The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

I detta arbete studeras möjligheterna att använda s.k. "Frequency-Modulated Continuous Wave radar" (FMCW-radar) för att mäta avstånd och radiell hastighet till ett mål. Vidare undersöks möjligheten att använda en följd av sådana mätdata för att skatta banparametrar för ett mål. Vi utför en två-dimensionell Fouriertransform på radardata. Genom att söka upp maximala värdet av transformerade datas absolutvärden erhåller vi en grov skattning av avstånd och radiell hastighet.

I och med samhällets utveckling från ett jordbrukssamhälle till ett industriellt samhälle, och vidare till ett tjänste- och kunskapssamhälle har antalet tjänsteföretag växt, och därmed även miljöpåverkan från denna sektor. Tjänstesektorns miljöpåverkan kan delas upp i två delar, en direkt miljöpåverkan kopplat till kontorsverksamheten, såsom energianvändning, samt en indirekt miljöpåverkan, som är ett resultat av tjänstens framtida nytta och bestående värde. Ett vanligt verktyg som svenska företag, och andra typer av organisationer, använder sig av för att strukturera upp sitt miljöarbete är miljöledningssystem enligt den internationella standarden ISO 14001. Miljöledningssystem är dock inte lika vanligt förekommande i tjänstesektorn som inom tillverkningsindustrin. Syftet med denna uppsats är därför att studera hur indirekt miljöpåverkan hanteras, och kan bli mer hanterbart, inom tjänstesektorn.

Working with health-management has become something most organizations would describe as essential for being legitimate today. The aim of this thesis is to investigate how this subject is handled in an existing company and how this work is percieved by the employees in the organization. Due to the fact that limited research has been conducted on this issue, we see this thesis as a potential for increasing the understanding of how health management is articulated in practice. Our results show that health management in our studied organization is far reaching in comparison with most organizations, but has room for improvement according to the Integral Theory. The consequence of differences in perceptions between management and employees could result in that health management does not become an integral part of the company and its daily operations to the potential extent..

The aim of this essay was to describe the power elite of the Swedish town Karlshamn, and its influences on the local political process before the realization of the narrow-gauge railway Karlshamn-Wislanda-Jernväg. During the mid 19th century, a revolutionary period began in the Swedish pre-industrial epoch. The political and institutional regulatory frameworks were disassembled and restructured, away from protectionism and centrally controlled administration, for the benefit of free trade, local self-government and liberalism. The changes were carried through during times marked by a drastic increasing native population and upcoming demands for adjustments to meet the growth of the industrial-, trade- and labour markets. An essential industrial development factor was the building of the national railway network, which started after some important decisions in the Swedish Riksdag during the 1850´s.

The term "Project" have become a growing work model that exist in almost all bransches. A project is a work effort made over a finite period of time with a start and a finish to create a unique product, service, or result. Science shows that time limitation has an impact on humans to perform under pressure, which challanges the contributor to deliver. This report contains an examination about project management, both coming from scientific results and an external business. The point of this study is to bring ideas of improvement, which can make the work method more effective in this company..

The purpose of this thesis is to find means of control that secure cost efficiency regarding the accommodation for the employees on missions abroad of the Swedish Ministry for Foreign Affairs. Today the ministry?s cost for the employees? rented housing is 100 million SEK and there is a need of improvement in the control of these costs. A work method for organizational development will be used in order to reach the findings presented in the thesis. First we study the strengths and weaknesses in today?s control system.

This case study is performed within the production of Sherwin-Williams, Bellö. The purpose is to increase the understanding how a value stream can function more efficient, from a lead time perspective. With the analytical model that is build up on known theories, the purpose have been fulfilled. Mapping of value and non value time for four products thru their respectively process reveals wastes, which is, waiting, transport and movement, incorrect processing and set-up time that in it self create transport and movement. Thru identified wastes that causes loss in lead time suggestions of improvement has been proposed.

Dampness in the indoor environment have been a major issue of discussion the last decades since more and more people complain about their indoor environment. In the present situation there are difficulties to find what causes people?s discomfort in a damp environment even though there is a strong connection between dampness and human health.The aim of the thesis was to contribute to the work done today to achieve a better indoor environment in damp buildings. The purpose of the work was to evaluate whether the measures issued for dampness in the indoor environment contributes to the improvement of health and environment for those who are living or working in that space. Through a literature review, interview and survey the following three questions were answered to achieve the aim and purpose:How are people affected by the indoor environment in damp buildings?Which are the measures issued to prevent dampness in the indoor environment?Do these interventions contribute to a better indoor environment?How people are affected by the indoor environment in damp buildings and how these problems are prevented were the foundation for the continued work with the survey.

