Aim. To describe patients who have got a recommendation by a telenurse to visit the emergency department and how many of these patients could have received care in the primary health care instead. Further on, the aim was to describe if there are patients not following the recommendations.Methods. Quantitative, descriptive study, with an examination of medical records of the patients, which the telenurses recommended to visit the emergency department, during one week. Assessments whether the patient could seek medical care at the primary health care was made, firstly based on the telenurses documentation and secondly on both the telenurses and the emergency department´s documentation.Results.

The energy consumption in the sectors of residential and public buildings is 40 % of the total energy consumption in Sweden. The main part, 85 %, of the energy use in these sectors is for operation of the buildings. The rest is used in the building process. When energy-efficiency measures are taken the energy use during the operation time decreases and the fraction of energy consumption during the building time increases. This project is carried out in cooperation with JM AB and concerns the energy use during the building time of production of blocks of flats at the building site.The main part of the electricity that is used during the production of apartment buildings goes into the heating of portacabins and illumination of the building during the construction phase.

The purpose of this thesis is to explore and analyze the processes and efforts involved in rebuilding the war-torn state of Afghanistan. The examined period span from the fall of the Taliban regime in 2001, to the elections in 2005. This period, commonly known as the Bonn-process, sets out the initial time for the reconstruction of the state.A theoretical framework, which considers the necessary mechanisms for successful state-building, will be used to analyze Afghanistan's re-building process. The mechanisms include the prerequisite of a stable security environment, emerging from a cease-fire, together with the development of a well-functioning economy, re-introduction of rule of law and rejuvenating civil society.The failure to establish a secure environment has had a devastating impact on all analyzed aspects of the re-building process. It is therefore crucial that the international society continuing to assists the Afghan government in its efforts to strengthen its capacity, in order to improve the security situation.

The building and plant sectors represent a large part of Sweden?s energy use. Putting energy requirements in public procurement as a tool for reducing energy consumption in the building and plant sectors is therefor an opportunity that operators can take advantage of. The aim of this thesis was to map the energy requirements in procurement that operators in the public sector use today in building and plant projects. The analysis was made with respect to if the energy requirements corresponded to the parts with large energy use in building and plant projects and also in which way energy requirements in procurement are written in the contract.

This essay in historical archaeology deals with cultural-historical values of buildings and inthis case the old train- and ferrystation in Helsingborg. The building has from the day of itsopening in 1898 been exposed to threats of demolition since its original purpose was as atemporary building with intension of being replaced within a couple of years. After havingseen two World Wars, eventhough Sweden never participated, and the ferrytraffic with its upsand downs the station was an important part of Helsingborg. All the ferrytraffic over the straitto Denmark was handeled by the old train- and ferrystation untill 1955, when a competativeferrycompany was built close to the old station. After a hundred years of service the oldstation was closed down when a new station was built i Helsingborg in 1991 with theintension of gathering all travelers in one building.

Caring for children at hospital with palliative care needs arouses different reactions in nurses and depends on what prior knowledge and experience nurses have. To besides shift focus from to care children palliative to care curative is further a strain and an emotional changeover. The aim of this study was to illuminate nurse?sperceptions about caring for children at hospital with palliative care needs, and how they shift focus of care between children with palliative care needs and children with curative care needs. The study has a qualitative approach and data were collected with interviews from two focus groups.

This bachelor thesis describes why investors should invest in environmentally certified buildings instead of non certified buildings. The report provides an overview of possible factors influencing an investor in the investment process of an environmentally certified building. The report explains why building companies find incentive to build green buildings and how a cash flow method can be adapted so it can be used in the valuation process of an environmentally certified building. Environmentally certified buildings are used as a strategy to reduce emissions that threaten the environment as well as a strategy to obtain market shares for the building companies. This report focuses on the economic advantages of an environmentally certified building.The construction- and real estate industry stands for approximately 40 percent of the energy consumption in the world.

The aim with the literature study was to describe how persons with dementia and health care workers in the geriatric care experiences soft massage and to describe the derived effects for persons with dementia. Scientific articles were sampled from the databases: Medline (Pub Med), Cinahl and Psyc INFO. The main results of the study are presented in three parts: how persons with dementia experiences soft massage, health care workers experiences of giving soft massage and the health care workers descriptions on derived effects on persons with dementia. The results showed that persons with dementia experienced a positive reaction to soft massage and the health care workers did no longer feel helpless in their care service towards persons with dementia. The studies showed that soft massage decreased agitation, wandering, pain and sleeplessness.

