Constipation is a common problem for people with dementia and it may result in discomfort, suffering and lower quality of life. Nurses in municipal nursing homes have difficult to observe and prevent these problems because they do not participate in the daily caring work. The aim of this study was to illustrate the nurse assistants? reflections about the care they gave people with dementia and constipation. Main questions vas how they became aware of such problems and what they did when someone had problem with constipation.

Constipation is a common problem for people with dementia and it may result in discomfort, suffering and lower quality of life. Nurses in municipal nursing homes have difficult to observe and prevent these problems because they do not participate in the daily caring work. The aim of this study was to illustrate the nurse assistants? reflections about the care they gave people with dementia and constipation. Main questions vas how they became aware of such problems and what they did when someone had problem with constipation.

Aftercare is an important condition for the Care of Alcoholics and Drug Abuse Act (LVM) to be successful. According to the law, the municipals are responsible for the aftercare. We compared how three municipal in Skåne, Sweden, define and work with the aftercare after treatment under LVM. The study was based on nine qualitative interviews with social workers, division managers and politicians from each municipal. As a theoretical reference the theory of total institutions and empowerment theory were used.

Wastewater contains biodegradable materials, which are often measured as BOD7.Trickling filters are sometimes used as a purification step for BOD-reduction. Atrickling filter is a tower, which is filled with a carrier material. Microorganisms growon the carrier material in the form of a biofilm. This biofilm consists mostly of bacteriathat purify water from BOD.In Älgarås? wastewater treatment plant the water is purified by a trickling filter.However the treatment plant has difficulties reaching the emission requirements forBOD.

The purpose of this master?s thesis is to study resource allocation among district libraries within Stockholm?s City Library (SSB) on three different occasions ? 1996, 2001 and 2005 ? and to examine whether there exist any inconsistency between the state of the allocation of resources and what might be considered reasonable. During the course of the study, it became apparent that some measurements are more relevant than others when determining whether the allocation of resources is reasonably fair. The most relevant ratio is the share of net cost per capita in relation to population and the population?s composition of children, youngsters and persons with foreign background as a result of relevant political governing documents giving priority to these three groups.

Vattenfall district Heating power plant in Uppsala produces district cooling with absorption heat pumps which leads to a large amount of waste heat that has to be cooled with evaporative cooling towers. The Environmental Court has ordered Vattenfall to survey the possibilities to recover the heat, which is the focus of this thesis.The study begins with an overview of the system, and conditions and limitations for waste heat recovery is examined. In the next step alternatives to recycle the heat is evaluated, either by direct recovering or by upgrading.First, the technical possibility of each alternative is discussed, and then the operation time and the amount of recovered heat is calculated. Those alternatives which are possible are brought further to an economic analysis.The cost of investment for each alternative constitutes the basis for a present value analysis. The results are put together in a table where the total amount of recovered heat is compared with the present value for the different alternatives.

Objective: The out-of-hospital cardiac-arrest incidence in Sweden averages about 10 000 a year. Whether the victim will survive or not is dependent upon rapid actions according to the chain of survival ? early alarm, early CPR, early defibrillation and early medical treatment. While waiting for the ambulance the victim is completely dependent on immediate help from any bystander, because early CPR improves survival rates by two-three folds. Unfortunately not all bystanders start CPR because of different reasons.

For over 40 years, there's been a debate in Sweden of whether it's good or bad with maintenance therapy for heroin addicts. This method is far more acknowledged in other parts of Europe and in USA. The aim of this paper was to explore how public actors manifest their thoughts concerning the subject of the substitution program in Sweden. This approach includes the complex of problems that can be found in statements and the discourses that these operators stand for and support. In my analysis the philosophical thread was principally based on Michael Foucault ideas, but also on other theories related to social constructionism.

Death can be seen as a sensitive subject and can by that be difficult for many people to talk about. Working as a nurse can imply caring for severe ill and dying patients, which can be regarded as a task that makes great demands. The aim of the present literature review is to illustrate nurses' experiences of problems in association with the care of dying patients to be aware of these. Nine scientific articles were analysed and the result showed that the problems the nurses experienced could be related to four different categories: problems related to organisa-tion/resources, to the nurse herself, to the patient and to family members. The literature review also illustrates consequences of these problems for nurses, and which components that could simplify the nursing care of dying patients..

