The purpose of this thesis is to discuss how an instrument originally developed for measuring changes toward lean thinking inservice organizations in general should be adjusted in order to be of use in service organizations within the healthcare sector, andin hospital organizations in specific. The adjustments are suggested based on difficulties specifically arising when implementinglean within the healthcare sector.Thesis starting point is a pre-existing lean assessment instrument developed for service organizations in general. The thesis appliesa qualitative method and integrates literature from the health care sector and lean production movement with the expertise of tenacademics and practitioners in order to find difficulties associated with the implementation of lean within the healthcare sector.These difficulties then lie as the substratum for the adjustments suggested to be made on the instrument.The thesis finds that lean, as a philosophy, does not differ between service organizations in general and service organizationswithin healthcare settings. However, due to deficits in the general understanding of lean some adaptions on the instrument mustbe made. First, some words associated with production must be changed to words associated with healthcare.

Most of the city of Uppsala rests on postglacial clay with a varying content of sulphur. The sulphur occurs naturally in the clay in reduced form as sulphide and the clay is for that reason usually called ?sulphide clay?. Excavation during construction activities gives rise to large amounts of excavation material, of which the sulphide clay is a considerable part.When the clay is exposed to air and water, an oxidation of the sulphides occurs which may produce an acid leachate and the mobilisation of heavy metals bound in the clay or underlying material. The aim of the work has been to improve our understanding of the behaviour of sulphide clays and produce a basis for risk assessment in the future handling of excavation material with high sulphide content.

EC and WTO have been prosecuting collaboration for some time, which purpose is to liberalize the global market for commerce. There have been some alterations under the last decades. Establishing in other countries than their own is far easier, nevertheless it is getting more difficult. The enterprises demand equal treatment and the countries want to have the most favourable legislation. This has resulted in conflicts between different countries and even between the companies.

The aim of this thesis is to discuss selected parts of cataloguing both from a practical and a theoretical viewpoint. It presents the basic grounds for cataloguing of printed as well as non-printed materials. The focus lies on the main entry heading and its author/title problem concerning film. The thesis theoretical part consists of an analysis of central documents dealing with the author concept from both a library- and information science perspective and a film science perspective. The practical part consists of interviews from two Swedish public libraries, which have different approaches on presenting films.

The safety and safety work on OKG, Oskarshamns Kraftgrupp, is supervised by SKI, Swedish nuclear power inspectorate. The task of SKI is to inspect that the nuclear power plants of Sweden runs in a safe way. The proprietor of the permit who runs nuclear power plants has the responsibility to maintain the required safety to run a plant. SKI publishes a number of statue books that OKG has to meet to be able to run the plants. SKI recommends in SKIFS 2 004:1, that OKG work with the safety requirements of IAEA.

I den kvalitativa studien underso?ks vad som ligger till grund fo?r bedo?mning i fyra a?mnen inom gymnasieskolan. De a?mnen som underso?ks a?r teater, idrott- och ha?lsa, hotel- och restaurang samt tra?teknik. Intervjuer med la?rare visar att det la?ggs stor vikt vid bedo?mning av processen i den dagliga undervisningen, dvs.

People with dementia often have difficulties expressing their needs. Untreated pain within this group can be manifested as depression, agitation or loss in appetite. It can be a challenging task for a nurse to estimate, treat and evaluate pain for people with dementia. With good knowledge and an empathic approach, nurses can often recognize and relieve pain amongst these people. Despite this, litterature often suggest that unrecognized and untreated pain is common within this group..

This Master?s Thesis aims to illustrate in what ways the two Swedish environmental assessment tools, the Environmental Load Profile and EcoEffect differ and if performed valuations gives different results and environmental goals.The built urban environment causes about half the environmental loading in Sweden. The society?s ambition towards sustainable development has resulted in demands reducing the environmental load. One way to accomplish this change is with the assistance of tools for environmental assessment of the built environment.

This essay examines what some of the Swedish authorities? argument are for vegetation, what their grounds are for the arguments and why vegetation is important for the human health and experience. I have examined publications and reports from 6 different authorities on state- , regional and communal level. The authorities which publications I have studied are Boverket, Naturvårdsverket, Folkhälsoinstitutet, Miljödepartementet, Länsstyrelsen Skåne och Malmö Kommun. The publications has been analyzed by different themes; Children and young peoples influence of vegetation, Elderly and sick?s influence of vegetation, Human health, wellbeing and experience of vegetation, Vegetation at work, The influence of vegetation on stress and The effect of vegetation in the city.

The aim of this essay is to examine the supervisor?s view on the structure and content of the tasks given to students during their vocational training. The investigation could be of help for teachers when devising new vocational training tasks. The study is based upon qualitative interviews with five supervisors, all of whom work at preschools. The supervisors were asked to grade all the vocational training tasks on a scale from one (easy) to five (difficult).

