Energy efficiency is important both to reduce costs and to reduce greenhouse gas in the atmosphere. In Sweden 40 percent of the energy consumption is related to the buildings sector. Hospitals are complex buildings with different activities in the same building, which requires flexible technical systems for ventilation, heating and lightning. A quarter of the total energy consumption in Swedish hospitals is related to user activities in the hospitals. Therefore it is not only important to work with operational optimization but also to change user activities, to reduce energy consumption.The objective of this thesis was to examine the user-related energy efficiency work at two care units, at the central hospital in Sundsvall within Västernorrlands County.

ABSTRACTAim. To describe intensive care nurses´ experiences of caring for patients with postoperative delirium after heart surgery.Background. Delirium is a common condition after heart surgery. Previous research has focused more on pathophysiology, incidence, etiology, prevention, detection and management, and less on how nurses caring for patients with delirium experience it.Design. A qualitative interview study.Method.

Heart failure is an illness that requires life-long treatment and often affects everyday aspects of a person?s life. Self-care is a significant part of the treatment. Good self-care resources make it possible for people with heart failure to make the lifestyle changes they often need to maintain or improve their level of health. Self-care means having knowledge of and being able to recognize the symptoms and signs of deterioration that can occur with heart failure, so that the person can take appropriate measures ? and it also means knowing when it is time to seek professional help.

The position of middle-management is a role where the manager is at risk of being caught between its management and its employees. Elderly care is an industry that has been discussed a lot, to a large extent on how businesses should be managed and by whom it should be conducted. Middle-management in the business of elderly care thereby possess a vulnerable position in a controversial industry. In this study the aim is to investigate the managers' roles and tasks in both the public sector and the private sector in elderly care. It also aims to examine whether there are differences between the roles and how they in such cases is manifested.

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

The discharge from Lake Mälaren is regulated to keep the lake water level within limits set by a water decree. Despite this, in the year 2000 the lake water level rose above the upper limit. Studies conducted at the climate modeling unit Rossby Centre at the Swedish Meteorological and Hydrological Institute (SMHI) indicate that the inflow to the lake may increase in the future. A flood in the area will, among other things, strike infrastructure and residential districts.The aim of this study was to investigate the water levels of Lake Mälaren in future climates. In addition to this possible future expansion of the lake discharge though the sluice gates in order to keep water levels below limits set by the water decree and to prevent flooding of the shoreline were discussed.

Under våren och sommaren 2009 fick jag till uppgift att lära mig mer om HLA och hur man kan använda det för att integrera datorspel och simuleringar. Förr var simuleringar oftast stora specialskrivna program, skapade för att klara av en specifik simulering. Om man behövde förändra på något vis blev man tvungen att skriva om hela simuleringen. Nu med HLA har man fått en standardisering på hur man ska bygga upp simuleringar och vad dessa måste klara av att göra. HLA är alltså en arkitektur för hur man ska koppla ihop flera mindre simuleringar (federater) till en stor simulering (federation).

The impact of computer programs in safety-critical systems has increased in the past decades and computer-based systems can now be found in a wide range of applications. A new approach for developing dependable systems is documenting all design rationale that affects safety using Intent Specifications. A recent approach for developing complex systems efficiently and in an upgradeable manner is Component-Based System Engineering. In this thesis, these approaches are combined in the development and upgrade of a Remote Robot Control Unit by using the tool SpecTRM. The case study showed that Intent Specifications and CBSE could successfully be combined.

Streams and riparian zone are closely linked by reciprocal flows of energy and nutrients. A large part of the transportation from water to land is in form of emerged aquatic insects. Conversion of land from forest to agriculture can greatly affect aquatic ecosystems, and due to the close link, also affect the adjacent terrestral zone. Investigating how the presence of agriculture in the surrounding area affects amounts of emergent aquatic insects gives an indication on how agriculture, in turn, may affect the terrestral enviroment. The study was preformed alongside ten streams in northern Sweden; five in landscape transformed by agriculture and five in undisturbed forest areas.

