Injuries to the suspensory ligament represent a huge problem in equine veterinary medicine. As many of the affected horses are elite-competition athletes, there are high expectations on veterinarians to make these horses fully functional again. The suspensory ligament has several features which makes the healing process complicated. So far no treatment has shown to optimize the healing process. This has led to the testing of many new treatment methods, in order to find a consensus for the injury.

ABSTRACT (english)Introduction: The possibility to transplant an organ is an important part of the health care system, which demands great resources and a well functioning organization with a level of high competence. The work with organ donation is complex and brings forward a great amount of different emotions for the operation room nurse. Aim: The aim with the study is to illustrate the operating room nurses experience when the organ donor is brain dead. Method: Data collection has been performed with semi-structured interviews, which have been interpreted by qualitative manifest analysis. The design of the study is pilot towards a study in full scale.

This bachelor thesis aims at investigate how a specified house can optimize its energy consumption.Today the house often stands for the major part of the energy consumption in a consumers? life,whereas an energy optimization creates economic as well as environmental advantages. It is importantto make old houses more energy efficient, but putting high energy demands on new houses could beargued to be more important. The installations functions as both the heart and brain in a house, thusmaking it important to energy optimize these. Since the background describes the importance ofenergy efficiency and optimization in a house, the focus area of this report will be an investigation ofdifferent types of heating systems in order to be able to choose the one most suited for the house.Aspects considered when choosing the heating system was how economic the system is both inservice- and investment costs and how environmental and operational friendly the system is.Through literature reviews there were sufficient information gathered that served as a foundation whencomparing and choosing between the four systems - district heating, pellet-fired boiler, geothermalheating and solar heating.

As a part of the fight against the global warming the energy production needs to be more efficient and redirected towards sustainable options. One alternative is cogeneration, which means that electricity and heat is produced in one plant. The purpose with this survey is to examine if there are any commercial available combined heat and power techniques, based on combustion of solid moist biomass, which are suitable to small-scale applications. The technique must be able to produce between 2 and 10 MW thermal and the heat demand is a Swedish district-heating system. When already published reports had been studied, the Organic Rankine Cycle (ORC) was chosen as the most suitable technique.

I want to look at the possibilities to start selling hot water from a small district heating plant with bioenergy. My reason for doing this project is to look at a new business opportunity for our farm. Our company have less work during the winter time compared to the spring and this project will give us more work during the winter. I also want to take as much material as possible for heating from our farm in order to increase the value of the products from the farm. The project is in a village near us, where we should support a school, a churh, a home for the aged, a kindergarten and a parish hall with heat. In my work I have compared two different alternatives with each other. The first alternative is to put a central heater in one of the buildings, the home for the aged, in which we will burn oat.

The purpose of this randomized controlled study was to investigate the effect of internet- administered guided self-help for women suffering from psychological problems following traumatic childbirth. The eight-week treatment program consisted of written chapters based on cognitive behavioral therapy. 56 participants were randomly assigned to a treatment group (n = 28) or a waiting list group (n = 28).The results showed that post-traumatic symptoms decreased as a result of the treatment, with large within-group effects measured by both the Traumatic Event Scale (TES) (d = 1.33) and the Impact of Event Scale-Revised (IES-R) (d = 1.3). The difference between the groups was only significant when measured by the IES-R in which case the between-group effect was large (d = 0.97). The proportion of the participants who showed clinically significant improvement was considerably greater in the treatment group than in the waiting list group.

In a sustainable society the use of renewable energy and recycling of materials is of high importance. Wastewater treatment plants use large amounts of energy in the processing of wastewater. This study seeks to evaluate wastewater as an energy resource and to examine treatment plants potential to become sustainable energy producers. The study is based upon the internal processes of Himmerfja?rdsverket.

Background:When the patient is critically ill the family is in a vulnerable position. The nurse's role is to support and help the family to find meaning in the difficult situation and to provide realistic hope. Balancing between the patient's and the family's needs is difficult. Knowledge about how nurses experience difficulties in the interaction with family is required in order to grant good care too critically ill patients and their family-members.Aim:To describe nurses' perceived difficulties in the interaction with family-members of critically ill patients.Method:The study is a qualitative literature-based study based on qualitative research. Results: The analysis resulted in four main themes; difficult disunion, environmental constraints, interpersonal difficulties and communicative difficulties.

