receptors. <p>In this study, we demonstrated that AIDA-I adhesin isolated from porcine AIDA-I positive <i>E. coli</i> PD20 and PD58 is an acidic protein consisting of five isoforms. It has a molecular weight (100 kDa) similar to the AIDA-I adhesin expressed by human AIDA-I positive <i>E. coli</i> strain 2787 and has a relatively high amino acid homology (78-87%) with it. Immunodetection of AIDA-I positive <i>E. coli</i> strains using polyclonal anti-AIDA-I antibodies had relatively low sensitivity and specificity, accordingly these tests are unlikely to be used for regular diagnostic detection. <p>Using affinity chromatography, we isolated from porcine intestinal mucus proteins that bind to purified AIDA-I adhesin. These proteins were separated by one- and two-dimensional electrophoresis and subjected to overlay Western blot with purified AIDA-I adhesin and AIDA-I positive <i>E. coli</i> to demonstrate 65 and 120 kDa (p65 and p120) proteins as AIDA-I binding proteins. The identity of p65 was not determined based on LCMS/MS data, whereas p120 was matched to two nuclear proteins (namely, DNA damage binding protein and splicing factor 3b) and one cytoplasmic protein, which is an IgG Fc binding protein. Based on similar amino acid homology, molecular weight, structural similarity to mucin and reported evidence of being secreted by goblet cells into the intestinal lumen, we think that the IgG Fc binding protein is the most likely candidate to serve as a potential receptor in intestinal mucus for AIDA-I adhesin.

Artwork / Streetlives is a community-based, arts-informed, research project which addresses harm reduction amongst street youth in Thunder Bay, Ontario. Nine street-involved participant researchers (supported by a team of researchers and community organizations) used art making and storytelling as ways of understanding the risks specific to street-involved youth in Thunder Bay. Due to the heterogeneous nature of the participant researcher group and a majority of Aboriginal research participants, a novel approach was used to create principles of research collaboration, in pursuit of the principles of ownership, control, access and possession for ethical research with Aboriginal peoples. The participant researchers found that their most common experience was their vulnerability to governmental social services and law enforcement personnel and policies. They further agreed that the risk of losing their children to child protection services is a source of increased vulnerability and a barrier to accessing treatment. They all agreed that the process of art making was fruitful and were surprised by the clarity and evocative nature of their artwork, finding that meeting weekly to do art is gratifying and therapeutic. They were interested to discover that the art they created, just by telling their stories, contained strong prevention messages they would have been influenced by as younger people. As such the participants want to continue making art, and showing their work, particularly to young people, social service providers, and law enforcement officers, who they think are in the best position to learn from it. This project is building capacity in the community (by teaching artmaking, group work, organizing, critical thinking, and presentation skills), is contributing to scholarship, and significantly and positively impacting the lives of the participant researchers. This work is represented in traditional academic prose and as collaborative fiction.

A relatively high percentage of porcine <i>Escherichia coli</i> isolates from cases associated with neonatal and post-weaning diarrhea are positive for the gene encoding the adhesin involved in diffuse adherence I (AIDA-I). This gene and its corresponding protein were first identified and characterized in <i>E. coli</i> strain 2787 isolated from human infantile diarrhea. Little is known about the role of the AIDA-I protein in pathogenesis of porcine enteric disease caused by AIDA-I positive E. coli and the properties of AIDA-I protein expressed by porcine AIDA-I positive <i>E. coli</i> isolates and its receptors. <p>In this study, we demonstrated that AIDA-I adhesin isolated from porcine AIDA-I positive <i>E. coli</i> PD20 and PD58 is an acidic protein consisting of five isoforms. It has a molecular weight (100 kDa) similar to the AIDA-I adhesin expressed by human AIDA-I positive <i>E. coli</i> strain 2787 and has a relatively high amino acid homology (78-87%) with it. Immunodetection of AIDA-I positive <i>E. coli</i> strains using polyclonal anti-AIDA-I antibodies had relatively low sensitivity and specificity, accordingly these tests are unlikely to be used for regular diagnostic detection. <p>Using affinity chromatography, we isolated from porcine intestinal mucus proteins that bind to purified AIDA-I adhesin. These proteins were separated by one- and two-dimensional electrophoresis and subjected to overlay Western blot with purified AIDA-I adhesin and AIDA-I positive <i>E. coli</i> to demonstrate 65 and 120 kDa (p65 and p120) proteins as AIDA-I binding proteins. The identity of p65 was not determined based on LCMS/MS data, whereas p120 was matched to two nuclear proteins (namely, DNA damage binding protein and splicing factor 3b) and one cytoplasmic protein, which is an IgG Fc binding protein. Based on similar amino acid homology, molecular weight, structural similarity to mucin and reported evidence of being secreted by goblet cells into the intestinal lumen, we think that the IgG Fc binding protein is the most likely candidate to serve as a potential receptor in intestinal mucus for AIDA-I adhesin.