The aim of the study is to examine which present conceptions of sexuality there are in treatment of substance abuse for men. The intention is to examine how staff members in these environments perceive clients? sex and sexuality as well as studying if and in that case how they work with sexuality in treatment. A qualitative method formed the methodological approach and semistructured interviews were carried out for the collection of data. Four staff members from two different treatment institutions for substance abuse were interviewed.

ABSTRACTIn an intermediate section at a large university hospital are patients with subarachnoid hemorrhage (SAH) cared for. There are international, national and local guidelines how nutrition therapy should be implemented and how much energy each patient should be given when hospitalized. The purpose of this study was to examine the documentation and actions on nutrition in patients with SAH and to see if guidelines on nutrition were followed. The study was a quantitative, retrospective record review that was analyzed statistically and descriptive. 26 patients were included.

A water treatment unit consisting of two aeration basins, two settling tanks, a residence basinand a horizontal subsurface flow wetland were used to treat wastewater from an eggprocessing factory in Brazil. The aim of this paper was to determine the efficiency of thesystem in reducing nitrogen, phosphorus, BOD5 and TSS (among other parameters) andgetting a further understanding on different kinds of constructed treatment wetlands as well astheir nitrogen and phosphorus removal processes. The wastewater from the factory consistedof process water from manufacturing and water used for cleaning, no stormwater or sewagewater entered the system. Tests were taken three times a month from October 2013 ?til April2014.

Many of todays studies show that district heating is one of the betteralternatives as heating source because of its low environmental load.The energy source is often leftovers from other processes producing energy or waste, like garbage or chips.Electricity in combination with geothermal heating is another heating system that has increased sharply during the last years, and also this system decreases the discharges that have negative affectson the environment compared to several other heating methods.This report aims to, concentrated towards these two different heating systems, estimate the amounts of discharges they indirect cause and how the environment is affected.We have calculated the mean value for discharges of carbon dioxide, nitrogen oxide, sulphur oxide and dust generated from electrical power used in Sweden.Through interviews and research we have gained data for the same substances that district heating based on combustion of garbage and biofuel generates.We have also in cooperation with a housing company chosen a building we see representative for many of the new single-family houses built in Sweden today.Based on its shape and appearance we theoretically created three alternatives of the same house, each of them with climate screens different from each other.Together with the amounts of discharged environmental affecting substances, these houses were the base for our calculations and studies when investigating the different heating sources environmental effect.The results have thereafter been analyzed and discussed from different angles..

Syftet med litteraturöversikten var att utforska hur andningsmuskelträning har studerats hos vuxna personer med KOL, stadium 1-4, avseende använda effektmått, teoretiskt perspektiv och metodologi. Detta för att få en ökad förståelse för hur andningsmuskelträning kan användas i det kliniska arbetet, samt att vid framtida forskning kunna genomföra studier av god metodologiska kvalitet som kan ge generaliserbara resultat och ökad säkerhet kring behandlingens användningsområden.Metod: Litteraturöversikten inkluderade studier som var publicerade efter att litteratursökningen till Cochrane-rapporten ?Breathing exercises för chronic obstructive pulmonary disease? stängdes (april 2012). Elva studier inkluderades från databaserna PubMed, Cinahl, Pedro, AMED, SweMed+ och PSYCInfo med sökorden: chronic obstructive pulmonary disease, breathing exercises och respiratory muscle training.Resultat: Studierna visar att andningsmuskelträning i kombination med fysisk aktivitet har ett positivt värde för personer med KOL. Detta med avseende på funktionell fysisk kapacitet, lungfunktion, hälsorelaterad livskvalitet, samt minskning av antalet exacerbationer.

This thesis examines a possible control strategy to minimize flow fluctuations in Uppsala?s district heating system. High variations in flow rate may lead to complications caused by hydraulic constraints in the district heating system. These complications, such as inadequate pressure and temperature levels, increase the risk of heat delivery failures. It is therefore important to avoid such situations both for the producer and for the customers.Typically, the forward temperature is controlled by using a rough correlation with respect to the outdoor temperature.