Background: Delirium is a serious condition that often affects hospitalized elder. The condition can be described as an overstrain of the brain which results in a disturbed consciousness. Elder people are particularly vulnerable since many of the risk factors develops with old age. The treatment aims to find and treat the underlying cause. Purpose: The purpose of this literature review was to illuminate factors beneficial for the nursing care of hospitalized elder with delirium.

The purpose of this study was to understand what the care recipients considering as care quality in their long-term eldercare. Our intention has been to contribute a bit to the development of the care work. Previous studies show that user surveys are carried out regularly but there is very few studies that are based on care recipients own opinions and experiences. The main questions in the study have been to examine what is considered as good elder care from a user perspective. Even to understand the characteristics of a good meeting with the care staff and also examine how the elder care in Nybro municipality can improve.

Our purpose was to study how care managers in practice evaluate needs in eldercare. A specific focus was set on elderly persons' sex, an area where former research show that decisions vary considerably. Were the care managers influenced in their decision making by the elderly person's sex? If so, in what ways? Were there variations in the definition of eldercare needs between the four chosen municipalities. And, finally, how did the care managers handle set criteria and priorities in their evaluation of such needs?The study was based on literature as well as interviews with eight care managers, chosen from four Scanian municipalities.We arrived at the conclusion that there is no specific difference in how the care managers evaluate eldercare needs in relation to sex..

Uppsats för avläggande av filosofie kandidatexamen i Kulturvård, Bygghantverk, 27 hp, 2010.

Energy efficiency has become a very topical issue that has been discussed throughout the European Union for preventing negative environmental impacts that have been associated with the consumption of energy. In the residential sector have mainly municipalities set strict requirements for the reduction of energy consumption while the renewable energy has been asked. Different concepts of low-energy buildings have been developed to reduce the cost of operation and maintenance in existing buildings such as in new ones.This thesis has aimed to minimize the energy cost of a large building which has had low energy consumption features originally. Energy reviews has been initiated in order to be able for showing how the house electricity could be carried out even more efficiently.The work was initiated through a literature study to clearly increase the reliability on the energy subject. Different concepts of low-energy buildings have been treated in connection with its specifications, afterward those have been compared with the obtained results.

Background: Home health care means that patients receive care in their home. Äldrevårdsenheten in Uppsala County treats people, over 65 years, in the patient's home and because of the fact that the quality of care from the patient´s perspective not have been studied previously, this study as part of the quality control of the business.Aim: The aim of this study was to investigate how patients, and family members, who receive care within the Äldrevårdsenheten in Uppsala County experiencing the care provided in the home.Method: Interview study with qualitative analysis.Results: Patients who are cared for within the Elderly Care Unit in Uppsala County Council has a positive experience of home care. Being cared for in the home creates a sense of security and calm in the patients rather than the stress and fear of long waits in the emergency department and planning advice from medical appointments . In contrast, perceived lack of physicians in home care and accessibility to health care staff.Conclusion: In general, patients in the Elderly Care Unit in Uppsala County Council very pleased with the opportunity to the treatment they received at home. However, there are some weaknesses that need improvement. .

The industrialized timber housing process is capable nowadays to build multi-storeyhouses since fairly new changes in the Swedish regulations where made after theadmission of the European Union in 1994.The industrialized process moves parts of the construction process into a highlyeffective factory where 3D-volumes of the building are prefabricated beforetransportation to the building site for assemble.The assembly process is relatively effective compared to the completion of thebuilding service system and this is therefore the main focus in this thesis. This thesisattends problems with completion of the building service system, and thereforedemarcates from other aspects, such as technical and economic aspects, of thebuilding service system.The degree of completion of the flats differs from completion of the connectivepassages, for example hallways, in a way that suggests a need for further investigation.This thesis includes analysis of the possibilities to increase the prefabricatedconnective passages, to the extent of containing building service systems.An increase of the prefabrication of the building service system has a greatdevelopment potential, even though some restraining factors need to be solvedbefore implementation.This thesis was made in collaboration with two of Sweden?s leading companies on themarket of multi-storey industrialized timber housing, Moelven ByggModul AB andLindbäcks Bygg AB..