Syfte: Att undersöka hur det balanserade styrkortet fungerar som styrinstrument på några kliniker inom sjukvården. Metod: Studien tillämpar en kvalitativ undersökningsmetod. Teoretiskt perspektiv: Det teoretiska perspektivet utgörs av Kaplan och Nortons grundmodell och Aidemarks modell av det balanserade styrkortet. Empiri: Det empiriska materialet består av information som samlats in genom intervjuer med personer i ledande ställning vid ett av sjukhusen inom Region Skåne. Slutsatser: Det undersökta sjukhuset valdes på grund av att man där påstod sig ha infört det balanserade styrkortet (BSC) på flera avdelningar. Njurmedicinska enheten valdes efter förfrågan och Ögonmottagen valdes ut av ekonomichefen. Det visade sig emellertid att BSC inte i praktiken har blivit infört på Njurmedicinska enheten eller Ögonmottagningen på det sätt som sjukhusledningen var övertygad om. / Purpose: To examine how the balanced scorecard is used in the control of some hospital units. Methodology: This essay uses a qualitative research method. Theoretical perspective: The theoretical perspective consists of a model made by Kaplan and Nortons base model of the Balanced Scorecard and Aidemark. Empirical foundation: The empirical study consists of information collected from persons in leading position in one of the hospitals in Region Skåne. Conclusions: The hospital was chosen because the hospital management claimed that the Balanced Score Card (BSC) was introduced in several of the wards. The kidney medical unit was chosen after inquiry and the eye unit was chosen by the financial director. However, the BSC is not implemented in the kidney medical unit or the eye unit as the hospital management was assured.

abstract: In the wake of the wars in Iraq and Afghanistan, courts and social service systems across the country have begun establishing veterans treatment courts (VTC). The first VTC was created in 2004 and there are now over 300 in at least 35 states. Yet, their underlying assumptions have not been clearly articulated and their functioning and outcomes have not been well tested. These courts aim to reduce rates of incarceration and recidivism among justice-involved veterans and draw heavily on the structure and assumptions of drug and mental health courts. However, VTCs are different in important ways. Unlike other problem solving courts, VTCs actively express gratitude to criminal defendants (for past military service) and have the ability to connect participants to a socially-esteemed identity. Earlier problem solving courts have drawn on Tyler’s theory of procedural justice to predict a path from procedurally fair treatment and social bonds with court personnel through changes in social identity to increased perceptions of legal legitimacy and, ultimately, program completion and reduced recidivism. The present study tested a modified, version of Tyler’s theory that incorporates gratitude and focuses on veteran identity as the mediating construct between fair treatment and perceptions of legal legitimacy. A cross-sectional survey design was used with a convenience sample (N = 188) of participants in two Arizona VTCs. The results indicate that perceptions of procedural justice, perceived social bonds and receipt of gratitude are positively associated with both veteran identity and perceptions of legal legitimacy. Further, veteran identity was found to be a significant mediator between the first three constructs and legal legitimacy. Finally, neither recidivism risk nor race/ethnicity moderated the relationships. The study supports the importance of acknowledging past military service and enhancing the level of veteran identity among VTC participants. Implications for practice and future research are discussed. / Dissertation/Thesis / Doctoral Dissertation Social Work 2016

Bakgrund: Sjuksköterskans arbetsuppgifter i den palliativa vården är att förebygga och behandla symtom hos patienter och även att kunna stötta anhöriga. Anhöriga har en viktig roll att stötta patienten i den palliativa vården. Därför är det viktigt att belysa anhörigas upplevelser av att medverka i palliativ vård. Syfte: Syftet var att belysa anhörigas upplevelser av att medverka i den palliativa vården av en familjemedlem. Metod: En litteraturöversikt baserad på 16 vetenskapliga artiklar. Resultat: Det identifierades tre huvudkategorier: Känslor hos de anhöriga, Påverkade relationer och kommunikation samt Påverkan på den anhöriges liv. Att medverka i den palliativa vården kunde ge de anhöriga blandade känslor. Negativt laddade känslor i form av maktlöshet och skuldkänslor kunde förekomma, men också positivt laddade känslor till exempel att de upptäckte sin egen styrka och att få ge tillbaka något till familjemedlemmen. Relationerna med familjemedlemmen och andra människor förändrades, vissa upplevde att relationen blev bättre medan andra upplevde att det blev sämre. Kommunikation var en viktig faktor för att den palliativa vården skulle bli bra. Slutsats: Det är viktigt att vårdpersonal är medveten om känslor som kan uppstå hos en anhörig som medverkar i palliativvård samt att anpassa sin kommunikation och vara observant på vilka behov den anhörige har. / Background : The nurse's job assignments in the palliative care are partly to prevent and treat symptoms in patients, but also to support relatives. Relatives have an important role in the palliative care to support the patient. Therefore, it is important to illuminate the relatives’ experiences of participating in palliative care. Aim : The aim was to illuminate relatives’ experiences to be involved in palliative care. Method : A literature review based on 16 scientific articles. Results: Three main categories were identified: Relatives’ feelings, Affected relationships and communication and Impact on the relatives’ life. To participate in the palliative care of a family member could give the relatives mixed feelings. Negative feelings in the form of powerlessness and guilt could occur, while positive feelings could be that they discovered their own strength and that they were able to give something back to the family member. Relationships with family members and other people changed, some people felt that it was to the better while others felt that it was for the worse. Communication was an important factor for the care to be good. Conclusion : It is important for healthcare professionals to be aware of feelings that may occur for a relative who participates in the palliative care. Healthcare professionals need to adjust their communication and be observant of the needs of the relative.

