The demand for district heating is expected to decrease in the future, due to competition from heat pumps and energy efficiency measures in buildings. Development of existing district heating systems is therefore necessary for district heating companies to maintain market shares. This Master?s thesis describes and investigates the heat and electricity production and profitability of a combined Organic Rankine Cycle (ORC) and heat pump that is integrated with an existing district heating system. The studied district heating system is utilizing heat from waste incineration. In Sweden waste constitute 20 % of the fuel mix used in district heating systems, and this share is expected to increase in the future.

Background: The education for becoming a registered nurse in Sweden includes compulsory time for clinical practice. The clinical education means an essential part in the students? personal development. According to regulation for nurses, a registered nurse has the responsibility to supervise nurse students during their clinical placement.Aim:. The aim of the examination was to describe nurse students´ experiences of supervision during clinical education.Method: The study was an empirical examination based on interviews with seven nurse students.Results: The result showed that nurse students wanted to be seen and treated as colleagues, but not used as labour.

Title: From openness and presence to distance and control: to be medicated and to administrate from a patient and nurse perspective.Background: Within forensic psychiatric care the patients are admitted against their will, under heavy security with long term treatments. Self-care seems, based on scientific studies, to be dependent on what the nurses involved can provide. Emphasis should focus on a humane and respectful approach when the patient is exposed to coercive measures.Aim: From a patient and nurse perspective describe experiences of beeing medicated with and to administrate antipsychotic drugs within the psychiatric inpatient care.Method: Interviews with patients and nurses, which were analyzed using qualitative content analysis with an inductive approach.Results: Patients experience frustration over not beeing able to participate in or influence descisions made regarding their neuroleptic treatment. The neuroleptic treatment is described as a coercive measure and is characterized as an experience of losing control and independence. Nurses? experiences of administering antipsychotics were described as having to do what is needed for the long term benefit of patients? well-being.

As the occurrence of obesity increases amongst young people, so increases the risk of more people suffering from heart failure as early as during middle age. The aim is to describe the life experiences of middle aged persons living with chronic heart failure. The literature study is based on twelve published, qualitative, and scientifically proved articles derived from MedLine and Cinahl using queries representing the subject, as well as from manual searching in ScienceDirect and LIBRIS. These articles have been analyzed from a life world perspective. Four main themes and four sub themes were identified from the articles' results.

Pain and pain treatment constitute a huge part of the general nurses work. For that reason the nurse is required to have great knowledge about this area. The fact that our society is getting more multicultural increase the nurses demands even more, to understand and treat pain in patients of foreign cultural background. The aim of this literature review is to examine which culturally learned and trans-ferred valuations, norms and approaches that appear related to physical pain. The aim is also to examine the most appropriate ways for the nurse to show respect and to get more information about this cultural experience in the encounter with the patient.

BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a slow progressive disease affecting the family caregivers by limiting their lifestyle. Subsequently the situation can be experienced as stressful for both the afflicted and the relatives. To easier understand the needs of the caregivers of family members suffering from COPD have, it is important to get an insight into their experience of every-day life, so that medical staff can help, support and promote their health according to their needs. AIM: To illustrate caregivers? experiences of living with a family member suffering from Chronic Obstructive Pulmonary Disease.

AbstractBackgroundThe Swedish district heat market of today is a subject being discussed regarding the reasonableness of the heat district supplier?s price settings. The issue is currently on a government level where a new investigation is being executed at the time of writing. Many real estate owners are growing tired of the situation where the heat district suppliers are taking advantage of their monopoly position, thus feeling that the price of district heating has been increasing far too much for many years. The market can be described as a natural monopoly because the real estate owner has no possibility to choose another supplier if they are unsatisfied with the present.

The aim of this descriptive literature study was to describe the patients? experience of the need for social support and the choice of coping strategies during treatment for eating disorders. Further, the authors wanted to describe the relationship with the parents and also to highlight the caring relationship between nurse and patient. Results that came to light, concerning the patients? experience, were that patients with eating disorders, in a majority of studies, indicated a deficient social network.