AbstractBackground: After a while the usage of urinary catheters leads to UTI which for the patient means inconvenience, suffering and pain. Aim: The aim of this study was to illuminate how to prevent UTI from patients with indwelling catheter. Method: This study was a literature review in which the articles have been searched for in PubMed, Cinahl and ELIN@Kristianstad. Results: It is important for the nurse to clean the periutheral area before inserting the catheter, and has the knowledge of different cathetermaterials. Silver alloy-coated catheters reduces the rate of UTI.

The most common way to treat wastewater in Sweden today is by a combination of an activated sludge process and a chemical treatment. These processes are not very energy efficient and may not be the most environmentally friendly. That is why it is interesting to evaluate new alternative methods to see if they can be less harmful to the environment and help to a lower resource consumption. New techniques are tested in a pilot installation at Hammarby Sjöstad, Sjöstadsverket. To be able to evaluate these techniques in a wide perspective system analyses are conducted where different impacts can be considered, advantages and disadvantages in the systems.Five system structures for water treatment have been constructed in Matlab/Simulink in this study.

Wastewater treatment is increasingly controlled by the Swedish environmental quality objectives, adopted by the Swedish parliament. There is a need for a sewage system that can fulfill stringent requirements concerning the environment, recycling and resource use and hygiene. Additional environmental aspects in recent years are the impact of climate change, new knowledge about the effects of pharmaceuticals in water, the need for improved wastewater treatment and increased recycling of nutrients to agriculture. This report has, from a future scenario of the year 2050, analyzed seven different systems for wastewater treatment and treatment of compostable biowaste from households in Eskilstuna. A future scenario was chosen based on that within a forty year period new challenges may arise which can result in higher demands on sewage treatment than those we see today. Another reason why the future scenario was established is that changes in wastewater treatment systems are slow to establish. The analysis is mainly focused on the economical aspects but environmental aspects such as emissions to receiving waters and potential recycling of plant nutrients has also been evaluated briefly.

Bakgrund: Långvarig smärta har funnits hos människor i alla tider och idag ses den långvariga smärtan som ett stort folkhälsoproblem. Långvarig smärta förändrar livsvärlden mer eller mindre. Samtidigt har anmälningar om brister inom bemötande ökat, där sjuksköterskan omnämns. Syfte: Syftet var att beskriva upplevelsen hos personer med långvarig smärta i deras möte med sjuksköterskan. Metod: En litteraturstudie framställd ur vetenskapliga artiklar.

 Like adult obesity, childhood obesity prevalence is rising, especially in the Western World.As many as 20 ? 25 percent of the ten years old children are overweight in Sweden. It isimportant to early identify overweight, since overweight could lead into diabetes, mentalsuffering, hypertension and cardiovascular disease.The aim of this study was to describe how nurses experience and perceive the conversationwith parents of overweight children. A qualitative method with a content analysis has beenused. Six nurses working in child health centre have been interviewed.The result shows that the conversation between the nurse and the parents of an overweightchild can be very difficult.

Background: Diabetes mellitus is a chronic disease that manifests as an increased level of glucose in the blood. According to the World Health Organization (WHO), 347 million people have diabetes worldwide. In year 2004, 3.4 million people died from the consequences of high blood glucose. In the Swedish population the prevalence of diabetes is estimated to 3-4 %, out of which 85-90% are Type 2. Among senior citizens a prevalence of diabetes is seen in Sweden up to 14 - 15%.

The aim with this study was to examine professional peoples' view on the reason why females, under the age of 18 years old, self-harm and the professionals view on their treatment. The study is qualitative and based on eight interviews with professional personnel who work with young females with self-harm behavior in the region of Skåne. To be able to analyze our qualitative interviews we used two theories; the attachment theory and trauma theory. The results of this study show that there are many different functions with the self-harm behavior and that the cause of the behavior can be different among the females. Most of the young females seem to self-harm to reduce anxiety but some also do it to punish themselves, to feel alive or to belong to a group of friends.