Vertical hydropower units has a rotating mass of up to 1000 tons. For the generator and turbine to work well the rotating system is required to be centered in relation to the surrounding structure. This is achieved by means of radial bearings. The dynamic characteristics of these bearings have a strong impact on the overall rotational dynamics of the total system and thus influence the vibrations in the unit. At Vattenfall Research & Development in Älvkarleby ongoing research is taking place on how the bearing parameters should be represented in the rotor dynamic calculations.

Introduction: Two women die every hour due to pregnancy and childbirth relatedcomplications in Bangladesh. It is well known that a strong midwifery profession is the key toachieving safer childbirth and it is the right of every woman to have access to a fully trainedmidwife and to a safe delivery. However this is not the case in Bangladesh. Today, theexisting nurse-midwives are not fully utilized for the midwifery services. The profession ismal-distributed, functioning as multi-purpose service provider and are not recognized as aseparate cadre of midwives.

The high and seemingly increasing degree of consumer avoidance and disliking of television advertising breaks should raise many questions for commercially financed television networks as it can be argued that benefits sought by both viewers [seeking a fulfilling viewing experience] and advertisers [seeking advertising effectiveness] are eroded by this effect. This thesis studies effects on advertising effectiveness [RecallBRAND; AttitudeBRAND; AttitudeAD] as well as on the viewing experience [SatisfactionPROGRAM/CHANNEL; Attitude PROGRAM/CHANNEL; IntentionPROGRAM/CHANNEL] given a reduced degree of advertising clutter. By conducting an experiment two breaks are compared, one having the standard primetime nonprogram time units (5 min and 30 sec *3?16minutes/hour) and the other the standard nonprogram content cut in half (2.45 min *3 ?8min /hour).Results show that the reduced breaks award advertisers with higher commercial effectiveness. Measures of RecallBRAND demonstrates no differences between the standard and the reduced break, implying a significantly increased likelihood to be recalled and an equivalently lowered risk to be forgotten in the reduced break.

This thesis was rendered for the client HAGS Aneby AB that is a global leader in playground equipment. The goal of this project was to develop a seesaw that is available for children aged 5-12 years; both with and without disabilities. The project has aimed to develop a seesaw that fits everyone in the target group without looking specially adapted.Children with disabilities have difficulty using today's seesaws because they consist of only a seat and a handle on each side. It requires that the user has strong arms and legs and can sit up without support. HAGS Aneby AB would like to change this.To gain knowledge of the target group and on the different types of disabilities information was sought for on the internet including the RBU's and UNICEF's websites.

Stress är en växande folksjukdom i Sverige och en grupp som kan vara särskilt utsatta för kumulativ stress är soldater som ligger i beredskap. Vi har från våra förfäder ärvt en förmåga att vid fara reagera med en stressreaktion som en förberedelse för kamp eller flykt, också med en reaktion som gör att vi kan bli handlingsförlamade. Om dessa reaktioner upprepas gång på gång utan att kroppen får utlopp för den höjda energinivån ökar slitaget på kroppen. Stresshormoner samlas i kroppen och byggs på och kan under en längre tidsperiod leda till kumulativ stress. Om detta fortsätter kan det leda till ett utmattningssyndrom.Syftet med uppsatsen är att kartlägga hur soldater som ligger i beredskap upplever sin allmänna hälsa och den stress som de dagligen utsätts för.

Acute myocardial infarction is a serious diagnosis. Both the patient and the loved ones experience an immediate uncertainty. To be able to emotionally support the patient´s spouse, the nurse in the coronary care unit must be prepared to also encounter the world of the spouse. The aim of this study was from a nursing perspective to illuminate how life was experienced during the first two months by the spouse of someone, who was stricken by a first time acute myocardial infarction. Interviews with six spouses were conducted.