Background: Quality of life is a concept of individual meaning which is perceived differently depending on the person experiencing it. To have a chronic disease in the lung, such as asthma, has an effect on the quality of life. Asthma affects people of all ages. It is a disease that causes a constriction in the patients? airways which leads to a feeling of suffocation which in turn produces a feeling of anxiety.Aim: The purpose is to illuminate which factors affect the quality of life in adult patients with asthma.Method: This is a literary review based on ten articles, both quantitative and qualitative, from four different continents.

Diabetes Mellitus is one of the most common endocrinologic disorders among dogs. The disorder has a complex background, and successful treatment requires a well-functioning co-operation between pet owners and the veterinarian. The purpose of this study is to investigate the owners? perspective of diabetic treatments offered, and to estimate expected length of survival post-insulin therapy. The research findings are based on a survey mailed to 77 pet owners, whose dogs were diagnosed with diabetes between 1999 and 2003 at the small animal clinic of the Swedish University of Agricultural Sciences. The median survival for the dogs that underwent insulin treatment was 31 months, i.e.

The purpose of this essay is to investigate which components previous scientific studies suggest that an efficient treatment for adolescents with behavioural problems should contain. For this purpose, an extensive review of scientific research conducted in Scandinavia has been read and will be presented in this essay. This essay also present an introduction to residential care in Sweden as well as to an alternative form of treatment for adolescents with behavioural problems called Multidimensional Treatment Foster Care (MTFC). The result of this essay suggest that treatment of adolescents with behavioural problems should be based on the emphasis of risk/resilience factors of the youth and that the treatment should be adapted to the youth?s individual personality and way of learning.

Laminitis is a common but devastating condition, and affected horses are often euthanized or influenced a very long time. Many horses never return to their original capacity. Laminitis is often associated with severe pain and a long time of convalescence. Symthoms includes lameness, hoof hyperthermia, strenghthened digital pulse and pain. The horse often tries to move the body weight away from the forelegs which are often more severly affected than the hindlimbs.

Background: War-related amputations are represented by a unique group of patients because of the wounds complexity and scope of several serious injuries. To prevent and avoid care suffering and suffering of the patient, this study focused on the nurse's way to manage and identify the needs of this unique group of patients who have suffered from war-related limb loss. To undergo a traumatic amputation is a big change for the victim, and the nurse has an important role in responding to the patient and their needs Aim: To illuminate nursing care of patients with war-related limb loss. Method: The chosen method was a literature review. The data consisted of nine qualitative and three quantitative studies.

This study aims to examine how adolescents with diabetes describe and value their experience of participating in a support group and how they describe the issues of being a teenager with diabetes. This is a qualitative study and we have interviewed three young women who have been participating in a support group. The results of the interviews were analyzed through a phenomenological method and then compared to earlier research and interpreted through symbolic interactionism and Erikson's development-theory, which were our theories of choice. Our findings support earlier research when stating that support groups are important and necessary for adolescents with chronic illnesses. Our interviewees stated that they think that one of the most important benefits of support groups is to meet other people in their situation; same age and same chronic illness..

The aim of the study was to get a deeper understanding of how social workers at the welfare office think and act when it comes to methadone or buprenorphine treatment. What role does the welfare office take when it comes to methadone- or buprenorphine treatment, what does the welfare office think about this form of treatment, what possibilities does the welfare office have when it comes to decide the selection to this kind of treatment and what consideration does the welfare office take to the separate individuals demands when it comes to methadone- or buprenorphine treatment. The study is done in the perspective of society as a social construction. The method that was used was qualitative interviews with professionals at the welfare office and professionals at the reception of methadone- and buprenorphine treatment. The result of the study is that the attitude towards methadone- and buprenorphine treatment is complicated and the opinions are partly divided..