1 Abstract This diploma thesis deals with source administrative acts, which serve as a means of protection of the relevant area of the environment. The term "source administrative act" as used herein denotes various types of acts issued by administrative bodies which are then used as the ground for the final decision in administrative proceedings. The thesis does not focus only on binding source administrative acts, but also on other source acts of lower legal force. The thesis includes a section on the special legal regulation of source acts used in administrative sanctions proceedings. The main source materials for the thesis are the following: legal regulation of this issue currently in force, literature, methodologies of administrative authorities, decisions of administrative courts and the author's own professional experience. The beginning of the work includes the contents and a list of abbreviations. The third chapter contains an introduction where the author presents the reason for choosing the topic of the work, i.e. the frequent use of source administrative acts in the environmental field of public administration and their influence on administrative proceedings. Other reasons for choosing this topic were varying degrees of binding effect and problematic nomenclature of these acts and the bodies...

Grieving Online: Street-Involved Youths’ Use of Social Media After a Death conveys the context and lived experiences of 20 street-involved youth in Victoria BC, who live both on the streets and on line simultaneously (boyd, 2008a). Using a narrative methodology, including poetry, I explore how these realities affect the grief experiences after a death. Youth strategize to find access to computers and cell phones, using free wifi, sharing minutes, or buying or trading devices in the street economy in order to communicate through texting and viewing and posting to Facebook. Dire financial and unstable living situations, the complex and difficult relationships they have with both family and friends and the traumatic circumstances they have endured directly contributes to stress and anxiety and the ways they grieve the losses of people in their lives. This vulnerability, violence and instability is entangled both in their face to face interactions and in private and public communications online. It is also directly connected to the concept of precarity: “that politically induced condition in which certain populations suffer from failing social and economic networks of support and become differentially exposed to injury, violence, and death” (Butler, 2009, p.ii). There are several key findings from youths’ narratives. First, although youth often see themselves as outsiders from “regular society”, they have taken up a normative discourse of a “grieving subject” in their language and stories. This is a discourse of progress that includes stages and tasks and the understanding that to grieve is to do work. I argue that for many youth, this discourse is heightened because the stakes are high: their lives are surveilled by police and child protective services. Sometimes shunned by family of the deceased, or without private spaces to mourn, their expressions of grief are exposed and sometimes criminalized. Second, I argue that throughout their narratives, youth position themselves as moral beings and actors talking about and making sense of death through hierarchies of values and decisions, and framing the death as an opportunity to explore how they want to be in the world or how the world should be. This vision of street-involved youth actively experimenting in the moral laboratory (Mattingly, 2013) of the street and the moral predicaments they faced when grieving challenges the social stereotypes of street-involved youth as delinquent, loners, dysfunctional, refusing to ‘grow up’ and ‘be responsible.’ Third, youth spoke about negotiating and managing relationships both in person and within the affordances of social networking sites (boyd 2009) such as the visibility and persistence of online discussions. My findings demonstrate that these affordances have implications after a death. For example, youth were wrestling with the performances of grief online, trying to make sense “to what extent these declarations of grief are public posturing and to what extent they are genuine, personal expressions of deep feeling” (Dobler, 2006, p.180). Youth caution about posting too quickly about the death online, so that family or close friends would not have to find out online. They value communication that is private, face-to-face, or by phone that is intentional and acknowledges the importance of relationship with the deceased. Their thoughtful expertise can help all of us as we try to navigate the experiences of grieving online. Although they shared a great deal of ambivalence for the place of social media in their lives, for many it is a powerful tool to tell themselves and others about who they are and how they want to be remembered. / Graduate