Denna studie har som syfte att beskriva en lärares tillvägagångssätt för att tydliggöra kunskapskraven i Lgr 11 som är relaterade till skriftlig språkfärdighet i spanska, samt att ta reda på elevernas uppfattningar om detta tillvägagångssätt. I den här studien används uttrycket att tydliggöra i en bred mening, vari ingår både lärarens verbalisering av kunskapskraven och alla aktiviteter som läraren sätter igång och som ska hjälpa eleverna att utveckla en förståelse för dessa.Undersökningen bygger på en fallstudie i vilken olika källor har använts: intervjuer med läraren och fyra elever, enkät, klassrumsobservationer, en matris och ett urval rättade uppgifter.Resultatet visar att läraren och hennes elever verbaliserar sina tolkningar av kunskapskraven på ett likadant sätt. För att tydliggöra kunskapskraven använder läraren flera olika tillvägagångssätt, främst utsagor om kvalitet och exempel på korrekta meningar. Som utsagor om kvalitet använder läraren de formuleringar som finns i kursplanen, samtidigt som hon förklarar med andra ord och tydliggör för eleverna vilka konkreta tecken på kvalitet dessa innebär i en text. Återkopplingen till eleverna är också ett tillfälle för att tydliggöra kunskapskraven.Som metod för att tydliggöra kunskapskraven efterlyser eleverna framförallt konkreta råd om hur en text kan bli bättre, samt att få exempel på bra och mindre bra texter.Både läraren och eleverna är tveksamma till vilken roll tydliggörande av kunskapskraven spelar i undervisningen..

Banks carry a great responsibility when it comes to the financial systems in our society. Disturbance in the credit system affects both lender and borrower. All financial institutions must therefore carefully estimate their risk exposure. This assessment enables them to cover themselves from losses with appropriate capital buffers as main guardian. In order to prevent bank crises and also to maintain financial stability in general, new regulations concerning analysis and preventive actions were introduced on the 1st of February 2007.

The first aim of this study is to examine what the differences are between the Classic directive (directive 2004/18/EC of the European Parliament and of the Council of 31 March 2004 on the coordination of procedures for the award of public works contracts, public supply contracts and public service contracts) and the Revised Classic directive (directive 2014/24/EU of the European Parliament and of the council of 26 February 2014 on public procurement and repealing Directive 2004/18/EC) when it comes to social considerations in public procurement. The second aim is to examine if the revision of the directive has solved the prior existing problems regarding social considerations in public procurement. In this paper a traditional European legal method is used. The examinations show a number of things, including the Revised Classic directive involving codification of case law, references to other sources of law and some clarified rules as well as new provisions. The regulations regarding reserved contracts, technical specifications, and selection criterion are satisfied in the Revised Classic directive.

Botulism is a serious disease with high mortality that can affect horses. Due to this about 20-30 percent of the horses in Sweden are vaccinated against botulism. The purpose of this study was to see how common botulism is in the Swedish horse population and to se if a connection between feeding with haylage and botulism could be seen. In addition to this, the study aimed to find how common vaccination against botulism is among Swedish horses and on what grounds the diagnosis botulism is made. Medical records of horses being diagnosed with botulism at all the major large animal hospitals in Sweden between 1995-2005 were searched. In addition to this the database where general practitioners report their cases as well as the cases with botulism reported to the insurance companies were included. The results of this study show that only 0,03 percent of the Swedish horse population has been diagnosed with botulism during the time period this study covers. In all the cases included in this study the diagnosis was made based on clinical signs and in none of the cases verification by isolating the toxin was possible. In all cases where forage is noted in the journals the horse has been feed haylage which indicate that there is a connection between the use of haylage and botulism. Three horses died despite being partially vaccinated against botulism type B which indicate that a correct vaccination has to be done before the horse get any protection or that the correct diagnosis was not botulism type B..

Evaluations of open Ditch status and function, with an assessment of suitability of a conversion to a two stage ditch as a low maintenance alternative. To illustrate Swedish drainage problems this work focused on two agricultural drainage associations assessed in detail with a new method called MADRAS (Minnesota Agricultural Ditch Reach Assessment for Stability). With the assessment of the MADRAS method estimates were made to conclude the ditches operating problems. This was made through measurements of sediment depths, mass bank failures etc. in order to quantify ditch problems and propose practical actions for improved ditch stability and water quality. The MADRAS surveys were conducted in two main ditches that drains 2900 hectares of land on the northern shores of Mälaren. In the study measurements of the ditch cross-sections were also conducted to compare actual profiles with the original map profiles. The evaluation showed that parts of the studied ditch sections were operatively poor; main reason was mass bank failure, undercut channel banks, sediment aggregations and narrowed ditches. The profile survey shows that a majority of the profiles 80 % has sediment accumulations there remains only 64 % of the original profile from the map.