This studie is an investigation about pupilassets workningforms and participation at school. The basis of the studie are two ITiS-projects, whose workningforms investegates with qualitative methods in form of observations and interviews whit pupils and teachers. This investigation will accomplish to find out how the pupils see their participation at school, and also to investigate what pupilassets workningforms mean to teachers and pupils. Conclusions from the investigation are that a more pupilassets workningforms doesn´t exist continuous in the teaching and that the pupils see their increased participation in the work with the ITiS-project as something temporarliy. Some suggestions to further investigation into this area are to be found in the end of the paper..

Demands on businesses are constantly increasing and the competition in the market-place is becoming ever tougher. To gain the long-term confidence of customers, not only the best businesses, but also the best supply chains are required.Volvo Cars is experiencing a changing competitive situation and their retailers are having trouble stocking the right spare parts. Shorter product life cycles and the growth of Volvo?s product program result in an increase in the number of spare parts to be stocked. In order to adapt to market trends and meet customer demands, Volvo has developed the LDC model, establishing a number of regional warehouses in strategic locations in Sweden, de-signed to supply spare parts to the regions? retailers through so-called Vendor-Managed In-ventory (VMI).The purpose of the study is to examine Volvo personbilar Sverige?s (VPS) motivation for a modified customer-service strategy through LDC.

To maintain production in high salaries countries and strength in competition against other companies, it is today more important than ever to maximize production, offer a wide spectra of products and be able to deliver on the customers desire of shorter and shorter delivery time. Flexible production and short time spent on die changes is vital to achieve these desires. The interest for die changeover time reduction grew in the same pace as the demand for increased product variety grew. SMED as a method of reducing time spent on die changeovers were developed in between 1950-1970, by the Japanese Shigeo Shingo.The purpose of this thesis work has been to investigate the result of SMED in a die casting facility, and compare the result from it with the result considering time spent on die changeovers when investing in new equipment. The goal is to implement a thorough investigation by using the SMED method at Tenhults Pressgjuteri AB and make a brochure that have to be simple to understand, in purpose to draw interest to the advantages of using SMED as a method.Commissioned by the Swedish foundry association Swecast, the work has been carried out by studying die changeovers at Tenhults Pressgjuteri AB, where filming and interviews with the operators have been included in the analysis.

This study has been performed with the help of forest machine operators in order to improve the forestry planning at Holmen Skog Örnsköldsvik-region. For Holmen Skog forestry planning is basic for a successful forestry. In a survey I have investigated what can be improved in some areas that are planned for harvesting. The result of the investigation will be used to support the machine operators as much as possible. The study has generated 49.5 % of responses and because of this low response rate, no clear conclusions to anyone else except the responding machine operators can be drawn. It has been proved that there are some details in the forestry planning system that are inadequate, such as marked routs for trails, tractor paths and buffer zones against streams. The quality of forestry planning varies greatly between different locations, as much as 50 % of the responding machine operators thought so. Over 40 % of the responding machine operators claim that the information from Holmen is insufficient. One thing that would improve the forestry planning within Holmen would be to educate all forestry planners and then do continuous follow-ups..

Around year 2004, a new service was introduced on the Swedish housing market with the purpose of increasing the sell price, namely homestaging. Homestaging means that a home gets in order before a open house, for example by removing personal affections or the leasing of new furniture. The phenomenon originates from the United States, where it has existed for several decades.Most components, but not all, that is included in the homestaging concept is tax-deductible and this has lead to several questions around the law and foremost within tax law. To elucidate this complexity of problems around the right to deduction for homestaging, the Swedish tax agency, Skatteverket, has formulated a letter stating the authority?s attitude towards the phenomenon.

IntroduktionMedicinsk vetenskap och sjukvårdens möjligheter att hjälpa utvecklas ständigt. Sjukvården idag kan i många fall ställa rätt diagnos och ge en effektiv behandling för att bota den som drabbats av ohälsa. Radiologiska undersökningar är ett viktigt hjälpmedel men innebär också risker i form av strålning samt felaktigt resursanvändande.SyfteSyftet med förbättringsarbetet var att skapa en bättre användning av radiologi och följsamhet till medicinska riktlinjer så att patienten får rätt undersökning utifrån sitt behov samt att resur-ser nyttjas mer optimalt. Målsättningen var att öka andelen berättigade undersökningar.Syftet med studien av förbättringsarbetet var att få en förståelse förvilka faktorer som påverkar remittentens val av radiologisk undersökning och därmed berättigandegradenvilka aktiviteter i förbättringsarbetet påverkar berättigandegraden och på vilket sättMetodInterventioner i form av utbildning och mätningar användes för att höja berättigandegraden. Bedömning av berättigandegraden gjordes av en ST-läkare.En fallstudie med kvalitativ ansats genomfördes och fokusgruppintervju användes för att stu-dera förbättringsarbetet.ResultatStudien visar att berättigandegraden ökar något som ett resultat av de valda interventionerna.